Levi F, Lucchini F, Negri E, Boyle P, La Vecchia C
Registre Vaudois des Tumeurs, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Eur J Cancer. 1999 Oct;35(10):1477-516. doi: 10.1016/s0959-8049(99)00154-9.
Mortality data, abstracted from the WHO database, are presented in tabular form for 26 cancer sites or groups of sites, plus total cancer mortality, in 35 European countries during the period 1990-1994. Trends in mortality are also given in graphical form for 24 major countries over the period 1955-1994. In most western European countries total cancer mortality was--for the first time--moderately downwards in the early 1990s. Such favourable trends included some decline in lung cancer mortality for males, the persistent decline in stomach cancer for both sexes, and of cervical cancer for women, as well as some decline in breast and colorectal cancers, plus other neoplasms (testis, lymphoid neoplasms), whose treatment has further improved over the last few years. However, cancer mortality was still upwards in a few southern and eastern European countries, including Hungary and Poland, where total cancer mortality rates in middle-aged males are now the highest ever registered in Europe. The favourable trends in western Europe over the recent years are similar to those observed in the U.S.A.
从世界卫生组织数据库提取的死亡率数据以表格形式呈现,内容为1990 - 1994年期间35个欧洲国家26个癌症部位或部位组以及总癌症死亡率的情况。同时也以图表形式给出了1955 - 1994年期间24个主要国家的死亡率趋势。在大多数西欧国家,20世纪90年代初总癌症死亡率首次出现适度下降。这些有利趋势包括男性肺癌死亡率有所下降、男女胃癌持续下降、女性宫颈癌下降,以及乳腺癌和结直肠癌有所下降,还有其他肿瘤(睾丸癌、淋巴瘤),其治疗在过去几年中进一步改善。然而,在包括匈牙利和波兰在内的一些南欧和东欧国家,癌症死亡率仍呈上升趋势,这些国家中年男性的总癌症死亡率目前是欧洲有记录以来最高的。近年来西欧的有利趋势与美国观察到的趋势相似。