Trends in incidence of uterine cancer in Songkhla, Southern Thailand

Abstract

Objective To define the present incidence of uterine cancer and the trends of incidence in the future. Additional, subgroup analysis in religion and socio-demographic factors will be analyzed. Methods The data of uterine cancer from The Songkhla Cancer Registry between; 1989 and 2016, was extracted. The population denominators of Songkhla Province were referred from the information of the population censuses surveyed by the National Statistical Office. The incidence was estimate by; the age specific rate, and analyzed in trend incidence using Jointpoint and Age-period-cohort; APC regression models and trend projection in 2017–2030 using by Jointpoint, the NordPred and APC model. The comparison of incidence according to habitat and religion were unpaired t-test. Results The incidence of uterine cancer in Songkhla Province increased from 1.5, to 5.3 per 100,000 women-years in 2016, and 8 per 100,000 women-years in 2030. The incidence was more in urban areas and in Buddhists. Conclusion The incidence of uterine cancer is increasing. The policy, which promotes protective factors and control risk factors, would decrease incidence of endometrial cancer, and other estrogen dependent cancers additional to chronic diseases from the cardiovascular system.

The risk of distant metastases in patients with gynecologic cancers after surgery: a population-based study

“…Ovarian cancer is the seventh most common cancer in women worldwide, the eighth most common cause of cancer death from the disease, with five-year survival rates below 45% [ 4 ]. Uterine cancer is increasing incidence and mortality [ 5 , 6 ]. In less developed countries, uterine cancer is the 2nd most common gynecologic malignancy after cervical cancer [ 7 ].…”

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“…US projections for the coming decades predict a 40-50% rise in incidence to 2030 3,4 which are in part reflected in UK data with reports which suggest an overall increase in incidence from 21 to 33 ASR (age standardised rate), although this is projected to fall by 2035 5 . Although typically a disease of high-income countries, increase in incidence has more recently been observed in low-middle income countries (LMIC) such as South Africa, Thailand and Brazil 1,6 . In parallel to this, over the past two decades mortality has also increased, with rates now similar to what they were in the early 80s (age standardised mortality rates decreasing to 5.0 in 1999 and rising to 7.1 in 2016) 2 .…”

Trends of uterine cancer incidence: a projection from the past to the future

“…I would like to direct the attention of journal readers to the interesting study by Saeaib and colleagues [5] in this issue of the Journal of Gynecologic Oncology . The work is important providing population-based data of uterine cancer.…”

“…The study of Saeaib and colleagues [5] estimated the trends of uterine cancer incidence by extrapolating the observed data of each year including the annual percentage change by each age group of 742 patients. The results showed an increased incidence of uterine cancer: 8 per 100,000 women in 2030 compared to 1.54 per 100,000 women in 1989 and 5.30 per 100,000 women in 2016.…”

“…The data will guide sound health budget allocation, medical education and patient-based health programs. This important analysis by Saeaib and colleagues [5] found a trend of increased incidence of uterine cancer in one region of Thailand. Such findings should alert the national epidemiologists/gynecologic oncologists to study the trends in other parts of the country as well.…”