Ethnic variations in the occurrence of gastroesophageal cancers.
Cancers of the esophagus, gastroesophageal junction (including the gastric cardia), and stomach represent three separate diseases with marked epidemiologic variations.
The Department of Veterans Affairs computerized database records the ethnicity of all hospitalized patients throughout the United States, which provides an opportunity to study the influence of ethnicity on cancer rates in a uniform health-care system.
All hospitalized patients, from 1980 through 1995, with a diagnosis of upper gastrointestinal cancer were identified.
For each ethnic group and cancer type, hospitalization was expressed as an age-adjusted proportional rate per 10.000 hospitalizations from all causes.
Hospitalization with gastric cancer was most frequent among Asians (48.4 per 10,000 hospitalizations) followed by blacks (33.3), Hispanics (28.7).
American Indians (20.3), and whites (12.0).
Adenocarcinoma of the gastroesophageal junction accounted for 5.9 per 10,000 hospitalizations among Asians. 4.5 among whites, and 4.5 among Hispanics.
Gastroesophageal junction cancer was lowest among blacks (2.9) and American Indians (2.4).
Finally, squamous cell carcinoma of the esophagus was frequent among blacks, 68.2 per 10.000, followed by Hispanics (36.4) and Asians (27.8), and was low among whites 24.0 and American Indians (21.5). (...)
Mots-clés Pascal : Carcinome, Oesogastrique, Prévalence, Ethnie, Fréquence apparition, Impact environnement, Base donnée, Homme, Nouveau Mexique, Etats Unis, Amérique du Nord, Amérique, Tumeur maligne, Appareil digestif pathologie, Oesophage pathologie, Estomac pathologie, Race, Informatique
Mots-clés Pascal anglais : Carcinoma, Esogastric, Prevalence, Ethnic group, Occurrence frequency, Environment impact, Database, Human, New Mexico, United States, North America, America, Malignant tumor, Digestive diseases, Esophageal disease, Gastric disease, Race, Computer science
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0167909
Code Inist : 002B13B01. Création : 16/11/1999.