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. 1996 May 4;312(7039):1121–1125. doi: 10.1136/bmj.312.7039.1121

Has mortality from melanoma stopped rising in Australia? Analysis of trends between 1931 and 1994.

G G Giles 1, B K Armstrong 1, R C Burton 1, M P Staples 1, V J Thursfield 1
PMCID: PMC2350656  PMID: 8620126

Abstract

OBJECTIVE--To describe recent trends in mortality from melanoma in Australia. DESIGN--An analysis of trends in age standardised and age and sex specific mortalities by year of death and median year of birth (cohort). SETTING--Australia. SUBJECTS--All deaths from melanoma registered in Australia between 1931 and 1994. RESULTS--Melanoma mortality rose steadily from 1931 to 1985. From 1959 the annual rate of increase was 6.3% in men and 2.9% in women, resulting in mortalities of 4.82 and 2.51 per 100,000 person years in 1985 and 1989, respectively. Mortalities for both sexes seem to have plateaued from June 1985 onwards. In 1990-4 the rate rose by 3.7% in men to 5.00 per 100,000 and in women it fell by 5.2% to 2.38 per 100,000. The non-significant increase after 1985 in mortality in men was restricted to those aged over 70 years of age, whereas the fall in rates in women was mostly in those aged under 55 years. This pattern was generally reflected in the state trends, though with some variation: rates for women in Queensland had peaked in the late 1970s; while rates for men in New South Wales continued to rise in 1990-4, placing them above those for Queensland. Examination of mortalities specific for age, period, and cohort for Australia as a whole showed several salient features. Rates in men rose steeply in cohorts born before about 1930; were stable in cohorts born between 1930 and 1950; and fell in more recent cohorts. Rates in women showed similar changes but about five years earlier. CONCLUSION--Melanoma mortality in Australia peaked in about 1985 and has now plateaued. On the basis of trends in cohorts it can be expected to fall in coming years.

