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Cancer incidence and mortality in the European Union: Cancer registry data and estimates of national incidence for 1990
Author(s): Black RJ, Bray F, Ferlay J, Parkin DM
Source: EUROPEAN JOURNAL OF CANCER    Volume: 33    Issue: 7    Pages: 1075-1107    Published: JUN 1997  
Times Cited: 305     References: 81     
Abstract: Members of the European Network of Cancer Registries (ENCR) provide population-based data on cancer incidence for some countries and regions of Europe. These were supplemented by estimates in order to provide comparable information on cancer incidence and mortality in the 15 member states of the European Union (EU). The estimated numbers of new cases of cancer (excluding nonmelanoma skin cancer) in 1990 were approximately 706900 in men and 644200 in women. Approximately 497500 men and 398200 women died of cancer in the same year. The main sites of incident cases in men were lung (21%), large bowel (13%), prostate (12%), bladder (7%) and stomach (7%). For women, the predominant sites were breast (28%), large bowel (15%), lung (6%), uterine corpus (5%) and stomach (5%). The overall incidence rates for males were highest in continental Western Europe (France, The Netherlands, Austria, Luxembourg, Belgium, Germany and Italy) while the rates of Greece, Portugal, Sweden, Ireland, Spain, Finland, the U.K. and Denmark were below the average value for the EC. Rates for females were highest in Northern and Western Europe, with the exception of France, which had a relatively low rate for females, in common with Greece, Spain and Portugal. The geographical variations in incidence of the major cancers are discussed in relation to risk factors. The estimates show the substantial burden of cancer in European Union populations, but there are also indications of effects of past preventive measures and there is scope for further intervention. Cancer registries are an important source of information for cancer control since they provide population-based incidence and survival statistics. These, along with mortality data, are required to obtain a full picture of the frequency of cancer and its effects at the population level. Some 44% of the EU population is covered by registries. The European Network of Cancer Registries aims to standardise the information provided by existing registries and to provide practical assistance to those in development. (C) 1997 Elsevier Science Ltd.
Document Type: Article
Language: English
Reprint Address: Black, RJ (reprint author), INT AGCY RES CANC, UNIT DESCRIPT EPIDEMIOL, 150 COURS ALBERT THOMAS, F-69372 LYON 08, FRANCE
Addresses:
1. UNIV BRISTOL, DEPT SOCIAL MED, CANC EPIDEMIOL UNIT, BRISTOL BS8 2PR, AVON ENGLAND
Publisher: PERGAMON-ELSEVIER SCIENCE LTD, THE BOULEVARD, LANGFORD LANE, KIDLINGTON, OXFORD, ENGLAND OX5 1GB
Subject Category: Oncology
IDS Number: XJ250
ISSN: 0959-8049
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