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A multicentre epidemiological study on sunbed use and cutaneous melanoma in Europe. Commentary

Identifieur interne : 00A785 ( Main/Exploration ); précédent : 00A784; suivant : 00A786

A multicentre epidemiological study on sunbed use and cutaneous melanoma in Europe. Commentary

Auteurs : Richard Gallagher [Canada] ; Véronique Bataille [Royaume-Uni] ; Mathieu Boniol [France] ; Esther De Vries [Pays-Bas] ; Gianluca Severi [Italie, Australie] ; Yvonne Brandberg [Suède] ; Peter Sasieni [Royaume-Uni] ; Jack Cuzick [Royaume-Uni] ; Alexander Eggermont [Pays-Bas] ; Ulrik Ringborg [Suède] ; André-Robert Grivegnee [Belgique] ; Jan Willem Coebergh [Pays-Bas] ; Marie Christine Chignol [France] ; Jean-Francois Dore [France] ; Philippe Autier [Italie, Belgique]

Source :

RBID : Pascal:05-0441196

Descripteurs français

English descriptors

Abstract

A large European case-control study investigated the association between sunbed use and cutaneous melanoma in an adult population aged between 18 and 49 years. Between 1999 and 2001 sun and sunbed exposure was recorded in 597 newly diagnosed melanoma cases and 622 controls in Belgium, France, The Netherlands, Sweden and the UK. Fifty three precent of cases and 57% of controls ever used sunbeds. The overall adjusted odds ratio (OR) associated with ever sunbed use was 0.90 (95% CI: 0.71-1.14). There was a South-to-North gradient with high prevalence of sunbed exposure in Northern Europe and lower prevalence in the South (prevalence of use in France 20%, OR: 1.19 (0.68-2.07) compared to Sweden, prevalence 83%, relative risk 0.62 (0.26-1.46)). Dose and lag-time between first exposure to sunbeds and time of study were not associated with melanoma risk, neither were sunbathing and sunburns (adjusted OR for mean number of weeks spent in sunny climates >14 years: 1.12 (0.88-1.43); adjusted OR for any sunburn >14 years: 1.16 (0.9-1.45)). Host factors such as numbers of naevi and skin type were the strongest risk indicators for melanoma. Public health campaigns have improved knowledge regarding risk of UV-radiation for skin cancers and this may have led to recall and selection biases in both cases and controls in this study. Sunbed exposure has become increasingly prevalent over the last 20 years, especially in Northern Europe but the full impact of this exposure on skin cancers may not become apparent for many years.


