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Original article

Vol. 150 No. 5153 (2020)

37-year incidence and mortality time trends of common cancer types by sex, age, and stage in the canton of Zurich

DOI
https://doi.org/10.4414/smw.2020.20388
Cite this as:
Swiss Med Wkly. 2020;150:w20388
Published
14.12.2020

Summary

AIMS OF THE STUDY

The Cancer Registry Zurich, Zug, Schaffhausen and Schwyz is one of the oldest cancer registries in Switzerland, first registering tumours in 1980 for the canton of Zurich. The aim of this study was to analyse trends in incidence and mortality for the most common types of cancer in the canton of Zurich from 1981 to 2017.

METHODS

In this analysis of population-based cancer registry data, we included malignant tumours of the breast (ICD10 C50), prostate (C61), colon/rectum (C18–C21), lung (C33–C34), and melanoma (C43), diagnosed between 1981 and 2017. Age-standardised incidence and mortality rates per 100,000 person-years were computed using the 1976 European Standard Population. Incidence and mortality time trends were assessed using joinpoint regression analysis.

RESULTS

In men, incidence for prostate cancer and melanoma increased over the study period, while it decreased for colon/rectum and lung cancer. A joinpoint for prostate cancer indicated the start of a decreasing trend in 2002. In women, incidence increased for breast cancer, lung cancer and melanoma; no trend was observed for colon/rectum cancer. Cancer mortality decreased for prostate, colon/rectum and lung cancer in men, with no clear trend for melanoma. In women, mortality decreased for breast cancer, colon/rectum cancer and melanoma, but increased for lung cancer.

CONCLUSIONS

The overall increasing incidence trends for prostate and breast cancer, as well as for melanoma, are in line with data from other Western countries. While lung cancer incidence is decreasing in men, it is still on the rise in women. Despite increasing incidence rates, mortality rates are decreasing for all localisations except for lung cancer in women. The opposite direction of incidence and mortality curves is probably mostly due to better and more effective treatment options, as well as earlier detection.

