Global epidemiology of gastrointestinal stromal tumours (GIST): A systematic review of population-based cohort studies
•Gastrointestinal stromal tumours (GISTs) incidence shows variation globally.•High and low incidence outliers are found across continents.•Stomach and small bowel are consistently the most frequent locations of GIST.•One in five GISTs are discovered incidentally.•The low number of small, low-risk ca...
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| Published in | Cancer epidemiology Vol. 40; pp. 39 - 46 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Ltd
01.02.2016
Elsevier Limited |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1877-7821 1877-783X |
| DOI | 10.1016/j.canep.2015.10.031 |
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| Abstract | •Gastrointestinal stromal tumours (GISTs) incidence shows variation globally.•High and low incidence outliers are found across continents.•Stomach and small bowel are consistently the most frequent locations of GIST.•One in five GISTs are discovered incidentally.•The low number of small, low-risk category tumours may suggest an underreporting.
Gastrointestinal stromal tumours (GISTs) are rare, yet the most common mesenchymal tumour within the digestive tract. Lack of diagnostic criteria and no specific code in the ICD system has prevented epidemiological evaluation except from overt malignant cases in the past. A global estimate of incidence and disease patterns has thus not been available.
A systematic literature search of all available population-based studies on GIST published between January 2000 and December 2014 were reviewed. Descriptive epidemiological data are presented.
The search found 29 studies of more than 13,550 patients from 19 countries that reported sufficient data for regional or national population-based statistics. Age at diagnosis ranged from 10 to 100 years, with median age being mid 60s across most studies. Gender distribution was equal across studies. On average, 18% of patients had an incidental diagnosis (range from 5% to 40%). Anatomical location of primary tumour in 9747 GISTs demonstrated gastric location as the most frequent (55.6%) followed by small bowel (31.8%), colorectal (6.0%), other/various location (5.5%) and oesophagus (0.7%). Most studies reported incidence at 10–15 per million per year. Notably, lowest incidence was in China (Shanxi province) with 4.3 per million per year. Highest incidence rates were reported also from China (Hong Kong and Shanghai areas), and in Taiwan and Norway (Northern part), with up to 19–22 per million per year.
Epidemiology of GIST demonstrates some consistent features across geographical regions. Whether the reported extreme differences in incidence reflect real variation in population risk warrants further investigation. |
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| AbstractList | Highlights • Gastrointestinal stromal tumours (GISTs) incidence shows variation globally. • High and low incidence outliers are found across continents. • Stomach and small bowel are consistently the most frequent locations of GIST. • One in five GISTs are discovered incidentally. • The low number of small, low-risk category tumours may suggest an underreporting. •Gastrointestinal stromal tumours (GISTs) incidence shows variation globally.•High and low incidence outliers are found across continents.•Stomach and small bowel are consistently the most frequent locations of GIST.•One in five GISTs are discovered incidentally.•The low number of small, low-risk category tumours may suggest an underreporting. Gastrointestinal stromal tumours (GISTs) are rare, yet the most common mesenchymal tumour within the digestive tract. Lack of diagnostic criteria and no specific code in the ICD system has prevented epidemiological evaluation except from overt malignant cases in the past. A global estimate of incidence and disease patterns has thus not been available. A systematic literature search of all available population-based studies on GIST published between January 2000 and December 2014 were reviewed. Descriptive epidemiological data are presented. The search found 29 studies of more than 13,550 patients from 19 countries that reported sufficient data for regional or national population-based statistics. Age at diagnosis ranged from 10 to 100 years, with median age being mid 60s across most studies. Gender distribution was equal across studies. On average, 18% of patients had an incidental diagnosis (range from 5% to 40%). Anatomical location of primary tumour in 9747 GISTs demonstrated gastric location as the most frequent (55.6%) followed by small bowel (31.8%), colorectal (6.0%), other/various location (5.5%) and oesophagus (0.7%). Most studies reported incidence at 10–15 per million per year. Notably, lowest incidence was in China (Shanxi province) with 4.3 per million per year. Highest incidence rates were reported also from China (Hong Kong and Shanghai areas), and in Taiwan and Norway (Northern part), with up to 19–22 per million per year. Epidemiology of GIST demonstrates some consistent features across geographical regions. Whether the reported extreme differences in incidence reflect real variation in population risk warrants further investigation. Gastrointestinal stromal tumours (GISTs) are rare, yet the most common mesenchymal tumour within the digestive tract. Lack of diagnostic criteria and no specific code in the ICD system has prevented epidemiological evaluation except from overt malignant cases in the past. A global estimate of incidence and disease patterns has thus not been available. A systematic literature search of all available population-based studies on GIST published between January 2000 and December 2014 were reviewed. Descriptive epidemiological data are presented. The search found 29 studies of more than 13,550 patients from 19 countries that reported sufficient data for regional or national population-based statistics. Age at diagnosis ranged from 10 to 100 years, with median age being mid 60s across most studies. Gender distribution was equal across studies. On average, 18% of patients had an incidental diagnosis (range from 5% to 40%). Anatomical location of primary tumour in 9747 GISTs demonstrated gastric location as the most frequent (55.6%) followed by small bowel (31.8%), colorectal (6.0%), other/various location (5.5%) and oesophagus (0.7%). Most studies reported incidence at 10-15 per million per year. Notably, lowest incidence was in China (Shanxi