Background We sought to describe trends in the presence of lung cancer at the time of death in the United States from 1979 to 1992.
Methods We analysed death certificate reports in the Multiple-Cause Mortality Files compiled by the National Center for Health Statistics, searching for any mention of lung cancer, lung cancer as the underlying cause of death, and comorbid conditions.
Results Of the 29 042 213 decedents in the study period, 1 892 129 (6.5%) had a diagnosis of lung cancer listed on their death certificates ; of these 1892 129 decedents, 1 734 767 (91.7%) had lung cancer listed as the underlying cause of death.
Decedents with lung cancer listed as being present but not the underlying cause of death were more likely to be male (relative risk [RR] 1.16,95% confidence interval [CI] : 1.15-1.17), and older (RR 4.61,95% CI : 4.35-4.88 for decedents older than 85 compared to those aged less than 44), but less likely to be black than white (RR 0.88,95% CI : 0.87-0.90).
The mortality rate, age-adjusted to the 1980 population, increased 23.0%, from 47.9 per 100 000 in 1979 to 58.9 per 100 000 in 1992.
Over the study period, black ten had the highest mortality rates (117.3-125.2 per 100 000), followed by white ten (81.7-88.7 per 100 000), ten of other races (37.4-46.7 per 100 000), white women (22.1-39.1 per 100 000), black women (21.4-38.2 per 100 000), and women of other races (12.6-18.1 per 100 000).
Age-adjusted, state specific rates varied threefold, from 30. (...)
Mots-clés Pascal : Tumeur maligne, Bronchopulmonaire, Mortalité, Evolution, Taux, Homme, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Appareil respiratoire pathologie, Poumon pathologie, Bronche pathologie
Mots-clés Pascal anglais : Malignant tumor, Bronchopulmonary, Mortality, Evolution, Rate, Human, Epidemiology, United States, North America, America, Respiratory disease, Lung disease, Bronchus disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0251658
Code Inist : 002B11A. Création : 11/09/1998.