The epidemiology of gastric cancer

    Research output: Contribution to journalArticle

    292 Citations (Scopus)

    Abstract

    Gastric cancer mortality has declined markedly around the world. In South Australia, the reduction approximated 40% over the last 20 years. Possible reasons include: better refrigeration; reduced consumption of salted, smoked, and chemically preserved foods; increased intake of fruit and vegetables; and improved living standards and a greater use of antibiotics, which may have reduced Helicobacter pylori infection. Reductions generally have been greater for intestinal than diffuse histopathologies. Gastric cancer remains the second leading cause of cancer death worldwide, probably accounting for about 10% of newly diagnosed cancers. High rates apply to Japan, China, Central and South America, Eastern Europe, and parts of the Middle East, and low rates to North America, Australia and New Zealand, Northern Europe, and India. Rates usually are higher in lower socioeconomic groups. Five-year relative survivals of around 20% or less are frequently reported. A figure of 50% or more has been cited for Japan, where there has been radiological screening, although this exceptional figure could have been affected artificially by lead-time and related effects. Male-to-female incidence ratios generally are in the 1.5-2.5 range, with higher ratios for intestinal than diffuse cancers and higher-risk populations. In South Australia, the ratio has been 1.8 to one, although higher at 4.6 to one for cardia lesions. Recent increases in Cardia cancers, especially in males in populations of European extraction, often are accompanied by increases for esophageal adenocarcinoma. It is estimated that the global burden of gastric cancer could be reduced by up to 50% by dietary changes that included an increased intake of fruit and vegetables.

    LanguageEnglish
    Pages5-11
    Number of pages7
    JournalGastric Cancer
    Volume5
    Issue numberSUPPL. 1
    DOIs
    Publication statusPublished - 1 Dec 2002

    Keywords

    • Cardia lesions
    • Gastric cancer
    • Incidence
    • Mortality
    • Survival

    ASJC Scopus subject areas

    • Oncology
    • Gastroenterology
    • Cancer Research

    Cite this

    Roder, David M. / The epidemiology of gastric cancer. In: Gastric Cancer. 2002 ; Vol. 5, No. SUPPL. 1. pp. 5-11.
    @article{d10e1bef277f4d9281ed6f49504a55e5,
    title = "The epidemiology of gastric cancer",
    abstract = "Gastric cancer mortality has declined markedly around the world. In South Australia, the reduction approximated 40{\%} over the last 20 years. Possible reasons include: better refrigeration; reduced consumption of salted, smoked, and chemically preserved foods; increased intake of fruit and vegetables; and improved living standards and a greater use of antibiotics, which may have reduced Helicobacter pylori infection. Reductions generally have been greater for intestinal than diffuse histopathologies. Gastric cancer remains the second leading cause of cancer death worldwide, probably accounting for about 10{\%} of newly diagnosed cancers. High rates apply to Japan, China, Central and South America, Eastern Europe, and parts of the Middle East, and low rates to North America, Australia and New Zealand, Northern Europe, and India. Rates usually are higher in lower socioeconomic groups. Five-year relative survivals of around 20{\%} or less are frequently reported. A figure of 50{\%} or more has been cited for Japan, where there has been radiological screening, although this exceptional figure could have been affected artificially by lead-time and related effects. Male-to-female incidence ratios generally are in the 1.5-2.5 range, with higher ratios for intestinal than diffuse cancers and higher-risk populations. In South Australia, the ratio has been 1.8 to one, although higher at 4.6 to one for cardia lesions. Recent increases in Cardia cancers, especially in males in populations of European extraction, often are accompanied by increases for esophageal adenocarcinoma. It is estimated that the global burden of gastric cancer could be reduced by up to 50{\%} by dietary changes that included an increased intake of fruit and vegetables.",
    keywords = "Cardia lesions, Gastric cancer, Incidence, Mortality, Survival",
    author = "Roder, {David M.}",
    year = "2002",
    month = "12",
    day = "1",
    doi = "10.1007/s10120-002-0203-6",
    language = "English",
    volume = "5",
    pages = "5--11",
    journal = "Gastric Cancer",
    issn = "1436-3291",
    publisher = "Springer Japan",
    number = "SUPPL. 1",

    }

    The epidemiology of gastric cancer. / Roder, David M.

