Estimation of lifetime cumulative incidence and mortality risk of gastric cancer
- PMID: 28977484
- PMCID: PMC5896697
- DOI: 10.1093/jjco/hyx128
Estimation of lifetime cumulative incidence and mortality risk of gastric cancer
Abstract
Objective: To estimate cumulative incidence and mortality risk for gastric cancer by risk category.
Methods: Risk was classified into four types according to the presence/absence of Helicobacter pylori infection and chronic atrophic gastritis: in order of lowest to highest risk, Group A: H. pylori(-) and atrophic gastritis(-); Group B: H. pylori(+) and atrophic gastritis(-); Group C:H. pylori(+) and atrophic gastritis(+); and, Group D: H. pylori(-) and atrophic gastritis(+). We used vital statistics for the crude all-cause and crude gastric cancer mortality rates in 2011 and data from population-based cancer registries (the Monitoring of Cancer Incidence in Japan) for gastric cancer incidence in 2011. For relative risk and prevalence, we used the results of a meta-analysis integrating previous studies and data from the Japan Public Health Center-based Prospective Study for the Next Generation, respectively (baseline survey 2011-16). We calculated the crude incidence and mortality rates and estimated the cumulative risk using a life-table method.
Results: The estimated lifetime cumulative incidence risk was 11.4% for men and 5.7% for women. The estimated risk for Groups A, B, C and D was 2.4%, 10.8%, 26.7% and 35.5% for men, and 1.2%, 5.5%, 13.5% and 18.0% for women, respectively. Similarly, the estimated lifetime cumulative mortality risk was 3.9% for men and 1.8% for women. The estimated risk of mortality for Groups A, B, C and D was 0.8%, 3.6%, 9.0% and 12.0% for men, and 0.4%, 1.7%, 4.2% and 5.7% for women, respectively.
Conclusions: Our results may be useful for designing individually tailored prevention programs.
Keywords: Helicobacter pylori; incidence; mortality; risk; stomach neoplasms.
© The Author 2017. Published by Oxford University Press.
References
-
- Recent Cancer Statistics: Center for Cancer Control and Information Services, National Cancer Center http://ganjoho.jp/reg_stat/statistics/stat/summary.html (20 December 2016, date last accessed) (in Japanese).
-
- Kamo K, Katanoda K, Matsuda T, Marugame T, Ajiki W, Sobue T. Lifetime and age-conditional probabilities of developing or dying of cancer in Japan. Jpn J Clin Oncol 2008;38:571–76. - PubMed
-
- Cancer Prevention for Japanese: Epidemiology and Prevention Division, Research Center for Cancer Prevention and Screening, National Cancer Center http://epi.ncc.go.jp/en/can_prev/321/189.html (20 December 2016, date last accessed).
-
- Tsugane S, Sasazuki S. Diet and the risk of gastric cancer: review of epidemiological evidence. Gastric Cancer 2007;10:75–83. - PubMed
-
- Nishino Y, Inoue M, Tsuji I, et al. . Tobacco smoking and gastric cancer risk: an evaluation based on a systematic review of epidemiologic evidence among the Japanese population. Jpn J Clin Oncol 2007;36:800–7. - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
