Epidemiology of biliary tract cancers: an update

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Ressource 1Download: serval:BIB_540425654042.P001 (744.20 [Ko])
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Serval ID
serval:BIB_540425654042
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Epidemiology of biliary tract cancers: an update
Journal
Annals of oncology
Author(s)
Randi Giorgia, Malvezzi Matteo, Levi Fabio, Ferlay Jacques, Negri Eva, Franceschi Silvia, La Vecchia Carlo
ISSN
1569-8041[electronic]
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
20
Number
1
Pages
146-159
Language
english
Notes
Publication types: Journal Article
Abstract
BACKGROUND: Biliary tract cancer (BTC) is a rare cancer in Europe and North America, characterized by wide geographic variation, with high incidence in some areas of Latin America and Asia. MATERIALS AND METHODS: BTC mortality and incidence have been updated according to recent data, using joinpoint regression analysis. RESULTS: Since the 1980s, decreasing trends in BTC mortality rates (age-standardized, world standard population) were observed in the European Union as a whole, in Australia, Canada, Hong Kong, Israel, New Zealand, and the United States, and high-risk countries such as Japan and Venezuela. Joinpoint regression analysis indicates that decreasing trends were more favorable over recent calendar periods. High-mortality rates are, however, still evident in central and eastern Europe (4-5/100,000 women), Japan (4/100,000 women), and Chile (16.6/100,000 women). Incidence rates identified other high-risk areas in India (8.5/100,000 women), Korea (5.6/100,000 women), and Shanghai, China (5.2/100,000 women). CONCLUSIONS: The decreasing BTC mortality trends essentially reflect more widespread and earlier adoption of cholecystectomy in several countries, since gallstones are the major risk factor for BTC. There are, however, high-risk areas, mainly from South America and India, where access to gall-bladder surgery remains inadequate.
Keywords
Adult, Aged, Biliary Tract Neoplasms/epidemiology, Biliary Tract Neoplasms/mortality, Cohort Studies, Female, Gallbladder Neoplasms/epidemiology, Gallbladder Neoplasms/mortality, Geography, Humans, Male, Middle Aged, Sex Characteristics, Survival Analysis
Pubmed
Web of science
Open Access
Yes
Create date
19/06/2009 9:41
Last modification date
25/09/2019 7:09
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