Hospitalizations in Pediatric and Adult Patients for All Cancer Type in Italy: The EPIKIT Study under the E.U. COHEIRS Project on Environment and Health
| Autor: | Massimo Crespi, Annamaria Colao, Giulia Della Rosa, Prisco Piscitelli, Roberto Romano, Ernesto Burgio, Restituta Mazzella, Fabrizio Bianchi, Gaetano Rivezzi, Andrea Falco, Matteo Rivezzi, Alessandra Marinelli, Maurizio Montella, Gian Luca Di Tanna, Mario Ascolese, Dennis Black, Cosimo Neglia, Giuseppe Serravezza, Antonella De Donno, Immacolata Marino, Adriana Bonifacino, Alessandro Distante, Giuseppe Miserotti, Valerio Gennaro, Roberto Romizi, Giovanni De Filippis, Giuseppe Pellerano, Giuseppe Militerno |
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| Přispěvatelé: | Piscitelli, Prisco, Marino, Immacolata, Falco, Andrea, Rivezzi, Matteo, Romano, Roberto, Mazzella, Restituta, Neglia, Cosimo, Della Rosa, Giulia, Pellerano, Giuseppe, Militerno, Giuseppe, Bonifacino, Adriana, Rivezzi, Gaetano, Romizi, Roberto, Miserotti, Giuseppe, Montella, Maurizio, Bianchi, Fabrizio, Marinelli, Alessandra, DE DONNO, Maria Antonella, De Filippis, Giovanni, Serravezza, Giuseppe, Di Tanna, Gianluca, Black, Denni, Gennaro, Valerio, Ascolese, Mario, Distante, Alessandro, Burgio, Ernesto, Crespi, Massimo, Colao, Annamaria, Rosa, Giulia Della, De Donno, Antonella |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Gerontology Registrie Male cancer incidence Health Toxicology and Mutagenesis lcsh:Medicine Adult cancer Cancer incidence Children Environment and health Hospitalizations Pediatric cancer Public Health Environmental and Occupational Health Toxicology hospitalizations children pediatric cancer adult cancer environment and health 0302 clinical medicine Residence Characteristics Neoplasms Epidemiology of cancer Health care Epidemiology Prevalence Medicine Registries Child Cancer education.field_of_study Environmental exposure Middle Aged 3. Good health Europe Hospitalization Italy Health 030220 oncology & carcinogenesis Child Preschool Female Public Health Risk assessment Human hospitalization Adult medicine.medical_specialty Adolescent Population Population health Article 03 medical and health sciences Young Adult Clinical Research Humans Toxicology and Mutagenesis education Preschool business.industry Environmental and Occupational Health lcsh:R Comment Infant 030104 developmental biology Residence Characteristic Neoplasm business Demography |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 14, Iss 5, p 495 (2017) International journal of environmental research and public health, vol 14, iss 5 International Journal of Environmental Research and Public Health; Volume 14; Issue 5; Pages: 495 |
| ISSN: | 1660-4601 |
| Popis: | Background: Cancer Registries (CRs) remain the gold standard for providing official epidemiological estimations. However, due to CRsâ partial population coverage, hospitalization records might represent a valuable tool to provide additional information on cancer occurrence and expenditures at national/regional level for research purposes. The Epidemiology of Cancer in Italy (EPIKIT) study group has been built up, within the framework of the Civic Observers for Health and Environment: Initiative of Responsibility and Sustainability (COHEIRS) project under the auspices of the Europe for Citizens Program, to assess population health indicators. Objective: To assess the burden of all cancers in Italian children and adults. Methods: We analyzed National Hospitalization Records from 2001 to 2011. Based on social security numbers (anonymously treated), we have excluded from our analyses all re-hospitalizations of the same patients (n = 1,878,109) over the entire 11-year period in order to minimize the overlap between prevalent and incident cancer cases. To be more conservative, only data concerning the last five years (2007â2011) have been taken into account for final analyses. The absolute number of hospitalizations and standardized hospitalization rates (SHR) were computed for each Italian province by sex and age-groups (0â19 and 20â49). Results: The EPIKIT database included a total of 4,113,169 first hospital admissions due to main diagnoses of all tumors. The annual average number of hospital admissions due to cancer in Italy has been computed in 2362 and 43,141 hospitalizations in pediatric patients (0â19 years old) and adults (20â49 years old), respectively. Women accounted for the majority of cancer cases in adults aged 20â49. As expected, the big city of Rome presented the highest average annual number of pediatric cancers (n = 392, SHR = 9.9), followed by Naples (n = 378; SHR = 9.9) and Milan (n = 212; SHR = 7.3). However, when we look at SHR, minor cities (i.e., Imperia, Isernia and others) presented values >10 per 100,000, with only 10 or 20 cases per year. Similar figures are shown also for young adults aged 20â49. Conclusions: In addition to SHR, the absolute number of incident cancer cases represents a crucial piece of information for planning adequate healthcare services and assessing social alarm phenomena. Our findings call for specific risk assessment programs at local level (involving CRs) to search for causal relations with environmental exposures. |
| Databáze: | OpenAIRE |
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