Overview of Epidemiology of Bile Duct and Gallbladder Cancer Focusing on the JACC Study

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概要

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• BACKGROUND: This review discusses the epidemiologic features of bile duct and gallbladder cancer in Japan, mainly focusing on results of Japan Collaborative Cohort Study (JACC Study) for Evaluation of Cancer Risk Sponsored by the Ministry of Education, Science, Sports and Culture of Japan (Monbusho) in comparison with results of other studies.METHODS: The theses and papers derived from JACC Study on bile duct and gallbladder cancer were all collected for this review. Hirayamas cohort study, which is a representative epidemiologic study, and a large scale case-control study on bile duct and gallbladder cancer in Japan by Kato et al. were also taken into consideration. Small scale cross-sectional studies or ecological studies and the studies conducted outside Japan were collected by the literature reference services on the web net such as Pub Med or Japan Centra Revuo Medicina (Igaku- Chuo- Zasshi) limited to the published after 1980 and use key words bile duct cancer, gallbladder cancer and epidemiology.RESULTS: In the JACC Study, high intake of fried food was regarded as a factor that significantly elevated the risk of the diseases (hazard ratio [HR] = 2.58, 95% confidence interval [CI]: 1.08-6.16 in males; HR = 2.98, 95% CI: 1.28-6.86 in females). The JACC Study indicated that a high intake of boiled beans had a significant preventive relation to the diseases in females (relative risk [RR] = 0.50, 95% CI: 0.26-0.98). High consumption of fish also had a significant preventive relationship to bile duct cancer in males (RR = 0.53, 95% CI: 0.26-0.98) and gallbladder cancer in females (RR = 0.43, 95% CI: 0.24- 0.79). A history of blood transfusion also had a significant relationship (HR = 2.27, 95% CI: 1.29-3.98) as which elevated the risk. The JACC Study determined bowel movement as a risk factor. The group with bowel movements less than once per six days had a significantly elevated hazard ratio (HR = 5.21, 95% CI: 1.25-21.68).CONCLUSION: As to recent epidemiologic features of bile duct and gallbladder cancer revealed by the JACC Study, its outline became obvious in comparison with the results of other studies. Evidence for the contribution of the JACC Study is strong because it provides some important findings on the epidemiology of bile duct and gallbladder cancer.J Epidemiol 2005; 15: S150-S156.

• 日本疫学会の論文
• 2005-06-01

著者

• MOTOHASHI Yutaka

  Department of Public Health, Akita University Faculty of Medicine

• TAMAKOSHI Akiko

  Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Gradu

• Ito Yoshinori

  札幌医科大学 医学部公衆衛生学

• Lin Y

  Department Of Public Health-health Information Dynamics Field Of Social Life Science Nagoya Universi

• Kamijima Michihiro

  名古屋大学 医学部保健学科検査技術科学専攻

• 松葉 剛

  順天堂大学 医学部 衛生学教室

• Kida M

  Nagoya City Univ. Graduate School Of Medical Sci.

• Ito Yoshinori

  Department Of Preventive Medicine/biostatistics And Medical Decision Making Nagoya University Gradua

• INABA Yutaka

  Juntendo University School of Medicine

• Kikuchi S

  Aichi Medical Univ. Aichi Jpn

• Kikuchi Shogo

  愛知医科大学 医学部公衆衛生学講座

• Kikuchi Shogo

  Department Of Public Health Aichi Medical University School Of Medicine

• Kikuchi S

  Juntendo Univ. School Of Medicine Jpn

• YAGYU Kiyoko

  Department of Public Health, Aichi Medical University School of Medicine

• LIN Yingsong

  Department of Public Health, Aichi Medical University School of Medicine

• Kurisu Yoko

  武庫川女子大学 生活環境学部

• Inaba Yutaka

  Juntendo Univ. Tokyo Jpn

• Inaba Yutaka

  Department Of Neurosurgery School Of Medicine Tokyo Medical:dental University

• Inaba Yutaka

  愛知医科大学 公衆衛生学

• Inaba Yutaka

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• Tamakoshi Akiko

  京都府立医科大学 地域保健医療疫学

• Tamakoshi Akiko

  Department Of Epidemiology National Institute For Longevity Sciences

• Mikami Kazuya

  Department Of Urology Graduate School Of Medical Sciences Kyoto Prefectural University Of Medicine

• Mikami Kazuya

  京都府立医科大学 泌尿器科

• Yingsong Lin

  愛知医科大学 医学部公衆衛生学

• Yagyu Kiyoko

  Department Of Public Health Aichi Medical University School Of Medicine

• Yagyu Kiyoko

  Department Of Public Health Aichi Medical University

• Inaba Y

  Department Of Physics University Of Tokyo

• KUROSAWA MICHIKO

  Department of Epidemiology and Environmental Health, Juntendo University School of Medicine

• QIU Dongmei

  Department of Epidemiology and Environmental Health, Juntendo University School of Medicine

• MATSUBA Tsuyoshi

  Department of Epidemiology and Environmental Health, Juntendo University School of Medicine

• KITAGAWA MOTOJI

  Department of Internal Medicine II Nagoya University School of Medicine

• Tamakoshi Akiko

  Department Of Clinical Trials National Center For Geriatrics And Gerontology

• Matsuba Tsuyoshi

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• Motohashi Yutaka

  Department Of Public Health Akita University School Of Medicine

• Motohashi Yutaka

  Department Of Public Health Akita University Faculty Of Medicine

• Inaba Y

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• Kikuchi Shogo

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• Qiu Dongmei

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• 松葉 剛

  国立国際医療センター

• Kawado Miyuki

  Juntendo Univ. Tokyo Jpn

• Kurosawa Michiko

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• Inaba Yutaka

  Department Of Epidemiology And Enivironmental Health Juntendo University School Of Medicine

• Motohashi Yutaka

  Department Of Hygiene Faculty Of Medicine Tokyo Medical And Dental University

• Lin Yingsong

  Department Of Public Health Aichi Medical University School Of Medicine

• Kawado Miyuki

  Laboratory For Genotyping Development Center For Genomic Medicine Riken

• MOTOHASHI Yutaka

  Department of Public Health, Akita University School of Medicine

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