Striking changes in smoking behaviour and lung cancer incidence by histological type in Southeast Netherlands, 1960–1991

Janssen‐Heijnen, M.L.G.; Nab, Henk; Reek, Jan van; Heijden, L.H. van der; Schipper, Robert-Jan; Coebergh, Jan Willem

doi:10.1016/0959-8049(94)00519-2

Cited by 65 publications

(36 citation statements)

References 12 publications

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“…[1][2][3][4][5][6] It is hypothesized that this trend is mainly due to the dissemination of low-tar filter cigarettes, 7-9 since filters mainly remove the larger particles in cigarette smoke, which tend to be deposited in the central large bronchus where most squamous cell carcinomas arise. However, such filters do not remove smaller particles, which tend to reach the peripheral region of the lung where adenocarcinomas arise.…”

Section: Abstract: Lung Cancer; Histologic Type; Cigarette Smoking; mentioning

confidence: 99%

Cigarette smoking and subsequent risk of lung cancer by histologic type in middle‐aged Japanese men and women: The JPHC study

Sobue

Yamamoto

Hara

et al. 2002

Intl Journal of Cancer

143

116

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In order to update the findings of relative risk associated with cigarette smoking for lung cancer by histologic type in Japan, the data from a population-based cohort study of 91,738 men and women were analyzed. During 1990 -1999, 422 lung cancer incident cases were identified. The relative risk for all incident cases associated with current smokers versus non-smokers was 4.5 [95% confidence interval (CI): 3.0 -6.8] and 4.2 (95% CI: 2.4 -7.2), for men and women, respectively. When divided by histologic type, relative risk for squamous cell carcinoma and small cell carcinoma was 12.7 (95% CI: 4.7-34.7) and 17.5 (95% CI: 4.9 -62.1), while for adenocarcinoma it was 2.8 (95% CI: 1.6 -4.9) and 2.0 (95% CI: 0.8 -5.0) for men and women, respectively. We confirmed that the lung cancer risk in men rose with increasing cigarette smoking, especially the duration of smoking among current smokers and decreased after the cessation of smoking among former smokers. Unlike the US or European countries, the relative risk did not increase in this updated study, compared with previous studies in 1960s to 1990s in Japan either for all incident cases or for specific histologic types and the magnitude of relative risks was substantially lower than that observed in the US or European countries, especially for adenocarcinoma. © 2002 Wiley-Liss, Inc. Key words: lung cancer; histologic type; cigarette smoking; relative riskRecent trends in lung cancer incidence showed a relative increase in adenocarcinoma as compared with squamous cell carcinoma for both men and women in various countries. [1][2][3][4][5][6] It is hypothesized that this trend is mainly due to the dissemination of low-tar filter cigarettes, 7-9 since filters mainly remove the larger particles in cigarette smoke, which tend to be deposited in the central large bronchus where most squamous cell carcinomas arise. However, such filters do not remove smaller particles, which tend to reach the peripheral region of the lung where adenocarcinomas arise. Moreover, in order to compensate for nicotine intake, smokers of low-tar filter cigarettes tend to inhale more deeply than those of nonfilter cigarettes, which results in more cigarette smoke reaching the peripheral region. Switching from nonfilter to filter cigarettes occurred mostly during in the US, the UK and Japan, where market share of filtered cigarette exceeded that of nonfilter cigarette in 1959, 1967 and 1965, respectively. 10,11 In the US and European countries, this hypothesis is supported by the finding that the magnitude of the relative risk of lung adenocarcinoma associated with cigarette smoking increased in recent studies, just when the usage of low-tar filter cigarette became more widespread among study subjects. It is reported from the US that the risk of lung adenocarcinoma is many times higher for current smokers than non-smokers, i.e., 19.0-fold for men and 8.1-fold for women in the Cancer Prevention Study (CPS) II (1982II ( -1984, while in CPS I (1959 -1961) corresponding estimates were 4.6 and 1.5 for me...

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Section: Abstract: Lung Cancer; Histologic Type; Cigarette Smoking; mentioning

confidence: 99%

Cigarette smoking and subsequent risk of lung cancer by histologic type in middle‐aged Japanese men and women: The JPHC study

Sobue

Yamamoto

Hara

et al. 2002

Intl Journal of Cancer

143

116

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“…We reviewed the medical records of all 967 patients diagnosed with SCLC between 1 January 1981 and 31 December 1994 in the Bas-Rhin, which had between 900 000 and 1 000 000 inhabitants during this period (INSEE, 1987). We obtained the list of patients from the Bas-Rhin population-based cancer-registry.…”

Section: Patientsmentioning

confidence: 99%

“…In Europe, lung cancer is the third leading cause of cancer death in women (Black et al, 1997); in France, it is fourth (Black et al, 1997). Small-cell lung cancer (SCLC) accounts for 20-25% of all lung cancers (Carter and Eggleston, 1980;Janssen-Heijnen et al, 1995;WHO, 1998). Its prognosis remains poor, with a median survival time of about 12-16 months in LD and 7-11 months in ED (Albain et al, 1990).…”

mentioning

confidence: 99%

Progress in the management and outcome of small-cell lung cancer in a French region from 1981 to 1994

