About EPIC

Cohort Description

EPIC in 2016

From the recruitment of study participants in 1992 – 1999 until 2015, the cohort accumulated more than 8 million person-years (PY). More than 67 000 EPIC participants were diagnosed with cancer (Table 1), including about 16 700 cases of breast cancer, 4600 of lung cancer, 7100 of colorectal cancer, and 7500 of prostate cancer. Also, 58 000 deaths were reported, and 8500 participants developed at least two incident morbid conditions (including cancers, diabetes, and cardiovascular diseases), thus allowing investigation of co-morbidities.

Table 1. Number of incident cancers and deaths in EPIC in 2016

Sex Country N Person-Years No. of incident cancers No. of incident deaths
Female France 74 523 1 420 107 7992 5723
Italy 32577 498 612 3559 1551
Spain 25 808 479 249 2242 1528
United Kingdom 60 967 1 007 559 7462 7669
The Netherlands 29 751 484 984 3822 3042
Greece 16 614 181 903 737 1213
Germany 30 255 411 560 2420 1453
Sweden 30 328 552 306 5237 4668
Denmark 29 875 490 930 5726 4110
Norway 37 200 514 338 3999 1452
Total 367 898 6 041 548 43 196 32 409
Male France 0 0 0 0
Italy 15 168 237 627 1839 1133
Spain 15 629 284 030 2427 2155
United Kingdom 26 917 424 842 4421 6396
The Netherlands 10 260 166 222 898 885
Greece 11 947 121 475 691 1537
Germany 22 833 311 217 2633 2590
Sweden 23 494 413 112 4881 5455
Denmark 27 178 428 296 6048 5886
Norway 0 0 0 0
Total 153 426 2 386 821 23 838 26 037

EPIC in 2021

By 2020, the number of cancers that may develop in the cohort is projected to increase to more than 109 000 and will include approximately 27 000 cases of breast cancer, 14 000 of colorectal cancer, 9000 of lung cancer, 13 000 of prostate cancer, 2400 of gastro-intestinal cancer, 5300 of bladder cancer, 3000 of pancreatic cancer, 4000 of endometrial cancer, 1100 of liver cancer, and 1500 of thyroid cancer (Table 2). The large number of incident cancer cases with prospectively collected lifestyle data and blood specimens will allow EPIC to address state-of-the-art hypotheses about the etiology and prevention of several forms of common and rarer cancers.

Table 2. Sex-specific expected frequency of major cancer sites available by 2021

Sex Breast Colorectal Lung Prostate Stomach All cancers
Male 0 5783 4587 13 210 1291 37 616
Female 27 550 8380 4673 0 1163 72 084
Total 27 550 14 163 9260 13 210 2454 109 700

Estimated cumulative number of cancer cases (2001-2015)

All cancers

Stomach cancer

Breast cancer

Lung cancer

Prostate cancer

Colon-rectum cancer