Incidence and mortality trends of leukemia and lymphoma in Croatia, 1988-2009
| Autor: | Ariana Znaor, Tomislav Kuliš, Katarina Batinjan, Ozren Jakšić, Ina Novak |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Oncology
Adult Male medicine.medical_specialty CHRONIC LYMPHOCYTIC-LEUKEMIA HODGKIN LYMPHOMAS TIME TRENDS SURVIVAL CANCER EUROPE RISK EXPOSURE EPILYMPH EASTERN Adolescent Lymphoma Croatia medicine.medical_treatment Chronic lymphocytic leukemia 03 medical and health sciences Young Adult 0302 clinical medicine immune system diseases Internal medicine hemic and lymphatic diseases medicine Humans 030212 general & internal medicine Registries Survival rate Aged Retrospective Studies Chemotherapy Leukemia Relative survival business.industry Incidence (epidemiology) Incidence Myeloid leukemia Infant General Medicine Middle Aged medicine.disease 3. Good health trends leukemia lymphoma Survival Rate 030220 oncology & carcinogenesis Child Preschool Immunology Female business Cancer Epidemiology |
| Zdroj: | Croatian Medical Journal Volume 53 Issue 2 |
| ISSN: | 1988-2009 0353-9504 1332-8166 |
| Popis: | AIM: To investigate the time trends of leukemia and lymphoma in Croatia from 1988-2009, compare them with trends in other populations, and identify possible changes. ----- METHODS: The data sources were the Croatian National Cancer Registry for incidence data, Croatian Bureau of Statistics for the numbers of deaths, and United Nations population estimates. Joinpoint regression analysis using the age-standardized rates was used to analyze incidence and mortality trends. ----- RESULTS: Acute lymphoblastic leukemia and chronic lymphocytic leukemia incidence did not significantly change. Acute myeloid leukemia incidence significantly increased in women, with estimated annual percentage change (EAPC) of 2.6% during the whole period, and in men since 1998, with EAPC of 3.2%. Chronic myeloid leukemia incidence significantly decreased in women (EAPC -3.7%) and remained stable in men. Mortality rates were stable for both lymphoid and myeloid leukemia in both sexes. Hodgkin lymphoma non-significantly increased in incidence and significantly decreased in mortality (EAPCs of -5.6% in men and -3.7% in women). Non-Hodgkin lymphoma significantly increased in incidence in women (EAPC 3.2%) and non-significantly in men and in mortality in both men (EAPC 1.6%) and women (EAPC 1.8%). ----- CONCLUSION: While Croatia had similar leukemia and lymphoma incidence trends as the other countries, the mortality trends were less favorable than in Western Europe. The lack of declines of leukemia incidence and non-Hodgkin lymphoma mortality could be attributed to late introduction of optimal therapies. As currently the most up-to-date diagnostics and treatments are available and covered by health insurance, we expect more favorable trends in the future. |
| Databáze: | OpenAIRE |
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