DOI QR코드

DOI QR Code

Mortality from Stomach Cancer in Serbia, Excluding the Province of Kosovo, in the 1991-2009 Period

  • Ilic, Milena (Department of Epidemiology, Faculty of Medical Sciences, University of Kragujevac) ;
  • Prodovic, Tanja (Department of Epidemiology, Faculty of Medical Sciences, University of Kragujevac) ;
  • Milosavljevic, Zoran (Department of Histology, Faculty of Medical Sciences, University of Kragujevac) ;
  • Ljujic, Biljana (Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac)
  • Published : 2013.03.30

Abstract

Background/Aim: Stomach cancer is the second most common cause of death from all malignant tumors in the world (third in men, fifth in women), with a strong decreasing trend in most developed countries. The aim of this descriptive epidemiological study was to analyze mortality of stomach cancer in Serbia, excluding the Province of Kosovo, in the 1991-2009 period. Materials and Methods: In data analysis, we used mortality rates which were standardized directly using those of the world population as a standard. In order to analyze the mortality trend from stomach cancer, linear trend and regression analysis were used. Confidence intervals (CIs) for the average age-adjusted and age-specific mortality rates were assessed with 95% level of probability. Mortality data were derived from the data file of the Statistical Office of the Republic of Serbia. Results: During the 1991-2009 period, a significant downward trend in mortality of stomach cancer was recorded in Serbia (y=9.78 - 0.13x, p=0.000; average annual percent change was -6.3 (95%CI, -7.8 to - 4.8). During the same period, a significant decrease in mortality trend was found both in male (y=14.13 - 0.20x; p=0.000; % change was -7.7 (95%CI, -10.9 to -4.5) and female populations (y=6.27 - 0.08x; p=0.000; % change was - 4.4 (95%CI, -5.3 to -3.6). Conclusion: Decreasing trends in mortality from stomach cancer in Serbia are similar to those in most developed countries.

Keywords

References

  1. American Cancer Society. Stomach cancer. 2010. Atlanta, Ga:American Cancer Society; 2010. Available at: http://www.cancer.org/acs/groups/cid/documents/
  2. Amiri M, Janssen F, Kunst AE (2011). The decline in stomach cancer mortality: exploration of future trends in seven European countries. Eur J Epidemiol, 26, 23-8. https://doi.org/10.1007/s10654-010-9522-9
  3. Coggon D, Osmond C, Barker DJ (1990). Stomach cancer and migration within England and Wales. Br J Cancer, 61, 573-4. https://doi.org/10.1038/bjc.1990.128
  4. Ekström AM, Hansson LE, Signorello LB, et al (2000). Decreasing incidence of both major histologic subtypes of gastric adenocarcinoma--a population-based study in Sweden. Br J Cancer, 83, 391-6. https://doi.org/10.1054/bjoc.2000.1205
  5. Ferlay J, Shin HR, Bray F, et al (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer, 127, 2893-917. https://doi.org/10.1002/ijc.25516
  6. Golkowski F, Szybinski Z, Rachtan J, et al (2007). Iodine prophylaxis--the protective factor against stomach cancer in iodine deficient areas. Eur J Nutr, 46, 251-6. https://doi.org/10.1007/s00394-007-0657-8
  7. Howlader N, Noone AM, Krapcho M, et al (eds). SEER Cancer Statistics Review, 1975-2008, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2008/, based on November 2010 SEER data submission, posted to the SEER web site, 2011.
  8. IARC Monograph on the Evaluation of Carcinogenic Risks to Humans, Vol. 61. Schistosomes, Liver Flukes and Helicobacter pylori. Lyon, France: International Agency for Research on Cancer; 1994. Available at: http://monographs.iarc.fr/
  9. IARC Monographs on the Evaluation of Carcinogenic Risk to Humans. Vol. 83: Tobacco Smoke and Involuntary Smoking. Lyon, France: International Agency for Research on Cancer;2004. Available at: http://monographs.iarc.fr/
  10. IARC. World Cancer Report, 2008. Boyle P. and Levin BE. (eds), IARC Press, Lyon. Available at: http://monographs.iarc.fr/
  11. Inoue M, S Tsugane S (2005). Epidemiology of gastric cancer in Japan. Postgrad Med J, 81, 419-24. https://doi.org/10.1136/pgmj.2004.029330
  12. Ito LS, Inoue M, Tajima K, et al (2003). Dietary factors and the risk of gastric cancer among Japanese women: a comparison between the differentiated and non-differentiated subtypes. Ann Epidemiol, 13, 24-31. https://doi.org/10.1016/S1047-2797(02)00269-7
  13. 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
  14. Jensen OM, Parkin DM, Lennan R, et al (1991). Cancer registration. Principles and Methods. Lyon (France):International Agency for Research on Cancer.
  15. Levi F, Lucchini F, Gonzalez JR, et al (2004). Monitoring falls in gastric cancer mortality in Europe. Ann Oncol, 15, 338-45. https://doi.org/10.1093/annonc/mdh057
  16. Levi F, Lucchini F, Negri E, et al (2003). Mortality from major cancer sites in the European Union, 1955-1998. Ann Oncol, 14, 490-5. https://doi.org/10.1093/annonc/mdg110
  17. Lee JK, Inoue M, Otani T, et al (2006). Gastric cancer screening and subsequent risk of gastric cancer: a large-scale population-based cohort study, with a 13-year follow-up in Japan. Int J Cancer, 118, 2315-21. https://doi.org/10.1002/ijc.21664
  18. Look M, Gao F, Low CH, and Nambiar R (2001). Gastric cancer in Singapore. Gastric Cancer, 4, 219-22. https://doi.org/10.1007/s10120-001-8013-9
  19. Maskarinec G, Noh JJ (2004). The effect of migration on cancer incidence among Japanese in Hawaii. Ethn Dis, 14, 431-9.
  20. Munoz N, Correa P, Cuello C, Duque E (1968). Histologic types of gastric carcinoma in high- and low-risk areas. Int J Cancer, 3, 809-18. https://doi.org/10.1002/ijc.2910030614
  21. Munoz N, Franceschi S (1997). Epidemiology of gastric cancer and perspectives for prevention. Salud Publica Mex, 39, 318-30.
  22. Ngoan LT, Mizoue T, Fujino Y, et al 2002. Dietary factors and stomach cancer mortality. Br J Cancer, 87, 37-42. https://doi.org/10.1038/sj.bjc.6600415
  23. Parkin DM (2004). International variation. Oncogene, 23, 6329-40. https://doi.org/10.1038/sj.onc.1207726
  24. Parkin DM, Whelan SL, Ferlay J, Teppo L, Thomas DB (eds) (2002). Cancer Incidence in Five Continents, Vol VIII, IARC Scientific Publications No. 155 IARC: Lyon, France.
  25. World Health Organization. International Classification of Diseases (ICD). Available at: http://www.who.int/classifications/icd/en/
  26. Yang L (2006). Incidence and mortality of gastric cancer in China. World J Gastroenterol, 12, 17-20.