Japanese Journal of Clinical Oncology 2005 35(5):283-286; doi:10.1093/jjco/hyi082
© 2005 Foundation for Promotion of Cancer Research
Comparison of Pancreatic Cancer Mortality in Five Countries: France, Italy, Japan, UK and USA from WHO Mortality Database (1960–2000)
Yuka Imamura1 and
Shoichi Mizuno2
1 Statistics and Cancer Control Division, Research Center for Cancer Prevention and Screening, National Cancer Center and 2 Epidemiology and Health Promotion, Tokyo Metropolitan Institute of Gerontology
Pancreatic cancer mortality age-standardized rates (ASRs; using 1985 Japanese standard population) are shown for Japan, USA, UK, France, and Italy (Fig. 1). ASRs of pancreatic cancer for both males and females are quite similar for four decades in these countries. After 1960, ASRs for pancreatic cancer constantly increase until 1987 for males and 1988 for females, except in the UK and USA. ASRs among females in these five countries have recently converged.
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Figure 1. Age-standardized mortality rates (ASRs) for pancreatic cancer for males and females: age-standardized with 1985 Japanese standard population, rates per 100 000.
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Currently Japanese males show the highest ASRs compared with
other countries.
For age-specific rates (Figs 2 and 3), similar trends to those shown by ASRs are observed between males and females. In Japan and Italy, rapid elevations in mortality rates are observed in older age groups after 1960. In the USA and UK, mortality rates have leveled off over the last four decades, regardless of age group and gender. ASRs for pancreatic cancer in France have gradually increased, especially since 1960.
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Figure 2. Age-specific rates for males over 40 years of age by year of death for pancreatic cancer in five countries, rates per 100 000.
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Figure 3. Age-specific rates for females over 40 years of age by year of death for pancreatic cancer in five countries, rates per 100 000.
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Mortality trends for pancreatic cancer by age group are shown
according to year of birth (
Figs 4 and
5). In Japan, mortality
trends increase steeply for those born between 1880 and 1920
in both males and females. The trends level off in males and
are almost stable in females for those born after 1920. Both
males and females in Italy and France show similar trends to
those in Japan, but these trends level off for those born after
1940. Among males from the USA and UK, a peak is observed for
any age group with birth cohorts born around 1900. For females
in the USA and UK, a constantly decreasing trend is observed
for those born after 1930.
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Figure 4. Age-specific rates for males over 40 years of age by birth cohort for pancreatic cancer in five countries, rates per 100 000.
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Figure 5. Age-specific rates for females over 40 years of age by birth cohort for pancreatic cancer in five countries, rates per 100 000.
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Note: Original data is downloaded from WHO Mortality Database
(version as of August 2004). The data was then tabulated by
I. Yoshimi with 157 (ICD-7,8,9), and C25 (ICD-10). Responsibility
for this presentation and interpretation lies with the authors,
not the WHO Mortality Database.
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