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Trend of Gastric Cancer Incidence in an Area Located in the Center of Iran: 2009–2014

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Abstract

Purpose

There are remarkable differences between the incidence and mortality of gastric cancer in different places of the world. This study, for the first time, estimated the information around the incidence rates and trends of gastric cancer in the central area of Iran, Arak metropolitan.

Methods

In this study, all cases with gastric cancer in Arak from 2009 to 2014 were included. Direct standardized method was applied to estimate age-standardized incidence rates (ASIRs) by a STATA package, with efficient interval estimation that might be preferable in the case of rare diseases, including cancer data. The obtained standard errors were used to calculate annual percent changes (APCs) by the Joinpoint analysis.

Results

Annual ASIRs of gastric cancer were 23.92 (95% CI 21.62, 26.37) and 9.60 (95% CI 8.20, 11.18) for male and female, respectively. In male, APC of ASIRs was − 5.00% (95% CI − 9.32, − 0.47). In contrast, among female, it was − 2.69% (95% CI − 31.56, 38.34) that was statistically insignificant.

Conclusions

The ASIRs have significantly decreased trends in males, but not in females. The preventive strategies should be a focus on the declining of the risk factors and the quick early diagnosis of gastric cancer.

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References

  1. Anderson WF, Camargo M, Fraumeni JF, Correa P, Rosenberg PS, Rabkin CS. Age-specific trends in incidence of noncardia gastric cancer in us adults. JAMA. 2010;303(17):1723–8. https://doi.org/10.1001/jama.2010.496.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Ferro A, Peleteiro B, Malvezzi M, Bosetti C, Bertuccio P, Levi F, et al. Worldwide trends in gastric cancer mortality (1980-2013), with predictions to 2015, and incidence by subtype. Eur J Cancer. 50(7):1330–44. https://doi.org/10.1016/j.ejca.2014.01.029.

    Article  PubMed  Google Scholar 

  3. Van Cutsem E, Sagaert X, Topal B, Haustermans K, Prenen H. Gastric cancer. Lancet. 388(10060):2654–64. https://doi.org/10.1016/S0140-6736(16)30354-3.

    Article  CAS  Google Scholar 

  4. Fitzmaurice C. Burden of cancer in the eastern Mediterranean region, 2005–2015: findings from the global burden of disease 2015 study. Int J Public Health. 2017;63:151–64. https://doi.org/10.1007/s00038-017-0999-9.

    Article  Google Scholar 

  5. La Vecchia C, Conte P. Cancer control in central and Eastern Europe. Oncologist. 2016;21(10):1161–2. https://doi.org/10.1634/theoncologist.2016-0230.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Carcas L. Gastric cancer review. J Carcinogenesis. 2014;13(1):14. https://doi.org/10.4103/1477-3163.146506.

    Article  CAS  Google Scholar 

  7. Moosazadeh M, Lankarani K, Afshari M. Meta-analysis of the prevalence of Helicobacter pylori infection among children and adults of Iran. Int J Prev Med. 2016;7(1):48. https://doi.org/10.4103/2008-7802.177893.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Amori N, Aghajani M, Asgarian FS, Jazayeri M. Epidemiology and trend of common cancers in Iran (2004–2008). Eur J Cancer Care. 2016:n/a-n/a. https://doi.org/10.1111/ecc.12449.

    Article  Google Scholar 

  9. Moradzadeh R, Golmohammadi P, Ghaitasi B, Nadrian H, Najafi A. Incidence of esophageal cancer in Iran, a population-based study: 2001–2015. J Gastrointest Cancer. 2018:1–6. https://doi.org/10.1007/s12029-018-0114-3.

    Article  Google Scholar 

  10. Consonni D, Coviello E, Buzzoni C, Mensi C. A command to calculate age-standardized rates with efficient interval estimation. Stata J. 2012;12(4):688–701.

    Article  Google Scholar 

  11. National Cancer Institute. Joinpoint regression program. Version 4.5.0.1.

  12. Rugge M, Fassan M, Graham DY. Epidemiology of gastric cancer. In: Strong VE, editor. Gastric cancer: principles and practice. Cham: Springer International Publishing; 2015. p. 23–34. https://doi.org/10.1007/978-3-319-15826-6_2.

    Chapter  Google Scholar 

  13. Kim Y, Park J, Nam B-H, Ki M. Stomach cancer incidence rates among Americans, Asian Americans and Native Asians from 1988 to 2011. Epidemiol Health 2015;37 (0):e2015006-2015000. https://doi.org/10.4178/epih/e2015006.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Balakrishnan M, George R, Sharma A, Graham DY. Changing trends in stomach cancer throughout the world. Curr Gastroenterol Rep. 2017;19(8):36. https://doi.org/10.1007/s11894-017-0575-8.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Mohammadifard N, Nazem M, Sarrafzadegan N, Nouri F, Sajjadi F, Maghroun M, et al. Body mass index, waist-circumference and cardiovascular disease risk factors in Iranian adults: Isfahan healthy heart program. J Health Popul Nutr. 2013;31(3):388–97.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Pizzi M, Saraggi D, Fassan M, Megraud F, Di Mario F, Rugge M. Secondary prevention of epidemic gastric cancer in the model of Helicobacter pylori-associated gastritis. Dig Dis. 2014;32(3):265–74.

    Article  PubMed  Google Scholar 

  17. Reza M, Derakhshan MH, Zinab M. Gastric cancer in Iran: epidemiology and risk factors. Arch Iran Med. 2009;12(6):576–83.

