Trends in oesophageal cancer mortality in Montenegro, 1990-2018.

Autor:	Nedović Vuković M; Department of Health Statistics, Center for Health System Evidence and Research in Public Health, Institute for Public Health of Montenegro, Podgorica, Montenegro.; Faculty of Medicine, University of Montenegro, High School for Nurses in Berane, Podgorica, Montenegro., Jakšić M; Faculty of Medicine, University of Montenegro, High School for Nurses in Berane, Podgorica, Montenegro.; Department of Pathophysiology and Laboratory Medicine, Institute for Children's Diseases, Clinical Center of Montenegro, Podgorica, Montenegro., Smolović B; Faculty of Medicine, University of Montenegro, High School for Nurses in Berane, Podgorica, Montenegro.; Department of Internal Medicine, Department of Gastroenterology and Hepatology, Internal Clinic, Clinical Center of Montenegro, Podgorica, Montenegro., Lukić M; Department of Internal Medicine, Department of Gastroenterology and Hepatology, Internal Clinic, Clinical Center of Montenegro, Podgorica, Montenegro., Bukumirić Z; Faculty of Medicine, Institute of Medical Statistics and Informatics, University of Belgrade, Belgrade, Serbia.
Jazyk:	angličtina
Zdroj:	European journal of public health [Eur J Public Health] 2024 Aug 01; Vol. 34 (4), pp. 833-838.
DOI:	10.1093/eurpub/ckae080
Abstrakt:	Background: Oesophageal cancer (OC) is a significant public health issue, despite the decreasing trends in OC mortality rates observed globally in the past decades. The objective of our study is to analyze the pattern of OC mortality in Montenegro between 1990 and 2018 and contribute to the development of a national long-term strategy for the prevention and control of this malignancy. Methods: The data on OC death cases in Montenegro between 1990 and 2018 were collected. The mortality rates were standardized according to the World Standard Population. The Joinpoint, Linear and Poisson regressions were applied to analyze the OC mortality trend. Results: Joinpoint regression analysis showed an increase in death rates for men and the overall level which were not statistically significant. However, the number of cases increases significantly with an average annual percentage change (AAPC) increase of 2.6% for the overall level [AAPC (95% CI)=2.6 (1.0-4.2); P = 0.002] at the expense of the increase in men, which on average was 2.6% annually [AAPC (95%CI) = 2.6 (1.2-4.1); P = 0.001]. The age groups 55-64 and 65-74 have the highest percentage of deaths cases from OC with 30.6% and 31.4%, respectively. Conclusion: Montenegro has witnessed a recent increase in the number of deaths from OC, although the mortality rates remain stable. National strategies to further reduce mortality rates for OC are necessary. Individuals aged 55-64 and 65-74 need specific attention during the ongoing monitoring of this cancer. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.)
Databáze:	MEDLINE
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