Updated Trends in Cancer in Japan: Incidence in 1985–2015 and Mortality in 1958–2018—A Sign of Decrease in Cancer Incidence
Background: Unlike many North American and European countries, Japan has observed a continuous increase in cancer incidence over the last few decades. We examined the most recent trends in population-based cancer incidence and mortality in Japan. Methods: National cancer mortality data between 1958...
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Japan Epidemiological Association
2021-07-01
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doaj-53bf69528beb4e509161df9683d55c4c2021-07-05T10:04:01ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922021-07-0131742645010.2188/jea.JE20200416Updated Trends in Cancer in Japan: Incidence in 1985–2015 and Mortality in 1958–2018—A Sign of Decrease in Cancer IncidenceKota Katanoda0Megumi Hori1Eiko Saito2Akiko Shibata3Yuri Ito4Tetsuji Minami5Sayaka Ikeda6Tatsuya Suzuki7Tomohiro Matsuda8Division of Cancer Statistics Integration, Center for Cancer Control and Information Services, National Cancer Center, Tokyo, JapanDivision of Cancer Statistics Integration, Center for Cancer Control and Information Services, National Cancer Center, Tokyo, JapanDivision of Cancer Statistics Integration, Center for Cancer Control and Information Services, National Cancer Center, Tokyo, JapanCenter for Cancer Registries, Center for Cancer Control and Information Services, National Cancer Center, Tokyo, JapanDepartment of Medical Statistics, Research & Development Center, Osaka Medical and Pharmaceutical University, Osaka, JapanDepartment of Cancer Epidemiology, Division of Social Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, JapanDivision of Cancer Statistics Integration, Center for Cancer Control and Information Services, National Cancer Center, Tokyo, JapanDepartment of Hematology, National Cancer Center Hospital, Tokyo, JapanCenter for Cancer Registries, Center for Cancer Control and Information Services, National Cancer Center, Tokyo, JapanBackground: Unlike many North American and European countries, Japan has observed a continuous increase in cancer incidence over the last few decades. We examined the most recent trends in population-based cancer incidence and mortality in Japan. Methods: National cancer mortality data between 1958 and 2018 were obtained from published vital statistics. Cancer incidence data between 1985 and 2015 were obtained from high-quality population-based cancer registries maintained by three prefectures (Yamagata, Fukui, and Nagasaki). Trends in age-standardized rates (ASR) were examined using Joinpoint regression analysis. Results: For males, all-cancer incidence increased between 1985 and 1996 (annual percent change [APC] +1.1%; 95% confidence interval [CI], 0.7–1.5%), increased again in 2000–2010 (+1.3%; 95% CI, 0.9–1.8%), and then decreased until 2015 (−1.4%; 95% CI, −2.5 to −0.3%). For females, all-cancer incidence increased until 2010 (+0.8%; 95% CI, 0.6–0.9% in 1985–2004 and +2.4%; 95% CI, 1.3–3.4% in 2004–2010), and stabilized thereafter until 2015. The post-2000 increase was mainly attributable to prostate in males and breast in females, which slowed or levelled during the first decade of the 2000s. After a sustained increase, all-cancer mortality for males decreased in 1996–2013 (−1.6%; 95% CI, −1.6 to −1.5%) and accelerated thereafter until 2018 (−2.5%; 95% CI, −2.9 to −2.0%). All-cancer mortality for females decreased intermittently throughout the observation period, with the most recent APC of −1.0% (95% CI, −1.1 to −0.9%) in 2003–2018. The recent decreases in mortality in both sexes, and in incidence in males, were mainly attributable to stomach, liver, and male lung cancers. Conclusion: The ASR of all-cancer incidence began decreasing significantly in males and levelled off in females in 2010.https://www.jstage.jst.go.jp/article/jea/31/7/31_JE20200416/_pdfincidencemortalityneoplasmspopulation surveillancevital statistics |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kota Katanoda Megumi Hori Eiko Saito Akiko Shibata Yuri Ito Tetsuji Minami Sayaka Ikeda Tatsuya Suzuki Tomohiro Matsuda |
