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• W92617863 abstract "Les cancers ORL, bronchiques et œsophagiens sont principalement liés à la consommation d’alcool et/ou de tabac. L’incidence des cancers ayant les mêmes facteurs de risque devrait varier de façon similaire dans le temps et l’espace. Le but de cette étude était d’identifier des groupes de cancers ayant la même évolution spatiotemporelle. Cinquante mille neuf cent quatre-vingt cas de dix types de cancers différents ont été recueillis entre 1982 et 2002 dans six départements français. Les niveaux d’incidence et leur tendance évolutive ont été analysés en utilisant un modèle âge–cohorte avec un effet aléatoire qui prenait en compte l’hétérogénéité entre départements. Trois groupes de cancers ayant une évolution similaire de l’incidence spatiotemporelle ont été identifiés : (1) cavité orale, oropharynx, hypopharynx, larynx, œsophage et carcinomes épidermoïdes bronchiques dont les incidences diminuaient uniformément ; (2) adénocarcinomes bronchiques et autres histologies bronchiques dont les incidences augmentaient uniformément ; (3) carcinomes bronchiques à grandes et à petites cellules dont l’évolution des incidences spatiotemporelles était très hétérogène. Par l’utilisation de méthodes d’épidémiologie descriptive, différents groupes de cancers ont été individualisés. Cette diversité pourrait suggérer des latences et des sensibilités différentes vis-à-vis des carcinogènes. Cancers of the ENT, oesophagus and lungs are caused mainly by alcohol and/or tobacco consumption but have potentially heterogeneous latencies and dose-incidence relationships. The incidence of cancers having the same risk factors may vary in a similar way over time and space. The aim of the study was to identify groups of cancers with similar spatio-temporal incidence trends. Fifty thousand nine hundred and eighty cases of ten cancer types were collected between 1982 and 2002 in six French departments. The incidence levels and trends were assessed using an age-cohort random-effect model that took into account heterogeneity of incidence levels and trends between departments. Three groups of cancer sites/types with similar spatio-temporal incidence trends were identified: (1) oral cavity, oropharynx, hypopharynx, larynx, oesophagus, and lung squamous cell carcinomas in which the incidence decreased similarly in time and space; (2) other types of lung cancer and lung adenocarcinomas whose incidence increased similarly; and (3) lung large- and small-cell carcinomas whose incidence trends were heterogeneous. Using the tools of descriptive epidemiology different cancer groups with different temporal and spatial incidence trends were identified. This diversity suggests different latencies and different sensitivities of those groups to the main risk factors, alcohol and tobacco." @default.
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• W92617863 date "2011-01-01" @default.
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• W92617863 title "Diversité des modèles d’évolution des incidences : implication en cancérogenèse ?" @default.
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• W92617863 doi "https://doi.org/10.1016/j.rmr.2010.12.002" @default.
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