Incidence and spatial distribution of adult-onset primary malignant and other central nervous system tumors in Southern Sardinia, Italy
| Autor: | Rosario Vasta, Gianluca Floris, Sabino Dagostino, Pier Francesco Cappai, Giuseppe Piga, Maurizio Melis, Giovanni Defazio, Antonella Muroni, Carlo Conti, Vincenzo Pierri, Francesca Bruder, Tommaso Ercoli, Cristina Manieli, Valerio Melas, Marta Melis, Alberto Maleci |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Adolescent Epidemiology Population Central nervous system Dermatology Sardinia Central Nervous System Neoplasms Meningeal Neoplasms medicine Humans CNS TUMORS education education.field_of_study Brain Neoplasms business.industry Incidence Incidence (epidemiology) Pituitary tumors CNS tumors General Medicine medicine.disease Psychiatry and Mental health medicine.anatomical_structure Italy Etiology Neurology (clinical) business Glioblastoma |
| Zdroj: | Neurological Sciences. 43:419-425 |
| ISSN: | 1590-3478 1590-1874 |
| Popis: | PURPOSE To study for the first time the incidence of adult-onset CNS tumors in Southern Sardinia, Italy. METHODS Clinical records of patients > 18 years old who were diagnosed with primary CNS tumors during 2016-2019 in the study area were reviewed. Meningiomas, cranial/paraspinal nerve tumors, lymphomas, and pituitary tumors were excluded. Cases were classified according to the 2016 WHO classification of CNS tumors and to the morphology codes from the International Classification of Diseases-Oncology, third edition. Age-adjusted incidence rates were calculated by the direct method to the 2011-2020 European standard population. Kulldorff's spatial scan statistic was used to identify geographic clusters of patients who shared increased/decreased tendency to develop CNS tumors. RESULTS CNS tumors were diagnosed in 234 incident patients, but histological diagnosis was available in 222/234 patients (95%) aged 64.3 ± 13.5 years at diagnosis. Crude incidence rate was 7.1 per 100,000 persons-year (95% CI, 6.2-8.1), 6.2 per 100,000 persons-year (95% CI, 5.4-7.0) when age-adjusted. CNS tumors were more frequent in men and after age 40. Glioblastoma accounted for 76% of the total (adjusted rate, 4.7 per 100,000 persons-year; 95% CI, 4.0-5.4). Spatial analysis revealed geographic variations of glioblastoma incidence within the study area. CONCLUSION Although the distribution of tumor diagnoses in Sardinia reflects expected age and gender-related patterns in western populations, our findings would indicate a slightly higher incidence of glial tumors, glioblastoma in particular, in Sardinia than in other European countries. The identification of spatial clusters of high/low risk will serve as a resource for etiological research. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink