Background Despite decades of basic and clinical research and trials of promising new therapies, cancer remains a major cause of morbidity and mortality.
We assessed overall progress against cancer in the United States from 1970 through 1994 by analyzing changes in age-adjusted mortality rates.
Methods We obtained from the National Center for Health Statistics data on all deaths from cancer and from cancer at specific sites, as well as on deaths due to cancer according to age, race, and sex, for the years 1970 through 1994.
We computed age-specific mortality rates and adjusted them to the age distribution of the U.S. population in 1990.
Results Age-adjusted mortality due to cancer in 1994 (200.9 per 100,000 population) was 6.0 percent higher than the rate in 1970 (189.6 per 100,000).
After decades of steady increases, the age-adjusted mortality due to all malignant neoplasms plateaued, then decreased by 1.0 percent from 1991 to 1994.
The decline in mortality due to cancer was greatest among black males and among persons under 55 years of age.
Mortality among white males 55 or older has also declined recently.
These trends reflect a combination of changes in death rates from specific types of cancer, with important declines due to reduced cigarette smoking and improved screening and a mixture of increases and decreases in the incidence of types of cancer not closely related to tobacco use.
Conclusions The war against cancer is far from over. (...)
Mots-clés Pascal : Tumeur maligne, Cancérologie, Epidémiologie, Incidence, Mortalité, Analyse tendance, Etude statistique, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Malignant tumor, Cancerology, Epidemiology, Incidence, Mortality, Trend analysis, Statistical study, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0330653
Code Inist : 002B30A01A2. Création : 12/09/1997.