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Japanese Journal of Clinical Oncology 2008 38(5):391-393; doi:10.1093/jjco/hyn037
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© The Author (2008). Published by Oxford University Press. All rights reserved

Comparison of Time Trends in Hodgkin and Non-Hodgkin Lymphoma Incidence (1973–97) in East Asia, Europe and USA, from Cancer Incidence in Five Continents Vol. IV–VIII

Kota Katanoda and Hiroko Yako-Suketomo

Cancer Information Services and Surveillance Division
Center for Cancer Control and Information Services
National Cancer Center
Tokyo, Japan

Time trends of age-standardized rate (ASR) of Hodgkin and non-Hodgkin lymphoma incidence (ICD-10: C81 and C82–C85, C96, respectively) were compared among 18 selected cancer registries and ethnic/racial groups in East Asia, Europe and USA. The Data source was Cancer Incidence in Five Continents Vol. IV–VIII (years at diagnosis: 1973–77, 1978–82, 1983–87, 1988–92 and 1993–97, respectively). World population was used for age standardization.

Figures 1 and 2 show the time trends of ASR for Hodgkin lymphoma incidence for males and females, respectively. The ASRs were lower for East Asians than for Europeans and whites and blacks in the USA. In East Asia, there was no clear geographical variation. The ASRs for males slowly decreased in all the registries except those of Nagasaki, in which the ASRs were unstable. In Europe, the ASRs were highest in Varese (Italy) both for males and females. In the most recent period (1993–97), Bas-Rhin (France) also had high ASRs. There was no clear variation among the other registries. For males, Sweden and two registries in England (West Midlands and South Thames) showed a decreasing trend. In the USA, the ASRs were highest for whites followed by blacks and lowest for East Asian immigrants. Though the ASRs for Chinese and Korean immigrants were unstable, the ASRs for East Asian immigrants were generally similar to those in their homelands. One exception was the ASRs for female Japanese in Hawaii, which were higher than those in Japan in recent several periods.


Figure 1
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Figure 1. Time trends in age-standardized Hodgkin lymphoma incidence rate (ICD-10: C81) in 18 cancer registries in East Asia, Europe and USA, males.

 

Figure 2
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Figure 2. Time trends in age-standardized Hodgkin lymphoma incidence rate (ICD-10: C81) in 18 cancer registries in East Asia, Europe and USA, females.

 
Figures 3 and 4 show the time trends of ASR for non-Hodgkin lymphoma incidence for males and females, respectively. Differences between East Asia and two other two areas (Europe and the USA) were not as wide as observed for Hodgkin lymphoma. There was an increasing trend in the three regions, especially in Europe and the USA. In many registries, males had higher ASRs than females. In East Asia, the ASRs in Nagasaki (Japan) and Hong Kong (China) tended to be higher, and those in Shanghai (China) tended to be lower than those in other registries. In Europe, the ASRs in Varese (Italy) and Bas-Rhin (France) were higher than those in the other registries, especially in the recent periods. In the USA, the ASRs for whites were higher than those for blacks and East Asian immigrants. For males the ASRs for Chinese and Korean immigrants in LA tended to be lower than those for other immigrants. Of late, the ASRs for Japanese immigrants in LA and Hawaii have been close to the highest level in their homeland (Nagasaki) or even higher.


Figure 3
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Figure 3. Time trends in age-standardized non-Hodgkin lymphoma incidence rate (ICD-10: C82–C85, C96) in 18 cancer registries in East Asia, Europe and USA, males.

 

Figure 4
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Figure 4. Time trends in age-standardized non-Hodgkin lymphoma incidence rate (ICD-10: C82–C85, C96) in 18 cancer registries in East Asia, Europe and USA, females.

Note: Data were downloaded from IARC CANCER Mondial Statistical Information System (http://www-dep.iarc.fr/). Data of number of incidence and population for Vol. IV–VIII were extracted from the file named CI5I–VIII_September_2005.ZIP and tabulated by the authors of this article. Periods of year at diagnosis were representative, and they included the following exceptions: the first period was 1975 for Shanghai (China), 1974–77 for Hong Kong (China), 1975–77 for Bas-Rhin (France), 1973–76 for West Midlands (England); the second period was 1979–82 for West Midlands (England); the first period (1976–77) of Varese (Italy) was excluded because there were no data for several age groups.Note that calculated incidence rates were values averaged across five years, which could have rounded rapid annual changes (a spike or drop). Responsibility for this presentation and interpretation lies with the authors of this article. LA, Los Angeles; SEER, Surveillance Epidemiology and End Results.

 


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