DOI QR코드

DOI QR Code

Analysis of Esophageal Cancer Time Trends in China, 1989-2008

  • Zhao, Jun (Department of Thoracic Surgery, Cancer Hospital of Chinese Academy of Medical Sciences) ;
  • He, Yu-Tong (Department of Flow Cytometry, The Fourth Hospital of Hebei Medical University) ;
  • Zheng, Rong-Shou (National Office for Cancer Prevention and Control, Chinese Academy of Medical Sciences) ;
  • Zhang, Si-Wei (National Office for Cancer Prevention and Control, Chinese Academy of Medical Sciences) ;
  • Chen, Wan-Qing (National Office for Cancer Prevention and Control, Chinese Academy of Medical Sciences)
  • Published : 2012.09.30

Abstract

National cancer incidence data were utilized to analyze trends in esophageal cancer incidence in China in order to provide basic information for making cancer control strategy. We retrieved and re-sorted valid esophageal cancer incidence data from National Central Cancer Registry Database over 20 years period from 1989 to 2008. Crude incidence and age-standardized incidence rates were calculated for analysis, with annual percent change estimated by Joinpoint software for long term trend analysis. The crude incidence rate of esophageal cancer was found to have remained relatively stable in both urban and rural areas over the 20 year period. Age standardized incidence rate (ASR) in cancer registration areas decreased from 39.5/100,000 in 1989 to 23.0/100,000 in 2008 in all areas (AAPC=-3.3%, 95% CI:-2.8~-3.7). The trend was no change in urban areas and 2.1% average annual decrease observed in rural aras. Before the year of 2000, esophageal cancer incidence rates significant decreased with 2.8% annually and then the rates kept stable. Over 20 years from 1989 to 2008, esophageal cancer age standardized incidence rate in cancer registration areas decreased with time. However, esophageal cancer is still a big issue and efforts for control should be continuously enhanced. Cancer registration is playing an important role in cancer control with the number of registries increasing and data quality improving in China.

References

  1. Bosetti C, Levi F, Ferlay J, et al (2008). Trends in oesophageal cancer incidence and mortality in Europe. Int J Cancer, 122, 1118-29.
  2. Bray F, Parkin DM (2009). Evaluation of data quality in the cancer registry: principles and methods. Part I: comparability, validity and timeliness. Eur J Cancer, 45, 747-55. https://doi.org/10.1016/j.ejca.2008.11.032
  3. Devesa SS, Blot WJ, Fraumeni JF, Jr (1998). Changing patterns in the incidence of esophageal and gastric carcinoma in the United States. Cancer, 83, 2049-53. https://doi.org/10.1002/(SICI)1097-0142(19981115)83:10<2049::AID-CNCR1>3.0.CO;2-2
  4. Freedman ND, Abnet CC, Leitzmann MF, et al (2007). A prospective study of tobacco, alcohol, and the risk of esophageal and gastric cancer subtypes. Am J Epidemiol, 165, 1424-33. https://doi.org/10.1093/aje/kwm051
  5. Fritz AG (2000). International classification of diseases for oncology : ICD-O, 3rd ed. / editors: April Fritz ... [et al.] edn (Geneva: World Health Organization).
  6. Glenn TF (2001). Esophageal cancer. Facts, figures, and screening. Gastroenterol Nurs, 24, 271-3; quiz 4-5. https://doi.org/10.1097/00001610-200111000-00002
  7. He YT, Hou J, Chen ZF, et al (2008). Trends in incidence of esophageal and gastric cardia cancer in high-risk areas in China. Eur J Cancer Prev, 17, 71-6. https://doi.org/10.1097/CEJ.0b013e3282b6fd97
  8. Jemal A, Bray F, Center MM, et al (2011). Global cancer statistics. CA Cancer J Clin, 61, 69-90. https://doi.org/10.3322/caac.20107
  9. Jensen OM, and Storm HH (1991). Cancer registration: principles and methods. Reporting of results. IARC Sci Publ, 108-25.
  10. Kim HJ, Fay MP, Feuer EJ, and Midthune DN (2000). Permutation tests for joinpoint regression with applications to cancer rates. Stat Med, 19, 335-51. https://doi.org/10.1002/(SICI)1097-0258(20000215)19:3<335::AID-SIM336>3.0.CO;2-Z
  11. Lepage C, Rachet B, Jooste V, et al (2008). Continuing rapid increase in esophageal adenocarcinoma in England and Wales. Am J Gastroenterol, 103, 2694-9. https://doi.org/10.1111/j.1572-0241.2008.02191.x
  12. Li GL, and Chen WQ (2009). Representativeness of populationbased cancer registration in China--comparison of urban and rural areas. Asian Pac J Cancer Prev, 10, 559-64.
  13. Qiao YL, Hou J, Yang L, et al (2001). [The trends and preventive strategies of esophageal cancer in high-risk areas of Taihang Mountains, China]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao, 23, 10-4.
  14. Sun X, Chen W, Chen Z, et al (2010). Population-based casecontrol study on risk factors for esophageal cancer in five high-risk areas in China. Asian Pac J Cancer Prev, 11, 1631-6.
  15. Wang GQ, Jiao GG, Chang FB, et al (2004). Long-term results of operation for 420 patients with early squamous cell esophageal carcinoma discovered by screening. Ann Thorac Surg, 77, 1740-4. https://doi.org/10.1016/j.athoracsur.2003.10.098
  16. Wei WQ, Yang J, Zhang SW, et al (2010). [Analysis of the esophageal cancer mortality in 2004 - 2005 and its trends during last 30 years in China]. Zhonghua Yu Fang Yi Xue Za Zhi, 44, 398-402.

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