Abstract
We examined international variation in adult brain cancer incidence in 69 populations from a subset of cancer registries included in Cancer Incidence in Five Continents, Volume IX that met stringent quality standards. We grouped these populations into World Areas. Age-standardized incidence rates varied by World Area similarly for men and women and were highest in northern America non-Hispanic whites and Australians, followed closely behind by Europeans, then South Americans and northern America Hispanic whites. Rates among south-central Asians and northern America blacks were half to three-fifths the rates among northern America non-Hispanic whites. Rates among eastern and southeastern Asians and northern America Asians and Pacific Islanders were one-third to two-fifths the rates among northern America non-Hispanic whites. Incidence rates increased less steeply with age in the former two populations than in other populations. These results strongly suggest that populations of eastern and southeastern Asian origin, regardless of residence, have substantially lower brain cancer incidence rates than white populations, due to differences in genetic susceptibility and/or environmental/lifestyle exposures that persist in migrant populations. Male/female incidence rate ratios varied by age, but not by World Area, suggesting that this male/female difference is biologically based.
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References
Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108
McCredie M (1998) Cancer epidemiology in migrant populations. In: Schwab M, Rabes H, Munk K, Hofschneider PH (eds) Genes and environment in cancer (Recent results in cancer research, vol. 154). Springer, Berlin, pp 298–305
Inskip PD, Linet MS, Heineman EF (1995) Etiology of brain tumors in adults. Epidemiol Rev 17:382–414
Parkin DM, Pisani P, Ferlay J (1999) Estimates of the worldwide incidence of 25 major cancers in 1990. Int J Cancer 80:827–841
Wrensch M, Minn Y, Chew T, Bondy M, Berger MS (2002) Epidemiology of primary brain tumors: current concepts and review of the literature. Neuro Oncol 4:278–299
Curado MP, Edwards B, Shin HR et al (2007) Cancer incidence in five continents, vol. IX (IARC scientific publications no. 160). International Agency for Research on Cancer, Lyon
Fisher JL, Schwartzbaum JA, Wrensch M, Wiemels JL (2007) Epidemiology of brain tumors. Neurol Clin 25:867–890
Ohgaki H, Kleihues P (2005) Epidemiology and etiology of gliomas. Acta Neuropathol 109:93–108
Preston-Martin S, Munir R, Chakrabarti I (2006) Nervous system. In: Schottenfeld D, Fraumeni JF Jr (eds) Cancer epidemiology and prevention, 3rd edn. Oxford University Press, New York, pp 1173–1195
Davis FG, McCarthy B, Jukich P (1999) The descriptive epidemiology of brain tumors. Neuroimaging Clin N Am 9:581–594
WHO (1992) International classification of diseases, 1992 revision. World Health Organization, Geneva
United Nations (2000) World Macro Regions and Components. http://www.un.org/depts/dhl/maplib/worldregions.htm (Accessed September 14, 2008)
CBTRUS (2008) Statistical report: primary brain tumors in the United States, 2000–2004. Central Brain Tumor Registry of the United States, Hinsdale, Illinois
US Census Bureau (2001) 2000 Census of Population and Housing, Summary File 1 (SF 1) 100-Percent Data. http://factfinder.census.gov/servlet/GCTGeoSearchByListServlet?ds_name=DEC_2000_SF1_U&_lang=en&_ts=253955237778 (Accessed November 22, 2008)
Statistics Canada (2003) 2001 Census of Canada. http://www12.statcan.ca/english/census01/home/Index.cfm (Accessed November 24, 2008)
Surawicz TS, McCarthy BJ, Kupelian V, Jukich PJ, Bruner JM, Davis FG (1999) Descriptive epidemiology of primary brain and CNS tumors: results from the Central Brain Tumor Registry of the United States, 1990–1994. Neuro Oncol 1:14–25
