Declining mortality from bladder cancer in Europe

Details

Serval ID
serval:BIB_9BF23026A42F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Declining mortality from bladder cancer in Europe
Journal
BJU International
Author(s)
Ferlay Jacques, Randi Giorgia, Bosetti Cristina, Levi Fabio, Negri Eva, Boyle Peter, La Vecchia Carlo
ISSN
1464-4096
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
101
Number
1
Pages
11-19
Language
english
Abstract
OBJECTIVE To update trends in bladder cancer mortality in 32 European countries and the European Union (EU) as a whole, as mortality from bladder cancer has been declining in most of Western Europe since the early 1990s, but it has still been increasing in several central and eastern European countries up to the mid 1990s. METHODS We used data from the World Health Organization (WHO) database over the period 1970-2004. Significant changes in mortality rates were identified using join-point regression analysis. RESULTS In the EU overall (27 countries), bladder cancer mortality rates (age-standardized, world standard population) were stable up to the early 1990s at approximately 7/100 000 men and 1.5/100 000 women, and declined thereafter by approximately 16% in men and 12% in women, to reach values of 6 and 1.3/100,000, respectively, in the early years of the present decade. Over recent years, most countries showed decreasing trends, except Croatia and Poland in both sexes, Romania in men and Denmark in women. Truncated rates at age 35-64 years were lower in both sexes and trends for men were more favourable, with an overall decrease by >21% during the last decade. Join point regression analysis indicates that, for most countries, the trends were more favourable over recent calendar periods. CONCLUSION The favourable trends in men are partly or largely due to the recent declines in the prevalence of smoking in European men, together with reduced occupational exposure to occupational carcinogens. The decreases in women are more difficult to explain. Better control of urinary tract infections has probably played a role, while the role of diet and other potential urinary tract carcinogens remains undefined.
Keywords
Adult , Age Distribution, Europe/epidemiology, Female, Humans, Male, Middle Aged, Mortality/trends, Occupational Exposure/adverse effects, Regression Analysis, Smoking/adverse effects, Smoking/mortality, Smoking/trends, Urinary Bladder Neoplasms/etiology, Urinary Bladder Neoplasms/mortality
Pubmed
Web of science
Create date
10/04/2008 15:14
Last modification date
20/08/2019 15:02
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