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Le document en format XML

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<name sortKey="Coebergh, Jan Willem" sort="Coebergh, Jan Willem" uniqKey="Coebergh J" first="Jan Willem" last="Coebergh">Jan Willem Coebergh</name>
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<name sortKey="Chignol, Marie Christine" sort="Chignol, Marie Christine" uniqKey="Chignol M" first="Marie Christine" last="Chignol">Marie Christine Chignol</name>
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<name sortKey="Autier, Philippe" sort="Autier, Philippe" uniqKey="Autier P" first="Philippe" last="Autier">Philippe Autier</name>
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<name sortKey="De Vries, Esther" sort="De Vries, Esther" uniqKey="De Vries E" first="Esther" last="De Vries">Esther De Vries</name>
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<s1>Cancer Epidemiology Centre, The Cancer Council Victoria</s1>
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<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
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<name sortKey="Brandberg, Yvonne" sort="Brandberg, Yvonne" uniqKey="Brandberg Y" first="Yvonne" last="Brandberg">Yvonne Brandberg</name>
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<name sortKey="Sasieni, Peter" sort="Sasieni, Peter" uniqKey="Sasieni P" first="Peter" last="Sasieni">Peter Sasieni</name>
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<name sortKey="Cuzick, Jack" sort="Cuzick, Jack" uniqKey="Cuzick J" first="Jack" last="Cuzick">Jack Cuzick</name>
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<country>Royaume-Uni</country>
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<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Eggermont, Alexander" sort="Eggermont, Alexander" uniqKey="Eggermont A" first="Alexander" last="Eggermont">Alexander Eggermont</name>
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</inist:fA14>
<country>Pays-Bas</country>
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<settlement type="city">Rotterdam</settlement>
<region nuts="2" type="province">Hollande-Méridionale</region>
</placeName>
</affiliation>
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<name sortKey="Ringborg, Ulrik" sort="Ringborg, Ulrik" uniqKey="Ringborg U" first="Ulrik" last="Ringborg">Ulrik Ringborg</name>
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<sZ>6 aut.</sZ>
<sZ>10 aut.</sZ>
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<country>Suède</country>
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<settlement type="city">Stockholm</settlement>
<region nuts="2">Svealand</region>
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<name sortKey="Grivegnee, Andre Robert" sort="Grivegnee, Andre Robert" uniqKey="Grivegnee A" first="André-Robert" last="Grivegnee">André-Robert Grivegnee</name>
<affiliation wicri:level="3">
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<s1>Unit of Epidemiology and Prevention, Jules Bordet Institute</s1>
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<sZ>11 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Coebergh, Jan Willem" sort="Coebergh, Jan Willem" uniqKey="Coebergh J" first="Jan Willem" last="Coebergh">Jan Willem Coebergh</name>
<affiliation wicri:level="3">
<inist:fA14 i1="07">
<s1>Department of Public Health, Erasmus University Medical Center</s1>
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<sZ>12 aut.</sZ>
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<country>Pays-Bas</country>
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<settlement type="city">Rotterdam</settlement>
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<inist:fA14 i1="13">
<s1>Comprehensive Cancer Centre South (IKZ)</s1>
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<s3>NLD</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Pays-Bas</country>
<wicri:noRegion>Comprehensive Cancer Centre South (IKZ)</wicri:noRegion>
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</author>
<author>
<name sortKey="Chignol, Marie Christine" sort="Chignol, Marie Christine" uniqKey="Chignol M" first="Marie Christine" last="Chignol">Marie Christine Chignol</name>
<affiliation wicri:level="3">
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<s1>INSERM U 590, Centre Léon Bérard</s1>
<s2>Lyon</s2>
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<sZ>13 aut.</sZ>
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</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Dore, Jean Francois" sort="Dore, Jean Francois" uniqKey="Dore J" first="Jean-Francois" last="Dore">Jean-Francois Dore</name>
<affiliation wicri:level="3">
<inist:fA14 i1="06">
<s1>INSERM U 590, Centre Léon Bérard</s1>
<s2>Lyon</s2>
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<sZ>13 aut.</sZ>
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<country>France</country>
<placeName>
<region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Autier, Philippe" sort="Autier, Philippe" uniqKey="Autier P" first="Philippe" last="Autier">Philippe Autier</name>
<affiliation wicri:level="3">
<inist:fA14 i1="08">
<s1>Division of Epidemiology and Biostatistics, European Institute of Oncology</s1>
<s2>Milan</s2>
<s3>ITA</s3>
<sZ>5 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Italie</country>
<placeName>
<settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="12">
<s1>Unit of Epidemiology and Prevention, Jules Bordet Institute</s1>
<s2>Brussels</s2>
<s3>BEL</s3>
<sZ>11 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Belgique</country>
<placeName>
<settlement type="city">Bruxelles</settlement>
<region nuts="2">Région de Bruxelles-Capitale</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">European journal of cancer : (1990)</title>
<title level="j" type="abbreviated">Eur. j. cancer : (1990)</title>
<idno type="ISSN">0959-8049</idno>
<imprint>
<date when="2005">2005</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">European journal of cancer : (1990)</title>
<title level="j" type="abbreviated">Eur. j. cancer : (1990)</title>
<idno type="ISSN">0959-8049</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Cancerology</term>