International Agency for Research on Cancer (2008) Cancer Mondial Statistical Information System. http://www-dep.iarc.fr/(Accessed July 15, 2008)
Deorah S, Lynch CF, Sibenaller ZA, Ryken TC (2006) Trends in brain cancer incidence and survival in the United States: Surveillance, Epidemiology, and End Results Program, 1973–2001. Neurosurg Focus 20:E1
Parkin DM, Khlat M (1996) Studies of cancer in migrants: rationale and methodology. Eur J Cancer 32A:761–771
US Census Bureau (2002) 2000 Census of Population and Housing, Summary File 3 (SF 3) Sample Data http://factfinder.census.gov/servlet/GCTGeoSearchByListServlet?ds_name=DEC_2000_SF3_U&_lang=en&_ts=253955830411 (Accessed December 4, 2008)
Miller BA, Chu KC, Hankey BF, Ries LA (2008) Cancer incidence and mortality patterns among specific Asian and Pacific Islander populations in the US. Cancer Causes Control 19:227–256
Wiggins CL, Espey DK, Wingo PA et al (2008) Cancer among American Indians and Alaska Natives in the United States, 1999–2004. Cancer 113:1142–1152
Rastogi T, Devesa S, Mangtani P et al (2008) Cancer incidence rates among South Asians in four geographic regions: India, Singapore, UK and US. Int J Epidemiol 37:147–160
Chen P, Aldape K, Wiencke JK et al (2001) Ethnicity delineates different genetic pathways in malignant glioma. Cancer Res 61:3949–3954
Das A, Tan WL, Teo J, Smith DR (2002) Glioblastoma multiforme in an Asian population: evidence for a distinct genetic pathway. J Neurooncol 60:117–125
Mochizuki S, Iwadate Y, Namba H et al (1999) Homozygous deletion of the p16/MTS-1/CDKN2 gene in malignant gliomas is infrequent among Japanese patients. Int J Oncol 15:983–989
Huncharek M, Kupelnick B, Wheeler L (2003) Dietary cured meat and the risk of adult glioma: a meta-analysis of nine observational studies. J Environ Pathol Toxicol Oncol 22:129–137
McKinley BP, Michalek AM, Fenstermaker RA, Plunkett RJ (2000) The impact of age and sex on the incidence of glial tumors in New York state from 1976 to 1995. J Neurosurg 93:932–939
Counsell CE, Grant R (1998) Incidence studies of primary and secondary intracranial tumors: a systematic review of their methodology and results. J Neurooncol 37:241–250
Wigertz A, Lonn S, Hall P et al (2008) Reproductive factors and risk of meningioma and glioma. Cancer Epidemiol Biomarkers Prev 17:2663–2670
Ohgaki H, Kleihues P (2007) Genetic pathways to primary and secondary glioblastoma. Am J Pathol 170:1445–1453
Aldape K, Simmons ML, Davis RL et al (2000) Discrepancies in diagnoses of neuroepithelial neoplasms: the San Francisco Bay Area Adult Glioma Study. Cancer 88:2342–2349
Bruner JM, Inouye L, Fuller GN, Langford LA (1997) Diagnostic discrepancies and their clinical impact in a neuropathology referral practice. Cancer 79:796–803
Castillo MS, Davis FG, Surawicz T et al (2004) Consistency of primary brain tumor diagnoses and codes in cancer surveillance systems. Neuroepidemiology 23:85–93
Coons SW, Johnson PC, Scheithauer BW, Yates AJ, Pearl DK (1997) Improving diagnostic accuracy and interobserver concordance in the classification and grading of primary gliomas. Cancer 79:1381–1393
Davis FG, Malmer BS, Aldape K et al (2008) Issues of diagnostic review in brain tumor studies: from the Brain Tumor Epidemiology Consortium. Cancer Epidemiol Biomarkers Prev 17:484–489
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We are grateful to the International Agency for Research on Cancer for making the raw data from CI-IX publicly available.
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Darefsky, A.S., Dubrow, R. International variation in the incidence of adult primary malignant neoplasms of the brain and central nervous system. Cancer Causes Control 20, 1593–1604 (2009). https://doi.org/10.1007/s10552-009-9404-1
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DOI: https://doi.org/10.1007/s10552-009-9404-1