    Google Scholar 

  18. Al-qadasi FA, Shah SA, Ghazi HF. Tobacco chewing and risk of gastric cancer: a case–control study in Yemen. East Mediterr Health J. 2016;22(10):719–26.

    Article  Google Scholar 

  19. Eichelberger L, Murphy G, Etemadi A, Abnet CC, Islami F, Shakeri R, et al. Risk of gastric cancer by water source: evidence from the golestan case-control study. PLoS One. 2015;10(5):e0128491. https://doi.org/10.1371/journal.pone.0128491.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Zamani N, Hajifaraji M, Fazel-tabar Malekshah A, Keshtkar AA, Esmaillzadeh A, Malekzadeh R. A case-control study of the relationship between gastric cancer and meat consumption in Iran. Arch Iran Med. 2013;16(5):324–9.

    PubMed  Google Scholar 

  21. Lee YY, Derakhshan MH. Environmental and lifestyle risk factors of gastric cancer. Arch Iran Med. 2013;16(6):358–65.

    PubMed  Google Scholar 

  22. Cheng XJ, Lin JC, Tu SP. Etiology and prevention of gastric cancer. Gastrointestinal Tumors. 2016;3(1):25–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Crew KD, Neugut AI. Epidemiology of gastric cancer. World J Gastroenterol. 2006;12(3):354–62. https://doi.org/10.3748/wjg.v12.i3.354.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Zali H, Rezaei-Tavirani M, Azodi M. Gastric cancer: prevention, risk factors and treatment. Gastroenterol Hepatol From Bed Bench. 2011;4(4):175–85.

    Google Scholar 

  25. World Health Organization http://apps.who.int/gho/data/node.main.65. Available in: 1/29/2018.

  26. Fotouhi A, Khabazkhoob M, Hashemi H, Mohammad K. The prevalence of cigarette smoking in residents of Tehran. Arch Iranian Med. 2009;12(4):358–64.

    Google Scholar 

  27. Shakeri R, Malekzadeh R, Etemadi A, Nasrollahzadeh D, Aghcheli K, Sotoudeh M, et al. Opium: an emerging risk factor for gastric adenocarcinoma. Int J Cancer. 2013;133(2):455–61. https://doi.org/10.1002/ijc.28018.

    Article  CAS  PubMed  Google Scholar 

  28. Pourshams A, Khademi H, Malekshah AF, Islami F, Nouraei M, Sadjadi AR, et al. Cohort profile: the Golestan cohort study—a prospective study of oesophageal cancer in northern Iran. Int J Epidemiol. 2010;39(1):52–9. https://doi.org/10.1093/ije/dyp161.

    Article  PubMed  Google Scholar 

  29. Mousavi SM, Gouya MM, Ramazani R, Davanlou M, Hajsadeghi N, Seddighi Z. Cancer incidence and mortality in Iran. Ann Oncol. 2009;20(3):556–63. https://doi.org/10.1093/annonc/mdn642.

    Article  CAS  PubMed  Google Scholar 

  30. Darabi M, Asadi Lari M, Motevalian SA, Motlagh A, Arsang-Jang S, Karimi Jaberi M. Trends in gastrointestinal cancer incidence in Iran, 2001-2010: a joinpoint analysis. Epidemiol Health. 2016;38(0):e2016056–0. https://doi.org/10.4178/epih.e2016056.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Sadjadi A, Malekzadeh R, Derakhshan MH, Sepehr A, Nouraie M, Sotoudeh M, et al. Cancer occurrence in Ardabil: results of a population-based cancer registry from Iran. Int J Cancer. 2003;107(1):113–8. https://doi.org/10.1002/ijc.11359.

    Article  CAS  PubMed  Google Scholar 

  32. Kolahdoozan S, Sadjadi A, Radmard AR, Khademi H. Five common cancers in Iran. Arch Iran Med. 2010;13(2):143–6.

    PubMed  Google Scholar 

  33. Masoompour SM, Lankarani KB, Honarvar B, Tabatabaee SH, Moghadami M, Khosravizadegan Z. Changing epidemiology of common cancers in southern Iran, 2007-2010: a cross sectional study. PLoS One. 2016;11(5):e0155669. https://doi.org/10.1371/journal.pone.0155669.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Moradzadeh R, Mansournia MA, Baghfalaki T, Ghiasvand R, Noori-Daloii MR, Holakouie-Naieni K. Misclassification adjustment of family history of breast cancer in a case-control study: a Bayesian approach. Asian Pac J Cancer Prev. 2015;16(18):8221–6.

    Article  PubMed  Google Scholar 

  35. Moradzadeh R, Mansournia MA, Baghfalaki T, Nadrian H, Gustafson P, McCandless LC. The impact of maternal smoking during pregnancy on childhood asthma: adjusted for exposure misclassification; results from the National Health and Nutrition Examination Survey, 2011–2012. Ann Epidemiol. 2018;28(10):697–703. https://doi.org/10.1016/j.annepidem.2018.07.011.

    Article  PubMed  Google Scholar 

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Funding

This work was supported by Arak University of Medical Sciences.

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Correspondence to Rahmatollah Moradzadeh.

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This study was approved by the Ethic committee of Arak University of Medical Sciences, Arak, Iran.

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The authors declare that they have no conflict of interest.

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Moradzadeh, R., Anoushirvani, A.A. Trend of Gastric Cancer Incidence in an Area Located in the Center of Iran: 2009–2014. J Gastrointest Canc 51, 159–164 (2020). https://doi.org/10.1007/s12029-019-00227-8

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