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Selected References

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  1. Armstrong B. K., Howell C. M. Trends in mortality from melanoma in Australia. Med J Aust. 1987 Aug 3;147(3):150–150. [PubMed] [Google Scholar]
  2. Armstrong B. K., Kricker A. Cutaneous melanoma. Cancer Surv. 1994;19-20:219–240. [PubMed] [Google Scholar]
  3. Bonett A., Roder D., Esterman A. Epidemiological features of melanoma in South Australia: implications for cancer control. Med J Aust. 1989 Nov 6;151(9):502-4, 506-9. [PubMed] [Google Scholar]
  4. Burton R. C., Armstrong B. K. Recent incidence trends imply a nonmetastasizing form of invasive melanoma. Melanoma Res. 1994 Apr;4(2):107–113. doi: 10.1097/00008390-199404000-00005. [DOI] [PubMed] [Google Scholar]
  5. Burton R. C., Coates M. S., Hersey P., Roberts G., Chetty M. P., Chen S., Hayes M. H., Howe C. G., Armstrong B. K. An analysis of a melanoma epidemic. Int J Cancer. 1993 Nov 11;55(5):765–770. doi: 10.1002/ijc.2910550512. [DOI] [PubMed] [Google Scholar]
  6. Cristofolini M., Bianchi R., Boi S., DeCarli A., Micciolo R., Cristofolini P., Zumiani G. Effectiveness of the health campaign for the early diagnosis of cutaneous melanoma in Trentino, Italy. J Dermatol Surg Oncol. 1993 Feb;19(2):117–120. doi: 10.1111/j.1524-4725.1993.tb03439.x. [DOI] [PubMed] [Google Scholar]
  7. Davis N. C., Herron J. J. Queensland melanoma project: organization and a plea for comparable surveys. Med J Aust. 1966 Apr 9;1(15):643–644. doi: 10.5694/j.1326-5377.1966.tb72673.x. [DOI] [PubMed] [Google Scholar]
  8. Green A. Incidence and reporting of cutaneous melanoma in Queensland. Australas J Dermatol. 1982 Dec;23(3):105–109. doi: 10.1111/j.1440-0960.1982.tb00739.x. [DOI] [PubMed] [Google Scholar]
  9. Hill D., White V., Marks R., Borland R. Changes in sun-related attitudes and behaviours, and reduced sunburn prevalence in a population at high risk of melanoma. Eur J Cancer Prev. 1993 Nov;2(6):447–456. doi: 10.1097/00008469-199311000-00003. [DOI] [PubMed] [Google Scholar]
  10. Holman C. D., Armstrong B. K. Pigmentary traits, ethnic origin, benign nevi, and family history as risk factors for cutaneous malignant melanoma. J Natl Cancer Inst. 1984 Feb;72(2):257–266. [PubMed] [Google Scholar]
  11. Holman C. D., James I. R., Gattey P. H., Armstrong B. K. An analysis of trends in mortality from malignant melanoma of the skin in Australia. Int J Cancer. 1980 Dec 15;26(6):703–709. doi: 10.1002/ijc.2910260602. [DOI] [PubMed] [Google Scholar]
  12. Jelfs P. L., Giles G., Shugg D., Coates M., Durling G., Fitzgerald P., Ring I. Cutaneous malignant melanoma in Australia, 1989. Med J Aust. 1994 Aug 1;161(3):182–187. doi: 10.5694/j.1326-5377.1994.tb127379.x. [DOI] [PubMed] [Google Scholar]
  13. Jones M. E., Shugg D., Dwyer T., Young B., Bonett A. Interstate differences in incidence and mortality from melanoma. A re-examination of the latitudinal gradient. Med J Aust. 1992 Sep 21;157(6):373–378. [PubMed] [Google Scholar]
  14. Khlat M., Vail A., Parkin M., Green A. Mortality from melanoma in migrants to Australia: variation by age at arrival and duration of stay. Am J Epidemiol. 1992 May 15;135(10):1103–1113. doi: 10.1093/oxfordjournals.aje.a116210. [DOI] [PubMed] [Google Scholar]
  15. MacKie R. M., Hole D. Audit of public education campaign to encourage earlier detection of malignant melanoma. BMJ. 1992 Apr 18;304(6833):1012–1015. doi: 10.1136/bmj.304.6833.1012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. MacLennan R., Green A. C., McLeod G. R., Martin N. G. Increasing incidence of cutaneous melanoma in Queensland, Australia. J Natl Cancer Inst. 1992 Sep 16;84(18):1427–1432. doi: 10.1093/jnci/84.18.1427. [DOI] [PubMed] [Google Scholar]
  17. McCarthy W. H., Martyn A. L., Roberts G., Dobson A. J. Melanoma in new South Wales 1970-1976. Confirmation of increased incidence. Med J Aust. 1980 Aug 9;2(3):137–140. [PubMed] [Google Scholar]
  18. Roush G. C., McKay L., Holford T. R. A reversal in the long-term increase in deaths attributable to malignant melanoma. Cancer. 1992 Apr 1;69(7):1714–1720. doi: 10.1002/1097-0142(19920401)69:7<1714::aid-cncr2820690712>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
  19. Scotto J., Pitcher H., Lee J. A. Indications of future decreasing trends in skin-melanoma mortality among whites in the United States. Int J Cancer. 1991 Oct 21;49(4):490–497. doi: 10.1002/ijc.2910490403. [DOI] [PubMed] [Google Scholar]
  20. Smith T. The Queensland Melanoma Project--an exercise in health education. Br Med J. 1979 Jan 27;1(6158):253–254. doi: 10.1136/bmj.1.6158.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Streetly A., Markowe H. Changing trends in the epidemiology of malignant melanoma: gender differences and their implications for public health. Int J Epidemiol. 1995 Oct;24(5):897–907. doi: 10.1093/ije/24.5.897. [DOI] [PubMed] [Google Scholar]
  22. Swerdlow A. J. International trends in cutaneous melanoma. Ann N Y Acad Sci. 1990;609:235–251. doi: 10.1111/j.1749-6632.1990.tb32071.x. [DOI] [PubMed] [Google Scholar]
  23. Thörn M., Sparén P., Bergström R., Adami H. O. Trends in mortality rates from malignant melanoma in Sweden 1953-1987 and forecasts up to 2007. Br J Cancer. 1992 Sep;66(3):563–567. doi: 10.1038/bjc.1992.315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Venzon D. J., Moolgavkar S. H. Cohort analysis of malignant melanoma in five countries. Am J Epidemiol. 1984 Jan;119(1):62–70. doi: 10.1093/oxfordjournals.aje.a113726. [DOI] [PubMed] [Google Scholar]

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