    In: Gastric Cancer, Vol. 5, No. SUPPL. 1, 01.12.2002, p. 5-11.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - The epidemiology of gastric cancer

    AU - Roder, David M.

    PY - 2002/12/1

    Y1 - 2002/12/1

    N2 - Gastric cancer mortality has declined markedly around the world. In South Australia, the reduction approximated 40% over the last 20 years. Possible reasons include: better refrigeration; reduced consumption of salted, smoked, and chemically preserved foods; increased intake of fruit and vegetables; and improved living standards and a greater use of antibiotics, which may have reduced Helicobacter pylori infection. Reductions generally have been greater for intestinal than diffuse histopathologies. Gastric cancer remains the second leading cause of cancer death worldwide, probably accounting for about 10% of newly diagnosed cancers. High rates apply to Japan, China, Central and South America, Eastern Europe, and parts of the Middle East, and low rates to North America, Australia and New Zealand, Northern Europe, and India. Rates usually are higher in lower socioeconomic groups. Five-year relative survivals of around 20% or less are frequently reported. A figure of 50% or more has been cited for Japan, where there has been radiological screening, although this exceptional figure could have been affected artificially by lead-time and related effects. Male-to-female incidence ratios generally are in the 1.5-2.5 range, with higher ratios for intestinal than diffuse cancers and higher-risk populations. In South Australia, the ratio has been 1.8 to one, although higher at 4.6 to one for cardia lesions. Recent increases in Cardia cancers, especially in males in populations of European extraction, often are accompanied by increases for esophageal adenocarcinoma. It is estimated that the global burden of gastric cancer could be reduced by up to 50% by dietary changes that included an increased intake of fruit and vegetables.

    AB - Gastric cancer mortality has declined markedly around the world. In South Australia, the reduction approximated 40% over the last 20 years. Possible reasons include: better refrigeration; reduced consumption of salted, smoked, and chemically preserved foods; increased intake of fruit and vegetables; and improved living standards and a greater use of antibiotics, which may have reduced Helicobacter pylori infection. Reductions generally have been greater for intestinal than diffuse histopathologies. Gastric cancer remains the second leading cause of cancer death worldwide, probably accounting for about 10% of newly diagnosed cancers. High rates apply to Japan, China, Central and South America, Eastern Europe, and parts of the Middle East, and low rates to North America, Australia and New Zealand, Northern Europe, and India. Rates usually are higher in lower socioeconomic groups. Five-year relative survivals of around 20% or less are frequently reported. A figure of 50% or more has been cited for Japan, where there has been radiological screening, although this exceptional figure could have been affected artificially by lead-time and related effects. Male-to-female incidence ratios generally are in the 1.5-2.5 range, with higher ratios for intestinal than diffuse cancers and higher-risk populations. In South Australia, the ratio has been 1.8 to one, although higher at 4.6 to one for cardia lesions. Recent increases in Cardia cancers, especially in males in populations of European extraction, often are accompanied by increases for esophageal adenocarcinoma. It is estimated that the global burden of gastric cancer could be reduced by up to 50% by dietary changes that included an increased intake of fruit and vegetables.

    KW - Cardia lesions

    KW - Gastric cancer

    KW - Incidence

    KW - Mortality

    KW - Survival

    UR - http://www.scopus.com/inward/record.url?scp=0037569704&partnerID=8YFLogxK

    U2 - 10.1007/s10120-002-0203-6

    DO - 10.1007/s10120-002-0203-6

    M3 - Article

    VL - 5

    SP - 5

    EP - 11

    JO - Gastric Cancer

    T2 - Gastric Cancer

    JF - Gastric Cancer

    SN - 1436-3291

    IS - SUPPL. 1

    ER -