Increasing incidence of cancer in children and competing risks
A partir des données de 53 registres des cancers de 19 pays européens sur la période 1991-2010, cette étude analyse l'évolution de l'incidence des cancers chez les enfants et les adolescents (âge : 0-19 ans)
The Automated Childhood Cancer Information System (ACCIS) has been registering data on cancer occurrence from birth to age 20 years in most European countries since the 1970s. In The Lancet Oncology, Eva Steliarova-Foucher and colleagues report the latest ACCIS data analysis trends for the period 1991–2010 for malignant neoplasms in children aged 0–14 years and adolescents aged 15–19 years. Incidence data were collected in 19 countries grouped into east, north, south, and west regions of Europe. The results of this study show two striking features. First, cancer incidence in children aged 0–14 years has gradually increased over the 1991–2010 period.Increasing incidence was observed for all cancers (0·54% (95% CI 0·44 to 0·65) per year), leukaemia (0·66% [0·48 to 0·84] per year), lymphoma (0·26% [–0·01 to 0·54] per year), CNS malignant tumours (0·49% [0·20 to 0·77] per year), and other cancers (0·56% [0·40 to 0·72] per year). Second, for all five cancer categories investigated, incidence increases were similar in all four regions.
The ACCIS data reinforce the notion that the slow but steady increase in the incidence of many childhood cancers reported since the 1970s is real, and that it is particularly notable for leukaemia.(...)
The Lancet Oncology , commentaire, 2017