Cited by 307Cholangiocarcinoma and Gallbladder Cancer StudiesGlobal Cancer Incidence and ScreeningPediatric Hepatobiliary Diseases and Treatments

The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.

Global trends in intrahepatic and extrahepatic cholangiocarcinoma incidence from 1993 to 2012

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Abstract

Background: Intrahepatic cholangiocarcinomas (ICCs) and extrahepatic cholangiocarcinomas (ECCs) are highly lethal bile duct tumors. Their incidence can be difficult to estimate because of changes in cancer coding over time. No studies to date have examined their global incidence and trends with high‐quality topography‐ and histology‐specific cancer registry data. Therefore, this study examined ICC and ECC incidence with the Cancer Incidence in Five Continents Plus database. Methods: Regional and national cancer registry data were used to estimate age‐standardized incidence rates (ASRs) per 100,000 person‐years, 95% confidence intervals, and average annual percent changes (AAPCs) for ICC in 38 countries and for ECC in 33 countries from 1993 to 2012. ICC and ECC trends were tabulated and plotted by country. Rates versus birth cohort by age were plotted, and an age‐period‐cohort analysis was performed to assess age and cohort incidence rate ratios. Results: The highest rates of ICC and ECC were in Asia, specifically South Korea (ASR for ICC, 2.80; ASR for ECC, 2.24), Thailand (ASR for ICC, 2.19; ASR for ECC, 0.71), and Japan (ASR for ICC, 0.95; ASR for ECC, 0.83). Between 1993 and 2012, incidence rates of both ICC and ECC increased in most countries. The largest ASR increases over the study period occurred in Latvia (AAPC, 20.1%) and China (AAPC, 11.1%) for ICC and in Thailand (AAPC, 8.8%) and Colombia (AAPC, 8.5%) for ECC. Conclusions: In the 20 years examined, ICC and ECC incidence increased in the majority of countries worldwide. ICC and ECC incidence may continue to increase because of metabolic and infectious etiologic factors. Efforts to further elucidate risk factors contributing to these increases in incidence are warranted.

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  1. Fritz A, 2000, International Classification of Diseases for Oncology (ICD‐O)
  2. Ferlay J, 2018, Cancer Incidence in Five Continents, CI5plus: IARC CancerBase No. 9
  3. World Health Organization, 1985, International Classification for Diseases

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Metadata

Authors
Florio, A. A., Ferlay, J., Znaor, A., Ruggieri, D., Alvarez, C. S., Laversanne, M., Bray, F., McGlynn, K. A., & Petrick, J. L.
Affiliations
  • National Cancer Institute (US)
  • Centre international de recherche sur le cancer (FR)
  • Information Management Services (US)
  • Division of Cancer Epidemiology and Genetics National Cancer Institute Bethesda Maryland
  • Boston University (US)
Corresponding author
Petrick, Jessica L.
Venue
Cancer
Publisher
Wiley
Published
2020-03-04
Volume
126
Issue
11
Pages
2666-2678
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
OpenAlex
W3009424821
Cited by
304
References
46
Citations by year
2026: 31 · 2025: 51 · 2024: 66 · 2023: 49 · 2022: 55 · 2021: 37 · 2020: 14
FWCI
35.41
Type
journal article
Language
en
Open access
Locations
  • Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Cancer Institute
Topics
  • Health Sciences › Medicine › Surgery › Cholangiocarcinoma and Gallbladder Cancer Studies
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
  • Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
Keywords
intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, cholangiocarcinoma, cancer incidence trends, age-standardized incidence rate, global cancer incidence, age-period-cohort analysis, birth cohort effects, risk factors
MeSH terms
Adult, Aged, Aged, 80 and over, Bile Duct Neoplasms, Female, Humans, Male, Middle Aged, Time Factors, Incidence, Cholangiocarcinoma

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