Increase of Colon and Rectal Cancer Incidence Rates in Japan: Trends in Incidence Rates in Miyagi Prefecture, 1959-1997

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概要

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• BACKGROUND: During recent decades, colorectal cancer incidence rates have been rapidly increasing in Japan. To investigate trends in colorectal cancer incidence rates, we analyzed incidence data during 39 years between 1959 and 1997 in Miyagi Prefecture, Japan.METHODS: Using age-period-cohort models, we evaluated the effects of time period and cohort on colon and rectal cancer incidence. Model fitting was based on eleven 5-year age groups (30-34 to 80-84), eight 5-year time periods, and 18 overlapping birth cohorts of 10 years each.RESULTS: The analysis found a significant (p=0.04) and upward period effect on female colon cancer incidence, and a significant (p<0.01) and upward cohort effect on male colon cancer incidence. An upward period effect was also observed for male colon cancer incidence without significance. For rectal cancer incidence, a significant cohort effect was found among both males and females.CONCLUSIONS: In light of known risk factors of colorectal cancer, the effects of period and cohort might be related to the change in the prevalence of risk factors such as high intake of meat and animal fat, and obesity. The improved diagnostic procedures including the spread of cancer screening might be responsible for the period effect. Although the significant cohort effects may give a caution for a continuous increase of colorectal cancer incidence, the future trend may be influenced by the period-related factors. Successive monitoring of cancer incidence and prevalence of risk factors is required.J Epidemiol 2006; 16: 240-248.

• Japan Epidemiological Associationの論文
• 2006-11-01

著者

• Sasano H

  Tohoku University 21st Century Coe Program 'comprehensive Research And Education Center For Pla

• 橋本 周司

  早稲田大学理工学術院 先進理工学研究科

• Hisamichi S

  Tohoku University 21st Century Coe Program 'comprehensive Research And Education Center For Pla

• MINAMI Yuko

  Division of Community Health, School of Health Sciences, Tohoku University Faculty of Medicine

• NISHINO Yoshikazu

  Division of Epidemiology, Miyagi Cancer Center Research Institute

• TSUBONO Yoshitaka

  Division of Health Policy, Tohoku University School of Public Policy

• TSUJI Ichiro

  Division of Epidemiology, Department of Public Health and Forensic Medicine, Graduate School of Medi

• HISAMICHI Shigeru

  Miyagi Cancer Center Research Institute

• Tsuji I

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Tsuji Ichiro

  東北大学 医学系研究科運動学分野

• Tsubono Y

  Division Of Health Policy Tohoku University School Of Public Policy

• Tsubono Yoshitaka

  宮城県立がんセンター研究所 疫学部

• Minami Y

  Division Of Epidemiology Miyagi Cancer Center Research Institute

• Minami Y

  Department Of Epidemiology Miyagi Cancer Center

• Nakamura Yosikazu

  千代田区千代田保健所

• Nishino Yoshikazu

  Division Of Epidemiology Miyagi Cancer Center Research Institute

• Tsuji Ichiro

  東北大学 医学系研究科循環器病態学

• Minami Y

  Division Of Community Health School Of Health Sciences Tohoku University Faculty Of Medicine

• Minami Y

  Department Of Medical Oncology Dana Farber Cancer Center Institute

• Minami Y

  Miyagi Cancer Center Res. Inst.

• Yoshida Takashi

  Division Of Breast Surgery Saitama Cancer Center

• Minami Yuko

  Department Of Molecular Pathology Institute Of Biomolecular And Integrated Medical Sciences Graduate

• Minami Yuko

  Division Of Community Health School Of Health Sciences Tohoku University Faculty Of Medicine

• Minami Yuko

  Department Of Epidemiology Miyagi Cancer Center

• Minami Y

  Laboratory Of Protein Chemistry And Engineering Faculty Of Agriculture Kyushu University

• Nishino Y

  Tohoku Univ. School Of Medicine Sendai

• Nishino Yoshikazu

  Department Of Public Health Tohoku University School Of Medicine

• Nakamura Yosikazu

  Department Of Health Science Division Of Epidemiology And Community Health Jichi Medical School

• Nakamura Yosikazu

  Division Of Epidemiology Miyagi Cancer Center Research Institute

• Tsubono Yoshitaka

  Division Of Health Policy Tohoku University School Of Public Policy

• Minami Yuko

  Division Of Epidemiology Miyagi Cencer Center Research Institute

• Yokoe Takao

  Fukuoka Institute Of Health And Environmental Sciences

• Tsubono Yoshitaka

  Division Of Breast Surgery Saitama Cancer Center

• Tomata Yasutake

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Niwa Yoshimitsu

  自治医科大学 公衆衛生学

• Tsuji Ichiro

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• 橋本 周司

  早稲田大学大学院理工学研究科物理学及応用物理学専攻

• Yoshimura Takesumi

  Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa

• Ishida Tsunehiro

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Nishino Yoshikazu

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduate School Of Medicine

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