PMID- 22575588 OWN - NLM STAT- MEDLINE DCOM- 20120815 LR - 20230912 IS - 1474-5488 (Electronic) IS - 1470-2045 (Linking) VI - 13 IP - 6 DP - 2012 Jun TI - Global burden of cancers attributable to infections in 2008: a review and synthetic analysis. PG - 607-15 LID - 10.1016/S1470-2045(12)70137-7 [doi] AB - BACKGROUND: Infections with certain viruses, bacteria, and parasites have been identified as strong risk factors for specific cancers. An update of their respective contribution to the global burden of cancer is warranted. METHODS: We considered infectious agents classified as carcinogenic to humans by the International Agency for Research on Cancer. We calculated their population attributable fraction worldwide and in eight geographical regions, using statistics on estimated cancer incidence in 2008. When associations were very strong, calculations were based on the prevalence of infection in cancer cases rather than in the general population. Estimates of infection prevalence and relative risk were extracted from published data. FINDINGS: Of the 12.7 million new cancer cases that occurred in 2008, the population attributable fraction (PAF) for infectious agents was 16.1%, meaning that around 2 million new cancer cases were attributable to infections. This fraction was higher in less developed countries (22.9%) than in more developed countries (7.4%), and varied from 3.3% in Australia and New Zealand to 32.7% in sub-Saharan Africa. Helicobacter pylori, hepatitis B and C viruses, and human papillomaviruses were responsible for 1.9 million cases, mainly gastric, liver, and cervix uteri cancers. In women, cervix uteri cancer accounted for about half of the infection-related burden of cancer; in men, liver and gastric cancers accounted for more than 80%. Around 30% of infection-attributable cases occur in people younger than 50 years. INTERPRETATION: Around 2 million cancer cases each year are caused by infectious agents. Application of existing public health methods for infection prevention, such as vaccination, safer injection practice, or antimicrobial treatments, could have a substantial effect on the future burden of cancer worldwide. FUNDING: Fondation Innovations en Infectiologie (FINOVI) and the Bill & Melinda Gates Foundation (BMGF). CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - de Martel, Catherine AU - de Martel C AD - International Agency for Research on Cancer, Lyon, France. FAU - Ferlay, Jacques AU - Ferlay J FAU - Franceschi, Silvia AU - Franceschi S FAU - Vignat, Jerome AU - Vignat J FAU - Bray, Freddie AU - Bray F FAU - Forman, David AU - Forman D FAU - Plummer, Martyn AU - Plummer M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120509 PL - England TA - Lancet Oncol JT - The Lancet. Oncology JID - 100957246 SB - IM CIN - Lancet Oncol. 2012 Jun;13(6):564-5. PMID: 22575586 MH - Adult MH - Age Distribution MH - Aged MH - Bacterial Infections/diagnosis/*epidemiology/therapy MH - Developed Countries MH - Developing Countries MH - Female MH - *Global Health MH - Humans MH - Male MH - Middle Aged MH - Neoplasms/*epidemiology/*microbiology/physiopathology MH - Prevalence MH - Risk Assessment MH - Sex Distribution MH - Survival Analysis MH - Virus Diseases/diagnosis/*epidemiology/therapy EDAT- 2012/05/12 06:00 MHDA- 2012/08/16 06:00 CRDT- 2012/05/12 06:00 PHST- 2012/05/12 06:00 [entrez] PHST- 2012/05/12 06:00 [pubmed] PHST- 2012/08/16 06:00 [medline] AID - S1470-2045(12)70137-7 [pii] AID - 10.1016/S1470-2045(12)70137-7 [doi] PST - ppublish SO - Lancet Oncol. 2012 Jun;13(6):607-15. doi: 10.1016/S1470-2045(12)70137-7. Epub 2012 May 9.