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Monitoring the decrease in breast cancer mortality in Europe.

Fabio Levi1, Cristina Bosetti, Franca Lucchini

  • 1Registres vaudois et neuchâtelois des tumeurs, Institut universitaire de médecine sociale et préventive, CHUV-Falaises 1, 1011 Lausanne, Switzerland. fabio.levi@hospvd.ch

European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)
|November 15, 2005
PubMed
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Breast cancer mortality rates declined across most of Europe between 1970-2000, particularly in the European Union (EU) after 1989. These favorable trends in breast cancer survival are linked to earlier detection and better treatments.

Area of Science:

  • Oncology
  • Epidemiology
  • Public Health

Background:

  • Breast cancer remains a significant global health concern.
  • Understanding geographical and temporal trends in mortality is crucial for public health interventions.

Purpose of the Study:

  • To analyze breast cancer mortality trends in 38 European countries and the European Union (EU) from 1970 to 2000.
  • To identify significant changes in age-standardized mortality rates and explore potential contributing factors.

Main Methods:

  • Age-standardized mortality rates were calculated using the direct method.
  • Joinpoint analysis was employed to detect statistically significant shifts in mortality trends.
  • Data encompassed 38 European countries and the EU (as defined in May 2004).

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Main Results:

  • A favorable trend in breast cancer mortality was observed in the EU after 1989, with rates falling from 21.3/100,000 in 1990 to 18.9 in 2000 (annual change of -2.1% from 1995-2000).
  • Significant declines (8-19%) were noted in many northern, central, and southern European countries, especially in women under 50.
  • Conversely, mortality rates increased in the Russian Federation and showed smaller declines in France, Greece, Portugal, and most Eastern European countries.

Conclusions:

  • Breast cancer mortality trends are converging across Europe, potentially due to more uniform lifestyle and reproductive habits.
  • The observed reductions in mortality are likely attributable to advancements in early detection and treatment strategies.
  • Disparities in trends across countries suggest that the specific reasons for differing outcomes require further investigation.