province) with 4.3 per million per year. Highest incidence rates were reported also from China (Hong Kong and Shanghai areas), and in Taiwan and Norway (Northern part), with up to 19-22 per million per year. Epidemiology of GIST demonstrates some consistent features across geographical regions. Whether the reported extreme differences in incidence reflect real variation in population risk warrants further investigation. Background Gastrointestinal stromal tumours (GISTs) are rare, yet the most common mesenchymal tumour within the digestive tract. Lack of diagnostic criteria and no specific code in the ICD system has prevented epidemiological evaluation except from overt malignant cases in the past. A global estimate of incidence and disease patterns has thus not been available. Methods A systematic literature search of all available population-based studies on GIST published between January 2000 and December 2014 were reviewed. Descriptive epidemiological data are presented. Results The search found 29 studies of more than 13,550 patients from 19 countries that reported sufficient data for regional or national population-based statistics. Age at diagnosis ranged from 10 to 100 years, with median age being mid 60s across most studies. Gender distribution was equal across studies. On average, 18% of patients had an incidental diagnosis (range from 5% to 40%). Anatomical location of primary tumour in 9747 GISTs demonstrated gastric location as the most frequent (55.6%) followed by small bowel (31.8%), colorectal (6.0%), other/various location (5.5%) and oesophagus (0.7%). Most studies reported incidence at 10-15 per million per year. Notably, lowest incidence was in China (Shanxi province) with 4.3 per million per year. Highest incidence rates were reported also from China (Hong Kong and Shanghai areas), and in Taiwan and Norway (Northern part), with up to 19-22 per million per year. Conclusions Epidemiology of GIST demonstrates some consistent features across geographical regions. Whether the reported extreme differences in incidence reflect real variation in population risk warrants further investigation. BACKGROUNDGastrointestinal stromal tumours (GISTs) are rare, yet the most common mesenchymal tumour within the digestive tract. Lack of diagnostic criteria and no specific code in the ICD system has prevented epidemiological evaluation except from overt malignant cases in the past. A global estimate of incidence and disease patterns has thus not been available.METHODSA systematic literature search of all available population-based studies on GIST published between January 2000 and December 2014 were reviewed. Descriptive epidemiological data are presented.RESULTSThe search found 29 studies of more than 13,550 patients from 19 countries that reported sufficient data for regional or national population-based statistics. Age at diagnosis ranged from 10 to 100 years, with median age being mid 60s across most studies. Gender distribution was equal across studies. On average, 18% of patients had an incidental diagnosis (range from 5% to 40%). Anatomical location of primary tumour in 9747 GISTs demonstrated gastric location as the most frequent (55.6%) followed by small bowel (31.8%), colorectal (6.0%), other/various location (5.5%) and oesophagus (0.7%). Most studies reported incidence at 10-15 per million per year. Notably, lowest incidence was in China (Shanxi province) with 4.3 per million per year. Highest incidence rates were reported also from China (Hong Kong and Shanghai areas), and in Taiwan and Norway (Northern part), with up to 19-22 per million per year.CONCLUSIONSEpidemiology of GIST demonstrates some consistent features across geographical regions. Whether the reported extreme differences in incidence reflect real variation in population risk warrants further investigation. |
| Author | Søreide, Kjetil Sandvik, Oddvar M. Jureckova, Andrea Bulusu, V. Ramesh Søreide, Jon Arne Giljaca, Vanja |
| Author_xml | – sequence: 1 givenname: Kjetil surname: Søreide fullname: Søreide, Kjetil email: ksoreide@mac.com organization: Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway – sequence: 2 givenname: Oddvar M. surname: Sandvik fullname: Sandvik, Oddvar M. organization: Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway – sequence: 3 givenname: Jon Arne surname: Søreide fullname: Søreide, Jon Arne organization: Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway – sequence: 4 givenname: Vanja orcidid: 0000-0002-1719-0424 surname: Giljaca fullname: Giljaca, Vanja organization: Department of Internal medicine, Division of Gastroenterology, University Hospital Center Rijeka, Croatia – sequence: 5 givenname: Andrea surname: Jureckova fullname: Jureckova, Andrea organization: Masaryk Memorial Cancer Institute Brno, Czech Republic – sequence: 6 givenname: V. Ramesh surname: Bulusu fullname: Bulusu, V. Ramesh organization: Oncology Centre, Cambridge University Hospitals, Cambridge, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26618334$$D View this record in MEDLINE/PubMed |
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| Snippet | •Gastrointestinal stromal tumours (GISTs) incidence shows variation globally.•High and low incidence outliers are found across continents.•Stomach and small... Highlights • Gastrointestinal stromal tumours (GISTs) incidence shows variation globally. • High and low incidence outliers are found across continents. •... Gastrointestinal stromal tumours (GISTs) are rare, yet the most common mesenchymal tumour within the digestive tract. Lack of diagnostic criteria and no... Background Gastrointestinal stromal tumours (GISTs) are rare, yet the most common mesenchymal tumour within the digestive tract. Lack of diagnostic criteria... BACKGROUNDGastrointestinal stromal tumours (GISTs) are rare, yet the most common mesenchymal tumour within the digestive tract. Lack of diagnostic criteria and... |
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| SubjectTerms | Adolescent Adult Aged Cancer Distribution Epidemiology Female Gastrointestinal Stromal Tumors - epidemiology GIST Hematology, Oncology and Palliative Medicine Humans Incidence Internal Medicine Male Metastasis Middle Aged Population Registry Risk Assessment Risk category Studies Tumors Young Adult |
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| Title | Global epidemiology of gastrointestinal stromal tumours (GIST): A systematic review of population-based cohort studies |
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