Ageing and other factors behind recent cancer incidence and mortality trends in Italy

Crocetti, Emanuele; Buzzoni, Carlotta; Quaglia, Alberto; Lillini, Roberto; Vercelli, Marina

doi:10.1016/j.jgo.2012.01.001

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…In Italy, CRC incidence rates increased from 1986 to 2005, while mortality rates decreased. 7–11 However, different factors are modifying CRC incidence and mortality rates. The prevalence of various risk factors is changing.…”

Section: Introductionmentioning

confidence: 99%

Trends of colorectal cancer incidence and mortality rates from 2003 to 2014 in Italy

Zorzi

Maso

Francisci

et al. 2019

Tumori

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Objective: To evaluate the trends of colorectal cancer (CRC) incidence and mortality rates from 2003 to 2014 in Italy by age groups and regions. Methods: We used the data of 48 cancer registries from 17 Italian regions to estimate standardized incidence and mortality rates overall and by sex, age groups (<50, 50–69, 70+ years), and geographic area (northwest, northeast, center, south, and islands). Time trends were expressed as annual percent change in rates (APC) with 95% confidence intervals (95% CI). Results: Incidence rates decreased from 104.3 (2003) to 89.9 × 100,000 (2014) in men and from 64.3 to 58.4 × 100,000 in women. Among men, incidence decreased during 2007–2010 (APC −4.0, 95% CI −6.0 to −1.9) and 2010–2014 (APC −0.7, 95% CI −1.4 to 0.0), while in women it linearly decreased during the whole period (APC −1.1, 95% CI −1.4 to −0.8). Mortality rates showed a linear reduction both in men (APC −0.7, 95% CI −1.0 to −0.3) and women (APC −0.9, 95% CI −1.2 to −0.6) and decreased respectively from 41.1 to 39.2 × 100,000 and from 24.6 to 23.1 × 100,000. In the 50- to 69-year-old range (screening target age), incidence showed a prescreening increase, followed by a peak after screening started, and a decline thereafter. Incidence and mortality rates significantly decreased in all areas but in the south and islands, where incidence increased and mortality remained stable. Conclusions: A renewed commitment by all regional health systems to invest in primary (i.e., lifestyle) and secondary (i.e., screening programs) prevention is of utmost importance.

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Section: Introductionmentioning

confidence: 99%

Trends of colorectal cancer incidence and mortality rates from 2003 to 2014 in Italy

Zorzi

Maso

Francisci

et al. 2019

Tumori

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“…The population was younger in the United States and Australia, with a mean age of 38 years and 13% of people aged over 65 years, as compared with France and the Nordic countries (mean age: 40 years, 17% >65 years), and the oldest population was in Italy (mean age: 43 years, 20% of the population >65 years) (United Nations, 2012). This age distribution explained why 20–30% higher crude prevalence emerged in Italy in comparison with other examined countries (Crocetti et al , 2012). These excesses were equal to 4–5 additional prevalent cancer cases per 1000 men (i.e., similar to prostate cancer prevalence) and 3–4 additional prevalent cancer cases per 1000 women (i.e., similar to breast cancer prevalence).…”

Section: Discussionmentioning

confidence: 61%

Cancer prevalence in United States, Nordic Countries, Italy, Australia, and France: an analysis of geographic variability

et al. 2013

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Background:The objectives of this study were to quantitatively assess the geographic heterogeneity of cancer prevalence in selected Western Countries and to explore the associations between its determinants.Methods:For 20 cancer sites, 5-year cancer prevalence, incidence, and survival were observed and age standardised for the mid 2000s in the United States, Nordic European Countries, Italy, Australia, and France.Results:In Italy, 5-year crude prevalence for all cancers was 1.9% in men and 1.7% in women, while it was ∼1.5% in all other countries and sexes. After adjustment for the different age distribution of the populations, cancer prevalence in the United States was higher (20% in men and 10% in women) than elsewhere. For all cancers combined, the geographic heterogeneities were limited, though relevant for specific cancers (e.g., prostate, showing >30% higher prevalence in the United States, or lung, showing >50% higher prevalence in USA women than in other countries). For all countries, the correlations between differences of prevalence and differences of incidence were >0.9, while prevalence and survival were less consistently correlated.Conclusion:Geographic differences and magnitude of crude cancer prevalence were more strongly associated with incidence rates, influenced by population ageing, than with survival rates. These estimates will be helpful in allocating appropriate resources.

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“…The population was younger in the United States and Australia, with a mean age of 38 years and 13% of people aged over 65 years, as compared with France and the Nordic countries (mean age: 40 years, 17% 465 years), and the oldest population was in Italy (mean age: 43 years, 20% of the population 465 years) (United Nations, 2012). This age distribution explained why 20-30% higher crude prevalence emerged in Italy in comparison with other examined countries (Crocetti et al, 2012). These excesses were equal to 4-5 additional prevalent cancer cases per 1000 men (i.e., similar to prostate cancer prevalence) and 3-4 additional prevalent cancer cases per 1000 women (i.e., similar to breast cancer prevalence).…”

Section: Discussionmentioning

confidence: 67%

The Effect of Residential Area and Hospital Bed Size on the Use of Hospital in Other Regions for Cancer Inpatients

Kim¹

2018

J Health Info Stat

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Ageing and other factors behind recent cancer incidence and mortality trends in Italy

Cited by 6 publications

References 28 publications

Trends of colorectal cancer incidence and mortality rates from 2003 to 2014 in Italy

Trends of colorectal cancer incidence and mortality rates from 2003 to 2014 in Italy

Cancer prevalence in United States, Nordic Countries, Italy, Australia, and France: an analysis of geographic variability

The Effect of Residential Area and Hospital Bed Size on the Use of Hospital in Other Regions for Cancer Inpatients

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