Article

Trends in incidence of and mortality from cancer in The Netherlands in the period 1989-1998.

Head of the Department of Research and Registration, Comprehensive Cancer Centre Stedendriehoek Twente, Lasondersingel 133, 7514 BP Enschede, The Netherlands.
European Journal of Cancer (impact factor: 5.54). 12/2003; 39(17):2521-30. pp.2521-30
Source: PubMed

ABSTRACT This paper summarises the population-based major trends in cancer incidence and mortality in the period 1989-1998 in The Netherlands. Trends of the European age-adjusted incidence and mortality rates were estimated by the Estimated Annual Percentage Change (EAPC) method. Increases in incidence were found for cancer of the breast and lung for females. For males, an increase was observed for cancer of the prostate, colon, rectum and testis. In both groups, oesophageal and pharyngeal cancer increased, but that of stomach and gallbladder cancer decreased. The main increases in mortality were found for pharyngeal cancer in males, lung in females and oesophageal cancer in both sexes. Decreases were shown for stomach cancer for both sexes and lung cancer for males. Trends in incidence may be a result of changes in behaviour, smoking habits in preceding decades are related to the increase in lung cancer for females, and early detection, screening programmes increased the incidence for breast and prostate cancers. Decreases in mortality may be related to more successful treatment of leukaemia, Hodgkin's lymphoma, colorectal and testicular cancers. Primary prevention of cancer remains important.

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Keywords

cancer incidence
 
Estimated Annual Percentage Change
 
European age-adjusted incidence
 
gallbladder cancer
 
Hodgkin's lymphoma
 
lung cancer
 
main increases
 
mortality rates
 
oesophageal
 
oesophageal cancer
 
paper summarises
 
pharyngeal cancer
 
population-based major trends
 
Primary prevention
 
prostate cancers
 
screening programmes
 
smoking habits
 
stomach cancer
 
successful treatment
 
testicular cancers