The decrease in @entity5 mortality was not because of specific interventions, and is likely that different countries follow a similar model of variation. Here, we aimed to identify model-based patterns in the time trends of @entity5 mortality worldwide. @entity5 mortality rates were retrieved for 62 countries from the WHO mortality database. Sex-specific mixed models were used to describe time trends in age-standardized rates between 1980 and 2010 (age group 35-74 years; World standard population). Three patterns, similar for @entity1 and @entity1 , were identified through model-based clustering. Pattern 1 presented the highest mortality rates in 1980 (median: @entity1 , 81.5/100 000; @entity1 , 34.4/100 000) and pattern 3 the lowest ones (median: @entity1 , 24.4/100 000; @entity1 , 12.4/100 000). The decrease in mortality rates was greater in 1980-1995 than during 1996-2010. Assuming that the patterns characterized by the highest rates precede temporally those with lower mortality, the overlap of model predictions supports a 20-year lag between adjacent patterns. We propose a model for the variation in @entity5 mortality with three stages that develop sequentially through a period of    70 years. The countries with the lowest mortality had the highest proportional decrease in mortality rates.

Model-based patterns in XXXX mortality worldwide.

@entity5 :: ('MESH:D009369', 'Disease') :: ['Stomach cancer', 'stomach cancer'] @entity1 :: ('9606', 'Species') :: ['women', 'men']
@entity5 :: (MESH:D009369,Disease) :: ['stomach cancer']
