Cancer mortality trends in the Umbria region of Italy 1978–2004: a joinpoint regression analysis

Stracci, Fabrizio; Canosa, Antonio; Minelli, Liliana; Petrinelli, Anna Maria; Cassetti, Tiziana; Romagnoli, Carlo; Rosa, Francesco La

doi:10.1186/1471-2407-7-10

Cited by 20 publications

(22 citation statements)

References 29 publications

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“…In Europe, an overview of recent trends in mortality from neoplasias discussed there was a trend of increasing mortality from CRC for men and a reduction for women in Spain (14) . In Italy, researchers have shown a growing and statistically significant trend for men in the period 1978-2004 (15) . However, a study on mortality due to neoplasias carried out in European Union countries has observed a decrease in CRC mortality rates in both sexes (16) .…”

Section: Discussionmentioning

confidence: 99%

Evolution of Mortality for Colorectal Cancer in Brazil and Regions, by Sex, 1996-2015

Dutra

Parreira

Guimarães

2018

Arq. Gastroenterol.

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BACKGROUND: Colorectal cancer is among the three most frequent neoplasms in Brazil, being a public health problem. OBJECTIVE: To describe distribution pattern of colorectal cancer mortality in Brazil and regions, according to sex, between 1996 and 2015. METHODS: Values of standardized and stratified mortality rates by sex between 1996 and 2015 were used, through polynomial regression models and joinpoint analysis. RESULTS: It was observed that, for linear trends in mortality rates, for both sexes, there is a statistically significant trend increasing in both models, with rates and trends, and higher for men than for women, respectively, 7.3% per year (R2=0.95, P<0.001) and 6.5% per year (R2=0.87, P<0.001). It is observed a difference in magnitude and behavior of trend between the regions. CONCLUSION: It is understood that it is important to know the trend of rates in order to define priority populations for early interventions that increase survival and reduce mortality.

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Section: Discussionmentioning

confidence: 99%

Evolution of Mortality for Colorectal Cancer in Brazil and Regions, by Sex, 1996-2015

Dutra

Parreira

Guimarães

2018

Arq. Gastroenterol.

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“…Another study analyzed cancer mortality trends in the Umbria region from 1978 to 2004 (25) . The authors of that study observed non-significant trends in rates of CRC among women; however, they observed a constant increase in CRC rates among men (AAPC: 0.66; 95% CI: 0.28; 0.97).…”

Section: Discussionmentioning

confidence: 99%

“…Trend studies conducted worldwide have indicated a reduction in CRC mortality rates in most developed countries; however, in developing countries, this same trend has not been observed. Moreover, when the trends were analyzed by age and sex, different patterns were observed (1,2,24,25) . Reduction in mortality is one of the main objectives of interventions based on screening and treatment; therefore, studies can be useful in evaluating the policies and programs aimed at monitoring cancer care as well as the changes in outcomes due to population lifestyle, environmental risks and the effectiveness of the health care system (25) .…”

Section: Introductionmentioning

confidence: 99%

Mortality Risk of Colorectal Cancer in Brazil From 1980 to 2013

Oliveira

Rêgo

2016

Arq. Gastroenterol.

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-Background -Colorectal cancer is one of the most common cancer worldwide, and variation in its mortality rates indicates the importance of environmental factors in its occurrence. While trend studies have indicated a reduction in colorectal cancer mortality rates in most developed countries, the same trends have not been observed in developing countries. Moreover, trends may differ when analyzed by age and sex. Objective -The present study aimed to analyze the trends in risk of colorectal cancer death in Brazil based on sex and age group. Methods -Death records were obtained from the Mortality Information System of the Ministry of Health. The risk of death and the average annual percent changes (AAPC) in the mortality rates were estimated using joinpoint analysis of long-term trends from 1980 to 2013. All of the statistical tests were two-sided and had a significance level of 5%.Results -Colorectal cancer mortality rates were found to have increased in the last 15 years for both sexes and for all age ranges. The rate ratio (RR) was statistically higher at ages 70 to 79 for men (RR: 1.37; 95% CI: 1.26; 1.49) compared to women (RR: 1.14; 95% CI: 1.06; 1.24). Increases in AAPC were observed in both sexes. Although men presented higher percent changes (AAPC: 1.8; 95% CI: 1.1; 2.6) compared to women (AAPC: 1.2; 95% CI: 0.4; 2.0), this difference was not statistically significant. Growth trends in mortality rates occurred in all age groups except for in women over 70. Conclusion -Unlike Europe and the US, Brazil has shown increases in death rates due to colorectal cancer in the last three decades; however, more favorable trends were observed in women over 70 years old. The promotion of healthier lifestyles in addition to early diagnosis and improved treatment should guide the public health policies targeting reductions in colorectal cancer.

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“…Despite the significant decline in the incidence of gastric cancer in the world, especially European countries such as Spain and Italy, which is as the result of the substantial improvement of living conditions, it is passing an ascending trend in developing countries like Iran. Some of this incidence increase is related to improved cancer registry system [35] in the country, and perhaps some proportion of that is due to changes in risk factors of this cancer such as an increase in H. pylori infection [36][37][38][39][40][41]. Surveying the distribution of sex frequency of these patients in the study period shows that the incidence of this cancer is always higher in men.…”

Section: Discussionmentioning

confidence: 99%

Trend of Incidence of Gastric Cancer in Sistan and Baluchestan Province, Iran

Salehiniya¹,

Mohammadian²,

Mahdavifar³

2016

Asian J Pharm Clin Res

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Objective: Gastric cancer is the fifth most common cancer and the third cause of death from cancers in the world and is known as the most deadly cancer in Iran. Since the knowledge about the epidemiological situation and the trend of incidence of this cancer is essential to plan for the prevention and treatment of cancer, this study was performed with the aim of investigating the epidemiological status, the rate and the trend of gastric cancer incidence in Sistan and Baluchestan province.Methods: This study was conducted using existing data and data extracted from the National Cancer Registry System and the Disease Management Center of Iranian Ministry of Health between 2003 and 2008. Age-Standardized incidence rates (ASIR) were calculated using the world standard population. The crude incidence rate was also computed. Cochran-Armitage test for linear trend was used for evaluation of the incidence trend. Results:The number of 255 cases of gastric cancer occurred in the study period that 188 cases were in men and 67 in women. Accordingly, the incidence of gastric cancer has had an ascending trend in Sistan and Baluchestan (p=0.00) and its incidence in men and women has changed to 1.18 and 2.73 in 2004 to 1.84 and 4.48 in 2008, respectively. Furthermore, with ageing, the incidence of gastric cancer has increased in both sexes and its incidence was higher in men than women. Conclusion:The incidence of gastric cancer has an increasing trend in Sistan and Baluchestan, hence, etiological surveys and programs of early diagnosis are useful in this province to the reduce cancer.

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Cancer mortality trends in the Umbria region of Italy 1978–2004: a joinpoint regression analysis

Cited by 20 publications

References 29 publications

Evolution of Mortality for Colorectal Cancer in Brazil and Regions, by Sex, 1996-2015

Evolution of Mortality for Colorectal Cancer in Brazil and Regions, by Sex, 1996-2015

Mortality Risk of Colorectal Cancer in Brazil From 1980 to 2013

Trend of Incidence of Gastric Cancer in Sistan and Baluchestan Province, Iran

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