Cancer Causes & Control

, Volume 26, Issue 8, pp 1127–1139 | Cite as

Bone cancer incidence by morphological subtype: a global assessment

  • Patricia C. Valery
  • Mathieu Laversanne
  • Freddie Bray
Original paper



To better understand the relevance of environmental factors to the changing patterns of bone cancer subtypes, we examine the incidence of osteosarcoma (OS), Ewing sarcoma (ES), and chondrosarcoma (CS) using data from cancer incidence in five continents.


Age-specific and age-standardized incidence rates (ASRs) per 100,000 person-years were computed and stratified by country (n = 43), subtype, and sex during 2003–2007. Temporal patterns of ASRs were examined during 1988–2007 (12 countries). Age–period–cohort models were fitted for the USA and UK by subtype.


For most countries, OS represented 20–40 % of all bone cancers, ES < 20 %, while CS proportions varied more considerably. Overall ASRs of bone cancers were 0.8–1.2/100,000 in men and 0.5–1.0 in women (0.20–0.35/100,000 for OS and 0.10–0.30/100,000 for CS in both men and women, and <0.10–0.25/100,000 in men and 0.05–0.25/100,000 in women for ES). The age-specific incidence rates revealed a bimodal peak of OS, one peak of ES in childhood, and a more heterogeneous pattern for CS. The overall bone cancer incidence trends are generally flat, but more heterogeneous for ES and CS. A declining OS incidence was observed in the UK and USA (men), an increase in CS in the UK and USA (female), and an apparent increase in ES, followed by a leveling off in successive US and UK cohorts.


Monitoring bone cancer incidence trends with data assembled from a geographically broader range of registries may generate hypotheses about additional risk factors and ensure that high-risk populations are not overlooked in cancer control efforts.


Bone Cancer Incidence Worldwide 



PCV was supported by an Australian Research Council Future Fellowship (#FT100100511).

Conflict of interest

We declare that we have no conflicts of interest.

Supplementary material

10552_2015_607_MOESM1_ESM.docx (252 kb)
Supplementary material 1 (DOCX 252 kb)
10552_2015_607_MOESM2_ESM.docx (249 kb)
Supplementary material 2 (DOCX 248 kb)
10552_2015_607_MOESM3_ESM.docx (255 kb)
Supplementary material 3 (DOCX 254 kb)


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Patricia C. Valery
    • 1
    • 2
  • Mathieu Laversanne
    • 2
  • Freddie Bray
    • 2
  1. 1.Menzies School of Health ResearchCharles Darwin UniversityDarwinAustralia
  2. 2.Section of Cancer SurveillanceInternational Agency for Research on CancerLyonFrance

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