Trends in mortality from primary liver cancer in Europe

C. La Vecchia, F. Lucchini, S. Franceschi, E. Negri, F. Levi

Research output: Contribution to journalArticle

Abstract

Upward trends in incidence and mortality from primary liver cancer have been reported from Japan, the USA and a few European countries. Thus, we systematically reviewed trends in age-standardised death certification rates from primary liver cancer between 1970 and 1996 in 20 European countries providing data for the World Health Organisation database. Overall age-standardised (world population) mortality rates were approximately stable or showed no consistent trends in seven countries, including Bulgaria and Hungary (with exceedingly high rates), Finland, The Netherlands and the UK. Moderate rises were observed in Austria, Germany and Switzerland, and much larger upward trends in France and Italy, particularly for males. Downward trends were observed in both sexes in Belgium, Spain, Ireland, Greece and several Scandinavian countries. The per cent change in rates per year ranged, for males, from -7.4% for Ireland and -5.1% for Spain to +4.4% for Italy and +8.6% for France. Trends were more favourable in women, with 15 out of 20 countries showing downward trends in rates, and moderately more favourable in middle age (45-64 years) and, in major European countries, in young adults (20-44 years of age). In conclusion, trends in liver cancer mortality in Europe are heterogeneous. The fall in mortality in countries like Spain may be largely explained by improvements in the distinction between primary and secondary liver neoplasms, whereas upward trends in Central Europe and Italy are likely to be, at least in part, real. Increases in infection with the hepatitis C virus, and improved and increased searches for liver cancer in cirrhotic patients are two of the likeliest explanations for these observations. Copyright (C) 2000 Elsevier Science Ltd.

Original languageEnglish
Pages (from-to)909-915
Number of pages7
JournalEuropean Journal of Cancer
Volume36
Issue number7
DOIs
Publication statusPublished - May 2000

Fingerprint

Liver Neoplasms
Mortality
Spain
Italy
Ireland
France
Bulgaria
Hungary
Austria
Greece
Belgium
Certification
Finland
Switzerland
Hepacivirus
Netherlands
Germany
Young Adult
Japan
Databases

Keywords

  • Descriptive epidemiology
  • Europe
  • Liver neoplasms
  • Mortality rates
  • Trends

ASJC Scopus subject areas

  • Cancer Research
  • Hematology
  • Oncology

Cite this

La Vecchia, C., Lucchini, F., Franceschi, S., Negri, E., & Levi, F. (2000). Trends in mortality from primary liver cancer in Europe. European Journal of Cancer, 36(7), 909-915. https://doi.org/10.1016/S0959-8049(00)00052-6

Trends in mortality from primary liver cancer in Europe. / La Vecchia, C.; Lucchini, F.; Franceschi, S.; Negri, E.; Levi, F.

In: European Journal of Cancer, Vol. 36, No. 7, 05.2000, p. 909-915.

Research output: Contribution to journalArticle

La Vecchia, C, Lucchini, F, Franceschi, S, Negri, E & Levi, F 2000, 'Trends in mortality from primary liver cancer in Europe', European Journal of Cancer, vol. 36, no. 7, pp. 909-915. https://doi.org/10.1016/S0959-8049(00)00052-6
La Vecchia C, Lucchini F, Franceschi S, Negri E, Levi F. Trends in mortality from primary liver cancer in Europe. European Journal of Cancer. 2000 May;36(7):909-915. https://doi.org/10.1016/S0959-8049(00)00052-6
La Vecchia, C. ; Lucchini, F. ; Franceschi, S. ; Negri, E. ; Levi, F. / Trends in mortality from primary liver cancer in Europe. In: European Journal of Cancer. 2000 ; Vol. 36, No. 7. pp. 909-915.
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