References

  1. Federal Statistical Office (FSO): Swiss Cancer Report 2015 - Current situation and developments. 2015.
  2. Statistical Office of the Canton of Zurich. Statistisches Jahrbuch des Kantons Zürich 2019 (Statistical Annual Report of the Canton of Zurich 2019). In. Zurich: Statistical Office of the Canton of Zurich; 2019: p10.
  3. Verdial FC, Etzioni R, Duggan C, Anderson BO. Demographic changes in breast cancer incidence, stage at diagnosis and age associated with population-based mammographic screening. J Surg Oncol. 2017;115(5):517–22. doi:.https://doi.org/10.1002/jso.24579
  4. Wanner M, Matthes KL, Korol D, Dehler S, Rohrmann S. Indicators of Data Quality at the Cancer Registry Zurich and Zug in Switzerland. BioMed Res Int. 2018;2018:7656197. doi:.https://doi.org/10.1155/2018/7656197
  5. Waterhouse JAH, Muir CS, Correa P, Powell J. Cancer incidence in five continents, Vol. III In: IARC Scientific Publications No 15. Lyon: IARC; 1976: 456.
  6. Wittekind C, Meyer HJ, Bootz F. TNM Klassifikation maligner Tumoren, 6. Auflage edn. Berlin: Springer; 2002.
  7. Wittekind C, Meyer HJ. TNM Klassifikation maligner Tumoren, 7. Auflage edn: Wiley-Blackwell; 2010.
  8. Frøslev T, Grann AF, Olsen M, Olesen AB, Schmidt H, Friis S, et al. Completeness of TNM cancer staging for melanoma in the Danish Cancer Registry, 2004-2009. Clin Epidemiol. 2012;4(Suppl 2):5–10. doi:.https://doi.org/10.2147/CLEP.S32064
  9. Joinpoint Help Manual 4.3.1.0 [https://surveillance.cancer.gov/joinpoint/]
  10. Oberli LS, Valeri F, Korol D, Rohrmann S, Dehler S. 31 years of lung cancer in the canton of Zurich, Switzerland: incidence trends by sex, histology and laterality. Swiss Med Wkly. 2016;146:w14327. doi:.https://doi.org/10.4414/smw.2016.14327
  11. Lillard DR. The Evolution of Smoking in Switzerland. In: Social Dynamics in Swiss Society Empirical Studies Based on the Swiss Household Panel. Volume 9, edn. Edited by Robin Tillmann MV, Peter Farago. Lausanne: Springer Open; 2018: 3-16.
  12. Wanner M, Richard A, Matthes K, Ortelli L, Lorez M, Korol D, et al. Trends in prostate cancer incidence between 1996 and 2013 in two Swiss regions by age, grade, and T-stage. Cancer Causes Control. 2018;29(2):269–77. doi:.https://doi.org/10.1007/s10552-017-0993-9
  13. Cardoso F, Kyriakides S, Ohno S, Penault-Llorca F, Poortmans P, Rubio IT, et al.; ESMO Guidelines Committee. Early breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2019;30(10):1674. doi:.https://doi.org/10.1093/annonc/mdz189
  14. Albert US, Schreer I. Arbeitsgruppe der Stufe-3-Leitlinie M [S3 guideline breast cancer: update on early detection, and mammography screening]. Radiologe. 2019;59(1):13–8. doi:.https://doi.org/10.1007/s00117-018-0473-6
  15. Araghi M, Soerjomataram I, Bardot A, Ferlay J, Cabasag CJ, Morrison DS, et al. Changes in colorectal cancer incidence in seven high-income countries: a population-based study. Lancet Gastroenterol Hepatol. 2019;4(7):511–8. doi:.https://doi.org/10.1016/S2468-1253(19)30147-5
  16. Lorez M, Marbet U, Arndt V. Subsite-specific colorectal cancer trends in Switzerland (1989-2012). Swiss Cancer Bulletin. 2016;36(1):67–74.
  17. Arnold M, Holterhues C, Hollestein LM, Coebergh JW, Nijsten T, Pukkala E, et al. Trends in incidence and predictions of cutaneous melanoma across Europe up to 2015. J Eur Acad Dermatol Venereol. 2014;28(9):1170–8. doi:.https://doi.org/10.1111/jdv.12236
  18. Wong MC, Goggins WB, Wang HH, Fung FD, Leung C, Wong SY, et al. Global Incidence and Mortality for Prostate Cancer: Analysis of Temporal Patterns and Trends in 36 Countries. Eur Urol. 2016;70(5):862–74. doi:.https://doi.org/10.1016/j.eururo.2016.05.043
  19. Karim-Kos HE, de Vries E, Soerjomataram I, Lemmens V, Siesling S, Coebergh JW. Recent trends of cancer in Europe: a combined approach of incidence, survival and mortality for 17 cancer sites since the 1990s. Eur J Cancer. 2008;44(10):1345–89. doi:.https://doi.org/10.1016/j.ejca.2007.12.015
  20. Kvåle R, Myklebust TA, Engholm G, Heinävaara S, Wist E, Møller B. Prostate and breast cancer in four Nordic countries: A comparison of incidence and mortality trends across countries and age groups 1975-2013. Int J Cancer. 2017;141(11):2228–42. doi:.https://doi.org/10.1002/ijc.30924
  21. Levi F, La Vecchia C, Randimbison L, Erler G, Te VC, Franceschi S. Incidence, mortality and survival from prostate cancer in Vaud and Neuchâtel, Switzerland, 1974-1994. Ann Oncol. 1998;9(1):31–5. doi:.https://doi.org/10.1023/A:1008209005622
  22. Chen C, Naidoo N, Yang Q, Hartman M, Verkooijen HM, Loy EY, et al. A comparative population-based study of prostate cancer incidence and mortality rates in Singapore, Sweden and Geneva, Switzerland from 1973 to 2006. BMC Cancer. 2012;12(1):222. doi:.https://doi.org/10.1186/1471-2407-12-222
  23. Zhou CK, Check DP, Lortet-Tieulent J, Laversanne M, Jemal A, Ferlay J, et al. Prostate cancer incidence in 43 populations worldwide: An analysis of time trends overall and by age group. Int J Cancer. 2016;138(6):1388–400. doi:.https://doi.org/10.1002/ijc.29894
  24. Bray F, Lortet-Tieulent J, Ferlay J, Forman D, Auvinen A. Prostate cancer incidence and mortality trends in 37 European countries: an overview. Eur J Cancer. 2010;46(17):3040–52. doi:.https://doi.org/10.1016/j.ejca.2010.09.013