<term>Case control study</term>
<term>Epidemiology</term>
<term>Europe</term>
<term>Malignant melanoma</term>
<term>Nevus</term>
<term>Pharmacology</term>
<term>Solar radiation</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Mélanome malin</term>
<term>Epidémiologie</term>
<term>Europe</term>
<term>Naevus</term>
<term>Etude cas témoin</term>
<term>Rayonnement solaire</term>
<term>Cancérologie</term>
<term>Pharmacologie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Pharmacologie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">A large European case-control study investigated the association between sunbed use and cutaneous melanoma in an adult population aged between 18 and 49 years. Between 1999 and 2001 sun and sunbed exposure was recorded in 597 newly diagnosed melanoma cases and 622 controls in Belgium, France, The Netherlands, Sweden and the UK. Fifty three precent of cases and 57% of controls ever used sunbeds. The overall adjusted odds ratio (OR) associated with ever sunbed use was 0.90 (95% CI: 0.71-1.14). There was a South-to-North gradient with high prevalence of sunbed exposure in Northern Europe and lower prevalence in the South (prevalence of use in France 20%, OR: 1.19 (0.68-2.07) compared to Sweden, prevalence 83%, relative risk 0.62 (0.26-1.46)). Dose and lag-time between first exposure to sunbeds and time of study were not associated with melanoma risk, neither were sunbathing and sunburns (adjusted OR for mean number of weeks spent in sunny climates >14 years: 1.12 (0.88-1.43); adjusted OR for any sunburn >14 years: 1.16 (0.9-1.45)). Host factors such as numbers of naevi and skin type were the strongest risk indicators for melanoma. Public health campaigns have improved knowledge regarding risk of UV-radiation for skin cancers and this may have led to recall and selection biases in both cases and controls in this study. Sunbed exposure has become increasingly prevalent over the last 20 years, especially in Northern Europe but the full impact of this exposure on skin cancers may not become apparent for many years.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>Belgique</li>
<li>Canada</li>
<li>France</li>
<li>Italie</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Suède</li>
</country>
<region>
<li>Angleterre</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Grand Londres</li>
<li>Hollande-Méridionale</li>
<li>Lombardie</li>
<li>Rhône-Alpes</li>
<li>Région de Bruxelles-Capitale</li>
<li>Svealand</li>
<li>Victoria (État)</li>
</region>
<settlement>
<li>Bruxelles</li>
<li>Londres</li>
<li>Lyon</li>
<li>Melbourne</li>
<li>Milan</li>
<li>Rotterdam</li>
<li>Stockholm</li>
</settlement>
</list>
<tree>
<country name="Canada">
<noRegion>
<name sortKey="Gallagher, Richard" sort="Gallagher, Richard" uniqKey="Gallagher R" first="Richard" last="Gallagher">Richard Gallagher</name>
</noRegion>
<name sortKey="Gallagher, Richard" sort="Gallagher, Richard" uniqKey="Gallagher R" first="Richard" last="Gallagher">Richard Gallagher</name>
<name sortKey="Gallagher, Richard" sort="Gallagher, Richard" uniqKey="Gallagher R" first="Richard" last="Gallagher">Richard Gallagher</name>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Bataille, Veronique" sort="Bataille, Veronique" uniqKey="Bataille V" first="Véronique" last="Bataille">Véronique Bataille</name>
</region>
<name sortKey="Bataille, Veronique" sort="Bataille, Veronique" uniqKey="Bataille V" first="Véronique" last="Bataille">Véronique Bataille</name>
<name sortKey="Cuzick, Jack" sort="Cuzick, Jack" uniqKey="Cuzick J" first="Jack" last="Cuzick">Jack Cuzick</name>
<name sortKey="Sasieni, Peter" sort="Sasieni, Peter" uniqKey="Sasieni P" first="Peter" last="Sasieni">Peter Sasieni</name>
</country>
<country name="France">
<region name="Auvergne-Rhône-Alpes">
<name sortKey="Boniol, Mathieu" sort="Boniol, Mathieu" uniqKey="Boniol M" first="Mathieu" last="Boniol">Mathieu Boniol</name>
</region>
<name sortKey="Chignol, Marie Christine" sort="Chignol, Marie Christine" uniqKey="Chignol M" first="Marie Christine" last="Chignol">Marie Christine Chignol</name>
<name sortKey="Dore, Jean Francois" sort="Dore, Jean Francois" uniqKey="Dore J" first="Jean-Francois" last="Dore">Jean-Francois Dore</name>
</country>
<country name="Pays-Bas">
<region name="Hollande-Méridionale">
<name sortKey="De Vries, Esther" sort="De Vries, Esther" uniqKey="De Vries E" first="Esther" last="De Vries">Esther De Vries</name>
</region>
<name sortKey="Coebergh, Jan Willem" sort="Coebergh, Jan Willem" uniqKey="Coebergh J" first="Jan Willem" last="Coebergh">Jan Willem Coebergh</name>
<name sortKey="Coebergh, Jan Willem" sort="Coebergh, Jan Willem" uniqKey="Coebergh J" first="Jan Willem" last="Coebergh">Jan Willem Coebergh</name>
<name sortKey="Eggermont, Alexander" sort="Eggermont, Alexander" uniqKey="Eggermont A" first="Alexander" last="Eggermont">Alexander Eggermont</name>
</country>
<country name="Italie">
<region name="Lombardie">
<name sortKey="Severi, Gianluca" sort="Severi, Gianluca" uniqKey="Severi G" first="Gianluca" last="Severi">Gianluca Severi</name>
</region>
<name sortKey="Autier, Philippe" sort="Autier, Philippe" uniqKey="Autier P" first="Philippe" last="Autier">Philippe Autier</name>
</country>
<country name="Australie">
<region name="Victoria (État)">
<name sortKey="Severi, Gianluca" sort="Severi, Gianluca" uniqKey="Severi G" first="Gianluca" last="Severi">Gianluca Severi</name>
</region>
</country>
<country name="Suède">
<region name="Svealand">
<name sortKey="Brandberg, Yvonne" sort="Brandberg, Yvonne" uniqKey="Brandberg Y" first="Yvonne" last="Brandberg">Yvonne Brandberg</name>
</region>
<name sortKey="Ringborg, Ulrik" sort="Ringborg, Ulrik" uniqKey="Ringborg U" first="Ulrik" last="Ringborg">Ulrik Ringborg</name>
</country>
<country name="Belgique">
<region name="Région de Bruxelles-Capitale">
<name sortKey="Grivegnee, Andre Robert" sort="Grivegnee, Andre Robert" uniqKey="Grivegnee A" first="André-Robert" last="Grivegnee">André-Robert Grivegnee</name>
</region>
<name sortKey="Autier, Philippe" sort="Autier, Philippe" uniqKey="Autier P" first="Philippe" last="Autier">Philippe Autier</name>
</country>
</tree>
</affiliations>
</record>

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