Ewertz M, Carstensen B
Danish Cancer Registry, Institute of Cancer Epidemiology, Copenhagen.
Int J Cancer. 1988 Jan 15;41(1):46-51. doi: 10.1002/ijc.2910410110.
The trend in breast cancer incidence and mortality was examined using data from the Danish Cancer Registry and the national mortality statistics respectively. The study population comprised 65,870 incident cases and 33,817 deaths from breast cancer in Denmark between 1943 and 1982. The incidence rate remained almost constant up to around 1960, whereafter it rose steadily. Comparatively little change was observed in mortality. Possible explanations for the differing trends in incidence and mortality include under-reporting of breast cancer from death certificates and improvement in survival. A multivariate statistical analysis showed that the increase in incidence was due mostly to a cohort effect, though calendar time may have had a slight effect as well.
分别使用丹麦癌症登记处的数据和国家死亡率统计数据,对乳腺癌发病率和死亡率的趋势进行了研究。研究人群包括1943年至1982年丹麦65870例乳腺癌新发病例和33817例乳腺癌死亡病例。直到1960年左右,发病率几乎保持不变,此后稳步上升。死亡率变化相对较小。发病率和死亡率趋势不同的可能解释包括死亡证明中乳腺癌报告不足以及生存率的提高。多变量统计分析表明,发病率的增加主要归因于队列效应,尽管日历时间可能也有轻微影响。