  25. Guessous I, Cullati S, Fedewa SA, Burton-Jeangros C, Courvoisier DS, Manor O, et al. Prostate cancer screening in Switzerland: 20-year trends and socioeconomic disparities. Prev Med. 2016;82:83–91. doi:.https://doi.org/10.1016/j.ypmed.2015.11.009
  26. Carioli G, Malvezzi M, Rodriguez T, Bertuccio P, Negri E, La Vecchia C. Trends and predictions to 2020 in breast cancer mortality in Europe. Breast. 2017;36:89–95. doi:.https://doi.org/10.1016/j.breast.2017.06.003
  27. Bulliard JL, La Vecchia C, Levi F. Diverging trends in breast cancer mortality within Switzerland. Ann Oncol. 2006;17(1):57–9. doi:.https://doi.org/10.1093/annonc/mdj035
  28. Leclère B, Molinié F, Trétarre B, Stracci F, Daubisse-Marliac L, Colonna M ; GRELL Working Group. Trends in incidence of breast cancer among women under 40 in seven European countries: a GRELL cooperative study. Cancer Epidemiol. 2013;37(5):544–9. doi:.https://doi.org/10.1016/j.canep.2013.05.001
  29. Bodmer A, Feller A, Bordoni A, Bouchardy C, Dehler S, Ess S, et al.; NICER Working Group. Breast cancer in younger women in Switzerland 1996-2009: a longitudinal population-based study. Breast. 2015;24(2):112–7. doi:.https://doi.org/10.1016/j.breast.2014.11.004
  30. Merlo DF, Ceppi M, Filiberti R, Bocchini V, Znaor A, Gamulin M, et al.; AIRTUM WG. Breast cancer incidence trends in European women aged 20-39 years at diagnosis. Breast Cancer Res Treat. 2012;134(1):363–70. doi:.https://doi.org/10.1007/s10549-012-2031-7
  31. Federal Statistical Office. Swiss Health Survey 2012. Overview. In. Neuchâtel: Federal Statistical Office FSO; 2013.
  32. Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2017;66(4):683–91. doi:.https://doi.org/10.1136/gutjnl-2015-310912
  33. Ait Ouakrim D, Pizot C, Boniol M, Malvezzi M, Boniol M, Negri E, et al. Trends in colorectal cancer mortality in Europe: retrospective analysis of the WHO mortality database. BMJ. 2015;351:h4970. doi:.https://doi.org/10.1136/bmj.h4970
  34. Ansa BE, Coughlin SS, Alema-Mensah E, Smith SA. Evaluation of Colorectal Cancer Incidence Trends in the United States (2000-2014). J Clin Med. 2018;7(2):E22. doi:.https://doi.org/10.3390/jcm7020022
  35. Wong MCS, Lao XQ, Ho KF, Goggins WB, Tse SLA. Incidence and mortality of lung cancer: global trends and association with socioeconomic status. Sci Rep. 2017;7(1):14300. doi:.https://doi.org/10.1038/s41598-017-14513-7
  36. Zhang Y, Ren JS, Huang HY, Shi JF, Li N, Zhang Y, et al. International trends in lung cancer incidence from 1973 to 2007. Cancer Med. 2018;7(4):1479–89. doi:.https://doi.org/10.1002/cam4.1359
  37. Lorez M, Rohrmann S, Heusser R, Arndt V, Group NW. Lung Cancer Trends by Histologic Subtype in Switzerland. Swiss Cancer Bulletin. 2017;37(2):179–85.
  38. Alberg AJ, Samet JM. Epidemiology of lung cancer. Chest. 2003;123(1, Suppl):21S–49S. doi:.https://doi.org/10.1378/chest.123.1_suppl.21S
  39. de Vries E, Bray FI, Coebergh JW, Parkin DM. Changing epidemiology of malignant cutaneous melanoma in Europe 1953-1997: rising trends in incidence and mortality but recent stabilizations in western Europe and decreases in Scandinavia. Int J Cancer. 2003;107(1):119–26. doi:.https://doi.org/10.1002/ijc.11360
  40. Erdmann F, Lortet-Tieulent J, Schüz J, Zeeb H, Greinert R, Breitbart EW, et al. International trends in the incidence of malignant melanoma 1953-2008--are recent generations at higher or lower risk? Int J Cancer. 2013;132(2):385–400. doi:.https://doi.org/10.1002/ijc.27616
  41. Levi F, Te VC, Randimbison L, La Vecchia C. Trends in incidence of various morphologies of malignant melanoma in Vaud and Neuchatel, Switzerland. Melanoma Res. 2005;15(1):73–5. doi:.https://doi.org/10.1097/00008390-200502000-00012
  42. Minini R, Rohrmann S, Braun R, Korol D, Dehler S. Incidence trends and clinical-pathological characteristics of invasive cutaneous melanoma from 1980 to 2010 in the Canton of Zurich, Switzerland. Melanoma Res. 2017;27(2):145–51. doi:.https://doi.org/10.1097/CMR.0000000000000312
  43. Bay C, Kejs AM, Storm HH, Engholm G. Incidence and survival in patients with cutaneous melanoma by morphology, anatomical site and TNM stage: a Danish Population-based Register Study 1989-2011. Cancer Epidemiol. 2015;39(1):1–7. doi:.https://doi.org/10.1016/j.canep.2014.10.010
  44. Ellis L, Abrahão R, McKinley M, Yang J, Somsouk M, Marchand LL, et al. Colorectal Cancer Incidence Trends by Age, Stage, and Racial/Ethnic Group in California, 1990-2014. Cancer Epidemiol Biomarkers Prev. 2018;27(9):1011–8. doi:.https://doi.org/10.1158/1055-9965.EPI-18-0030
  45. Hoffman RM, Meisner AL, Arap W, Barry M, Shah SK, Zeliadt SB, et al. Trends in United States Prostate Cancer Incidence Rates by Age and Stage, 1995-2012. Cancer Epidemiol Biomarkers Prev. 2016;25(2):259–63. doi:.https://doi.org/10.1158/1055-9965.EPI-15-0723
  46. Moller MH, Kristiansen IS, Beisland C, Rorvik J, Stovring H. Trends in stage-specific incidence of prostate cancer in Norway, 1980-2010: A population-based study. BJU Int. 2015.
  47. Kennedy MPT, Cheyne L, Darby M, Plant P, Milton R, Robson JM, et al. Lung cancer stage-shift following a symptom awareness campaign. Thorax. 2018;73(12):1128–36. doi:.https://doi.org/10.1136/thoraxjnl-2018-211842

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