Coebergh J W, Verhagen-Teulings M T, Crommelin M A, Bakker D, van der Heijden L
IKZ/SOOZ-kankerregistratie, Eindhoven.
Ned Tijdschr Geneeskd. 1990 Apr 14;134(15):754-60.
Trends in the incidence of cancer have been determined in the Southeast of the Netherlands from 1975 to 1986 inclusive by means of the regional SOOZ cancer registry. Age-adjusted registration rates of cancer in males rose rather steeply from more than 371 per 10(5) men-years to 424 in 1982-3 and fell thereafter to 407 per 10(5) in 1986. A similar changing pattern was seen in cancer of the lung, larynx, prostate and kidney and possibly also in cancer of the head and neck. The incidence of colorectal cancer had skin melanoma increased while that of cancer of the stomach fell. Age-adjusted incidence of cancer in females rose steadily from 266 to 290 per 10(5) woman-years. A steady increase was observed for cancer of the lung, breast, bladder and melanoma and temporarily for cancer of the kidney. The incidence of cancer of the stomach and gallbladder fell continuously. These changes in incidence generally corresponded with trends in cancer mortality as registered with the Central Bureau of Statistics. Bias from changes in data collection and coding appears to be negligible, but a certain influence on the registration rates from the markedly increased number of consultants managing cancer patients is likely. Contrasting trends in male and female rates of cancer of the airways illustrate the marked changes in smoking patterns since the sixties.
1975年至1986年(含)期间,通过荷兰东南部地区的SOOZ癌症登记处确定了该地区癌症发病率的趋势。男性癌症的年龄调整登记率从每10(5)人年超过371急剧上升至1982 - 1983年的424,此后降至1986年的每10(5)人年407。肺癌、喉癌、前列腺癌和肾癌以及可能还有头颈癌也呈现出类似的变化模式。结直肠癌和皮肤黑色素瘤的发病率上升,而胃癌的发病率下降。女性癌症的年龄调整发病率从每10(5)人年266稳步上升至290。肺癌、乳腺癌、膀胱癌和黑色素瘤的发病率持续上升,肾癌的发病率有短暂上升。胃癌和胆囊癌的发病率持续下降。这些发病率的变化总体上与中央统计局登记的癌症死亡率趋势相符。数据收集和编码变化带来的偏差似乎可以忽略不计,但管理癌症患者的顾问人数显著增加可能对登记率有一定影响。男性和女性气道癌发病率的对比趋势说明了自60年代以来吸烟模式的显著变化。