title: Baseline data of oral and pharyngeal cancer before introducing an oral cancer prevention campaign in Germany.
abstract: OBJECTIVE
  Oral and pharyngeal cancer is still a serious health problem with an annual incidence of about 13,000 in Germany. This study aimed at describing trends of incidence and mortality in Germany by age, sex, and sub-site as a baseline for an oral cancer prevention campaign.
  
  
  METHODS
  Using data from the National Association of Population-based Cancer Registries, incidence rates for oral and pharyngeal cancer (ICD-10, C00-C14) from 2003 to 2011 and mortality rates from 1990 to 2012 were analysed by age, sex, and sub-site (C00-C06, C07-C08, C09-C14). Trends were described by annual percentage changes.
  
  
  RESULTS
  Men are 2.5-times more likely than women to be diagnosed and 3-times more likely to die from this tumour. Incidence and mortality in women increased slightly during the last decade, while incidence and mortality in men remained stable at a high level. While a decline was observed for younger age groups, an increase was seen in the elderly. For some sub-sites a deviation from this overall pattern was observed.
  
  
  CONCLUSIONS
  The decrease in this tumour in younger age groups is pleasing and may be attributed to public efforts in non-smoker protection in recent years. Further efforts are needed to counteract the increasing burden of disease in older age groups and in men.
authors: Clinic of Oral and Maxillofacial Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus 26, 24105 Kiel, Germany. Electronic address: hertrampf@mkg.uni-kiel.de.
authors: Katrin
authors: K
authors: Hertrampf
authors: Institute of Cancer Epidemiology e.V., University Lübeck, Ratzeburger Allee 160, 23562 Lübeck, Germany. Electronic address: nora.eisemann@uksh.de.
authors: Nora
authors: N
authors: Eisemann
authors: Clinic of Oral and Maxillofacial Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus 26, 24105 Kiel, Germany. Electronic address: wiltfang@mkg.uni-kiel.de.
authors: Jörg
authors: J
authors: Wiltfang
authors: Institute of Cancer Epidemiology e.V., University Lübeck, Ratzeburger Allee 160, 23562 Lübeck, Germany. Electronic address: ron.pritzkuleit@krebsregister-sh.de.
authors: Ron
authors: R
authors: Pritzkuleit
authors: Clinic of Prosthodontics, Propaedeutics and Dental Materials, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str.3, Haus 26, 24105 Kiel, Germany. Electronic address: hjwenz@proth.uni-kiel.de.
authors: Hans-Jürgen
authors: HJ
authors: Wenz
authors: Institute of Social Medicine and Epidemiology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23562 Lübeck, Germany. Electronic address: annika.waldmann@uksh.de.
authors: Annika
authors: A
authors: Waldmann
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D005858:Germany / Q000453:epidemiology; D006293:Health Promotion; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000453:epidemiology* / Q000401:mortality / Q000517:prevention & control; D010610:Pharyngeal Neoplasms / Q000453:epidemiology* / Q000401:mortality / Q000517:prevention & control; D011159:Population Surveillance; D012042:Registries; D012468:Salivary Gland Neoplasms / Q000453:epidemiology / Q000401:mortality / Q000517:prevention & control; D012737:Sex Factors
keywords: Baseline data; Germany; Incidence; Mortality; Oral cancer; Pharyngeal cancer