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  • Generational shift in melanoma incidence and mortality in Queensland, Australia, 1995-2014

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    YouldenPUB4691.pdf (826.6Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Aitken, Joanne F
    Youlden, Danny R
    Baade, Peter D
    Soyer, H Peter
    Green, Adele C
    Smithers, B Mark
    Griffith University Author(s)
    Baade, Peter D.
    Youlden, Danny R.
    Aitken, Joanne
    Year published
    2018
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    Abstract
    Public campaigns encouraging sun protection for skin cancer prevention began in Queensland, Australia, in the early 1980s. We examined recent trends to assess whether earlier evidence of stabilizing melanoma incidence in young people has persisted. Anonymized incidence and mortality data for in situ and invasive melanoma for the 20 years 1995–2014 were obtained from the Queensland Cancer Registry. Time trends were analyzed using JoinPoint regression. Birth cohort patterns were assessed using age–period–cohort models. Melanoma incidence in Queensland remains the highest recorded in the world (age‐standardized incidence of ...
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    Public campaigns encouraging sun protection for skin cancer prevention began in Queensland, Australia, in the early 1980s. We examined recent trends to assess whether earlier evidence of stabilizing melanoma incidence in young people has persisted. Anonymized incidence and mortality data for in situ and invasive melanoma for the 20 years 1995–2014 were obtained from the Queensland Cancer Registry. Time trends were analyzed using JoinPoint regression. Birth cohort patterns were assessed using age–period–cohort models. Melanoma incidence in Queensland remains the highest recorded in the world (age‐standardized incidence of invasive melanoma (2010–2014) = 72/100,000/annum). Over the 20‐year period, incidence of in situ melanoma increased in all age groups. Incidence of both thin (≤1 mm) and thick (>1 mm) invasive melanoma was either stable or decreased in people under 60, while it increased in those aged 60 and above, particularly in men. Age–period–cohort analysis revealed decreasing age‐specific incidence of invasive melanoma under 40 years of age, beginning with the birth cohort born around the mid‐1960s, with steepest falls for those born around 1980 and later. Age‐specific incidence was stable between 40 and 59 years of age from the 1945 birth cohort onwards. Melanoma mortality over the period was stable or decreased in all groups except in men aged 60 or over. These findings are evidence of real advances in the prevention and early detection of invasive melanoma in this very high‐risk population. They make a compelling case for continued public health efforts to reduce the burden of melanoma in susceptible populations.
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    Journal Title
    International Journal of Cancer
    Volume
    142
    Issue
    8
    DOI
    https://doi.org/10.1002/ijc.31141
    Copyright Statement
    © 2018 UICC. This is the peer reviewed version of the following article: Generational shift in melanoma incidence and mortality in Queensland, Australia, 1995–2014, International Journal of Cancer, Volume 142, Issue 8, which has been published in final form at DOI. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Subject
    Oncology and carcinogenesis
    Oncology and carcinogenesis not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/381961
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    • Journal articles

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