Mortality of Testicular Cancer in East and West Germany 20 Years after Reunification: A Gap Not Closed Yet

被引：7
作者：
Stang, Andreas [1 ,2 ]
Bray, Freddie [3 ]
Dieckmann, Klaus-Peter [4 ]
Lortet-Tieulent, Joannie [3 ]
Rusner, Carsten [5 ]
机构：
[1] Univ Klinikum Essen, Inst Med Informat Biometrie & Epidemiol, DE-45122 Essen, Germany
[2] Boston Univ, Sch Publ Hlth, Boston, MA USA
[3] Int Agcy Res Canc, Sect Canc Informat, F-69372 Lyon, France
[4] Albertinen Krankenhaus, Urol Klin, Hamburg, Germany
[5] Univ Halle Wittenberg, Inst Med Epidemiol Biometrie & Informat, Fak Med, D-06108 Halle, Germany
来源：
UROLOGIA INTERNATIONALIS | 2015年 / 95卷 / 02期
关键词：
Testicular cancer; Mortality; Age-cohort-period analysis; GUIDELINES; PROGNOSIS; SURVIVAL;
D O I：
10.1159/000381883
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Background: The decline of testicular cancer mortality in East Germany began in the 1980s, about 10 years later than that recorded in West Germany. We aimed at providing up-to-date time trends of testicular cancer mortality rates in Germany. Material and Methods: Mortality data from East Germany (1971-2010) and West Germany (1954-2010) were provided by the Federal Bureau of Statistics. We estimated age-specific and age-standardized mortality rates using the World Standard Population. Results: Despite the declining trend in the 2000s, the mortality rates of testicular cancer remained higher in East than in West Germany. These rates were 5.5 and 2.6 per million person-years in 2010, respectively. Age-specific mortality trends by period and birth cohort showed that the mortality decline was larger among younger (15-44 years) than elderly men. Conclusion: The mortality of testicular cancer is still higher in East than West Germany. Despite very similar densities of hospital beds, urologists and oncologist per million male population in both parts of Germany, we hypothesized that a paucity of centers of expertise for treating testicular cancers in the East could account for this particular pattern. (C) 2015 S. Karger AG, Basel
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收藏
页码：160 / 166
页数：7
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