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The paper by Sonnenberg,1 in a recent issue of Gut, describing a strong cohort effect on the incidence of gastric cancer extends our own observation of a strong cohort effect for gastric but not for pancreatic cancer.2 We examined mortality data for England from 1950, and reported the downward slope of cohort incidence of gastric cancer from 1870. …
Competing interests None declared.
Provenance and peer review Not commissioned; not externally peer reviewed.