[Analysis of trends in stomach and intestinal cancer mortality in Austria].

C Vutuc, B Gredler
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Abstract

According to age-standardized mortality rates (European standard population, Fig. 1) and mortality rates by birth cohort and age at death (Fig. 2-7) the trends of mortality of stomach and colorectal cancer (1966-1981/82) were analysed for men and women. In a further step it was examined how far these trends could be explained by the hypothesis "diet and cancer" (western diet). Under the postulation that the manifestation of western diet has reduced the risk of stomach cancer drastically, the risk of colorectal cancer has not increased to the same extent. Moreover, rectal cancer has shown only a slight increase and might even decrease in years to come. Having in mind the increasing risk, diet has no major impact so far. The differences in trends according to age groups and birth cohorts indicate the influence of other factors than diet. Furthermore, it is necessary to deal with colon and rectal cancer separately because of the differences in their trends.

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奥地利胃癌和肠癌死亡率趋势分析
根据年龄标准化死亡率(欧洲标准人口,图1)和按出生队列和死亡年龄划分的死亡率(图2-7),分析了1966年至1981/82年期间男性和女性胃癌和结直肠癌死亡率的趋势。在进一步的步骤中,研究人员检验了这些趋势在多大程度上可以用“饮食与癌症”(西方饮食)假说来解释。在假定西方饮食的表现使胃癌的风险大幅降低的情况下,结直肠癌的风险并没有增加到同样的程度。此外,直肠癌的发病率仅略有上升,在未来几年甚至可能会下降。考虑到风险的增加,饮食到目前为止还没有产生重大影响。不同年龄组和出生队列的趋势差异表明饮食以外的其他因素也有影响。此外,有必要将结肠癌和直肠癌分开处理,因为它们的趋势不同。
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