spellingShingle |
Kota Katanoda Megumi Hori Eiko Saito Akiko Shibata Yuri Ito Tetsuji Minami Sayaka Ikeda Tatsuya Suzuki Tomohiro Matsuda Updated Trends in Cancer in Japan: Incidence in 1985–2015 and Mortality in 1958–2018—A Sign of Decrease in Cancer Incidence Journal of Epidemiology incidence mortality neoplasms population surveillance vital statistics |
author_facet |
Kota Katanoda Megumi Hori Eiko Saito Akiko Shibata Yuri Ito Tetsuji Minami Sayaka Ikeda Tatsuya Suzuki Tomohiro Matsuda |
author_sort |
Kota Katanoda |
title |
Updated Trends in Cancer in Japan: Incidence in 1985–2015 and Mortality in 1958–2018—A Sign of Decrease in Cancer Incidence |
title_short |
Updated Trends in Cancer in Japan: Incidence in 1985–2015 and Mortality in 1958–2018—A Sign of Decrease in Cancer Incidence |
title_full |
Updated Trends in Cancer in Japan: Incidence in 1985–2015 and Mortality in 1958–2018—A Sign of Decrease in Cancer Incidence |
title_fullStr |
Updated Trends in Cancer in Japan: Incidence in 1985–2015 and Mortality in 1958–2018—A Sign of Decrease in Cancer Incidence |
title_full_unstemmed |
Updated Trends in Cancer in Japan: Incidence in 1985–2015 and Mortality in 1958–2018—A Sign of Decrease in Cancer Incidence |
title_sort |
updated trends in cancer in japan: incidence in 1985–2015 and mortality in 1958–2018—a sign of decrease in cancer incidence |
publisher |
Japan Epidemiological Association |
series |
Journal of Epidemiology |
issn |
0917-5040 1349-9092 |
publishDate |
2021-07-01 |
description |
Background: Unlike many North American and European countries, Japan has observed a continuous increase in cancer incidence over the last few decades. We examined the most recent trends in population-based cancer incidence and mortality in Japan. Methods: National cancer mortality data between 1958 and 2018 were obtained from published vital statistics. Cancer incidence data between 1985 and 2015 were obtained from high-quality population-based cancer registries maintained by three prefectures (Yamagata, Fukui, and Nagasaki). Trends in age-standardized rates (ASR) were examined using Joinpoint regression analysis. Results: For males, all-cancer incidence increased between 1985 and 1996 (annual percent change [APC] +1.1%; 95% confidence interval [CI], 0.7–1.5%), increased again in 2000–2010 (+1.3%; 95% CI, 0.9–1.8%), and then decreased until 2015 (−1.4%; 95% CI, −2.5 to −0.3%). For females, all-cancer incidence increased until 2010 (+0.8%; 95% CI, 0.6–0.9% in 1985–2004 and +2.4%; 95% CI, 1.3–3.4% in 2004–2010), and stabilized thereafter until 2015. The post-2000 increase was mainly attributable to prostate in males and breast in females, which slowed or levelled during the first decade of the 2000s. After a sustained increase, all-cancer mortality for males decreased in 1996–2013 (−1.6%; 95% CI, −1.6 to −1.5%) and accelerated thereafter until 2018 (−2.5%; 95% CI, −2.9 to −2.0%). All-cancer mortality for females decreased intermittently throughout the observation period, with the most recent APC of −1.0% (95% CI, −1.1 to −0.9%) in 2003–2018. The recent decreases in mortality in both sexes, and in incidence in males, were mainly attributable to stomach, liver, and male lung cancers. Conclusion: The ASR of all-cancer incidence began decreasing significantly in males and levelled off in females in 2010. |
topic |
incidence mortality neoplasms population surveillance vital statistics |
url |
https://www.jstage.jst.go.jp/article/jea/31/7/31_JE20200416/_pdf |
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