Summary
Trends in mortality from all neoplasms and major cancer sites in Switzerland among populations aged between 20 and 44 years are presented. In men total cancer mortality was approximately constant around 270/106 between 1951 and 1965, but declined appreciably thereafter to 217 per million in 1980–1989. The overall fall was 20%. The pattern of trends was similar for women, although a modest decline was already apparent in the earlier calendar period, and the overall fall was 29% (from 303 to 215/106). These favourable trends reflect therapeutic advancements for Hodgkin's disease, leukaemias, testis and (chiefly non-epithelial) ovarian cancer, better control of cervical cancer, the long-term decline in gastric cancer, but also the downward trends in cancer of the intestines and a few less common sites, such as gallbladder and thyroid neoplasms for reasons that are not yet clear. Appreciable rises were observed for lung and other tobacco-related sites in women, for the oral cavity in men and (in earlier calendar periods) cutaneous melanoma in both sexes. Although restricted to a selected number of sites, these rises are discouraging, since the causes of these neoplasms have long been recognized. Somewhat discouraging also is the absence of decline in male lung cancer. These problems notwithstanding, the overall pattern of trends in cancer mortality in young Swiss adults over the last few decades is still reassuring, particularly in comparison with those observed in other European countries, and in the more general frame-work of the debate on the perspectives of progress in cancer control. Although restricted to a small proportion of all cancer deaths, in fact, trends in young adults offer useful indications on the likely future trends in the same generations in the near future, since they reflect more recent changes in the pattern of exposure. The size of the changes, however, will probably differ, since the prevalent cancers in middle age are different from those in the young.
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References
Boyle P (1989) Relative value of incidence and mortality data in cancer research. In: Boyle P, Muir CS, Grundmann (eds) Cancer mapping. Recent Results Cancer Res 114:41–63
Boyle P, Zaridze DG, Smans M (1985) Descriptive epidemiology of colorectal cancer. Int J Cancer 36:9–18
Bundesamt für Statistik (1984) Krebssterblichkeit: QualitÄt der Daten in der Schweiz. BeitrÄge zur schweizerischen Statistik, 125, Bundesamt für Statistik, Bern
Davis DL, Hoel D, Fox J, Lopez A (1990) International trends in cancer mortality in France, West Germany, Italy, Japan, England and Wales, and the USA. Lancet 336:474–481
Decarli A, La Vecchia C, Negri E, Cislaghi C (1990) Cancer mortality in young adults: Italy 1955–85. J Cancer Res Clin Oncol 116:215–219
Doll R (1988) Epidemiology and the prevention of cancer: some recent developments. J Cancer Res Clin Oncol 114:447–458
Doll R (1989a) Progress against cancer: are we winning the war? Acta Oncol 28:611–621
Doll R (1989b) Are we winning the fight against cancer? An epidemiological assessment. Eur J Cancer 26:500–508
Doll R, Peto R (1981) The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. J Natl Cancer Inst 66:1191–1308
Hill C, Benhamou E, Doyan F, Flamant R (1989) Evolution de la mortalité par cancer en France entre 1950 et 1985. Statistiques de Santé, INSERM, Paris, 340 p
Howson CP, Hiyama T, Wynder EL (1986) The decline in gastric cancer: epidemiology of an unplanned triumph. Epidermiol Rev 8:1–27
La Vecchia C, Franceschi S, Decarli A (1984) Oral contraceptive use an the risk of epithelial ovarian cancer. Br J Cancer 50:31–34
La Vecchia C, Levi F, Negri E, Wietlisbach V, Decarli A, Gutzwiller F (1988) Trends in smoking and cancer mortality in Switzerland. Prev Med 17:712–724
La Vecchia C, Boyle P, Cislaghi C, Decarli A, Negri E (1990) Descriptive epidemiology of cancer of the upper digestive and respiratory tract in Italy. Rev Epidémiol Santé Publique 38:271–273
Levi F, La Vecchia C (1988) Childhood cancer in Switzerland: mortality from 1951 to 1984. Oncology 45:313–317
Levi F, Gutzwiller F, Decarli A, La Vecchia C (1987) Oral contraceptive use and breast and ovarian cancer mortality in Switzerland. J Epidemiol Community Health 41:267–268
Levi F, Maisonneuve P, Filiberti R, La Vecchia C, Boyle P (1989a) Cancer incidence and mortality in Europe. Soz Praeventivmed 34[Suppl 2]:S1-S84
Levi F, La Vecchia C, Te VC, Gutzwiller F (1989b) Incidence of invasive cervical cancer in the Swiss canton of Vaud, and a note on screening. J Epidemiol Community Health 43:121–124
Office Fédéral de la Statistique (1952) Nomenclature suisse des causes de décès, 1951. Office Fédéral de la Statistique, Berne
Office Fédéral de la Statistique (1970) Classification internationale des maladies et causes de décès. Adaptée aux conditions suisses et utilisée dès 1969 (8e révision). Office Fédéral de la Statistique, Berne
Ron E, Modan B (1982) Thyroid. In: Schottenfeld D, Fraumeni JF Jr (eds) Cancer epidemiology and prevention. Saunders, Philadelphia, pp 837–854
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Levi, F., La Vecchia, C., Randriamiharisoa, A. et al. Cancer mortality in young adults in Switzerland, 1951–1989. J Cancer Res Clin Oncol 117, 497–501 (1991). https://doi.org/10.1007/BF01612774
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DOI: https://doi.org/10.1007/BF01612774