OBJECTIVE: The aims of the study were to review long-term trends in @entity2 incidence, survival and mortality and, in light of these, to consider prospects for prevention. DESIGN: Descriptive epidemiological study. SETTING: Scotland. SUBJECTS: Incident cases of @entity2 , diagnosed 1959-1993, and registered with the Scottish Cancer Registry, and recorded deaths from @entity2 during 1919 to 1993. RESULTS: Scottish @entity1 and @entity1 continue to experience rates of @entity2 which are amongst the highest in the world. In @entity1 , incidence rose from 1959 to a peak in the late 1970s and is now decreasing steadily. In @entity1 , although starting from a lower baseline, incidence has risen steadily since 1959 (at an annual rate of increase of 5.0 per cent) and shows no evidence of a sustained decline. It is estimated that, between 1986 and 2000, the annual number of registrations in those aged under 85 years could fall by 20 per cent in @entity1 and rise by 8 per cent in @entity1 . Incidence in the most deprived areas of Scotland is twice that in the least deprived areas. Survival prospects have changed little over the last 25 years. In both sexes, trends in mortality mirror trends in incidence. CONCLUSION: Although @entity2 incidence in @entity1 is falling, it is likely that we have not yet reached the peak of the @entity2 epidemic amongst @entity1 . As up to 90 per cent of these @entity5 are attributable to @entity286 , measures to control this drug should be the main focus of prevention activities. Emphasis should be placed on efforts to cut smoking prevalence among @entity1 and the most deprived groups of society and to reduce the uptake of smoking amongst the young. The fact that some other countries report more favourable survival figures suggests that there may be scope for improvements in diagnosis and therapy. The formulation of guidelines for best current practice in the management of @entity2 should aid progress in this respect.

The epidemiology of XXXX in Scotland: a review of trends in incidence, survival and mortality and prospects for prevention.

@entity1 :: ('9606', 'Species') :: ['women', 'men'] @entity286 :: ('4097', 'Species') :: ['tobacco'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumours']
@entity2 :: (MESH:D008175,Disease) :: ['lung cancer']