Lebitasy¹,

Hédelin

Purohit³

et al. 2001

Br J Cancer

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Summary Recent analyses of series of small-cell lung cancer (SCLC) patients included in clinical trials have shown improved survival over time, but it has been impossible to determine whether this was due to selection biases, stage migration, or true therapeutic improvement. To determine if there has been a true improvement of survival over time, we reviewed the medical records of all consecutive patients diagnosed with SCLC between 1981 and 1994 in the Bas-Rhin in France. Among the 787 patients (median age 63), there was no significant period effect for sex, age, or stage. Staging work-ups became increasingly thorough (significant period effect). The mean number of investigations and of tumour sites detected correlated significantly. The chemotherapy rate increased (from 76.4% in 1981-1983 to 91.7% in 1993-1994, P = 10 -5 ) and mediastinal irradiation decreased (to roughly 25% of patients after 1983). Median survival time increased for the overall population from 6.6 months in 1981-1983 to 11.3 months in 1993-1994 (P = 10 -5 ), for patients with limited disease (LD) from 9.2 (P = 0.002) months to 14.0 months, and for those with extensive (ED) disease from 3.5 months to 9.6 months (P = 10 -5 ). Significant independent prognostic factors were disease extent, clinical trial participation, period, type of chemotherapy, and mediastinal irradiation in LD. Survival time has truly improved as 'state of the art' management of SCLC has changed.

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“…It is well known that the magnitude of association between lung cancer and cigarette smoking differs by histologic types. Squamous cell carcinoma and small cell carcinoma show a 10-to 20-fold increase among current smokers compared to non-smokers, while adenocarcinoma shows a 2-to 5-fold increase.2) Therefore, smoking prevalence influences the trends of incidences differently among histologic types.In the US and Europe, several hospital-based studies, [3][4][5][6] autopsy series 7) and population-based studies [8][9][10][11][12][13][14][15][16] have examined the trends of lung cancer incidence by histologic type. In Asian countries there have been hospitalbased studies, [17][18][19][20] and a population-based study.…”

mentioning

confidence: 99%

Trends of Lung Cancer Incidence by Histologic Type: A Population‐based Study in Osaka, Japan

Sobue

Ajiki

Tsukuma

et al. 1999

Japanese Journal of Cancer Research

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We investigated trends of lung cancer incidence from 1974 to 1993 by histologic type, using data from the population-based cancer registry in Osaka, Japan. Since the proportion of cases with histologic types identified was not sufficiently high, sex-and age-specific incidence rates by histologic types were estimated assuming that the distribution of histologic types was the same across the same sex and age group regardless of reporting status. Cumulative risk from 0 to 74 years old for total lung cancer increased 1.3-fold from the period 1974-77 to 1986-89 and then plateaued in the period 1990-93 for both males and females. When divided into histologic types, cumulative risk for incidence of squamous cell carcinoma was almost constant during the study period for both males and females. During the same period, adenocarcinoma increased up to 1.4-fold for both males and females. This increase seemed to have reached a plateau recently for males, but not for females. Small cell carcinoma increased monotonously up to 1.6-to 1.7-fold for both males and females. Large cell carcinoma showed over 2-fold increase for both males and females; however, the estimates fluctuated due to the small number of cases. This study provides further evidence of a relative increase of adenocarcinoma compared to squamous cell carcinoma. Recent trends of tapering increase of lung cancer incidence should be confirmed by further observation.Key words: Lung cancer -Histologic type -Incidence -Trend -Smoking Recent trends of lung cancer incidence are showing different patterns by country. 1) In the US and UK, where lung cancer incidences were relatively high and smoking control has been successfully implemented, incidence of lung cancer in males has reached a peak and now is in the decreasing phase, starting from younger age groups. In contrast, in Eastern Europe, where smoking control has been less successful, the incidence is still increasing. These trends have been greatly influenced by the trends of smoking prevalence. It is well known that the magnitude of association between lung cancer and cigarette smoking differs by histologic types. Squamous cell carcinoma and small cell carcinoma show a 10-to 20-fold increase among current smokers compared to non-smokers, while adenocarcinoma shows a 2-to 5-fold increase.2) Therefore, smoking prevalence influences the trends of incidences differently among histologic types.In the US and Europe, several hospital-based studies, [3][4][5][6] autopsy series 7) and population-based studies [8][9][10][11][12][13][14][15][16] have examined the trends of lung cancer incidence by histologic type. In Asian countries there have been hospitalbased studies, [17][18][19][20] and a population-based study. 21) Most of the studies showed a relative increase of adenocarcinoma as compared to squamous cell carcinoma in both males and females, especially in younger age groups. Lung cancer incidence in Japan has been relatively low compared to other countries. It is reported that cumulative risk (0-74 years old) of lung c...

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Striking changes in smoking behaviour and lung cancer incidence by histological type in Southeast Netherlands, 1960–1991

Cited by 65 publications

References 12 publications

Cigarette smoking and subsequent risk of lung cancer by histologic type in middle‐aged Japanese men and women: The JPHC study

Cigarette smoking and subsequent risk of lung cancer by histologic type in middle‐aged Japanese men and women: The JPHC study

Progress in the management and outcome of small-cell lung cancer in a French region from 1981 to 1994

Trends of Lung Cancer Incidence by Histologic Type: A Population‐based Study in Osaka, Japan

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