Epidemiology of primary central nervous system tumors in the Coast and Gorski Kotar County, Croatia, 1977-2000
| Autor: | Ksenija Willheim, Mima Weiner-Črnja, Mira Bučuk, Juraj Sepčić, Eris Materljan, Igor Antončić, Lidija Tuškan-Mohar, Anton Jurjević |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Pathology Croatia Population Autopsy World health 030218 nuclear medicine & medical imaging Meningioma Central Nervous System Neoplasms 03 medical and health sciences 0302 clinical medicine Age Distribution Epidemiology Confidence Intervals Medicine Humans Sex Distribution education Aged Retrospective Studies education.field_of_study business.industry Incidence (epidemiology) Incidence central nervous system primary tumors epidemiology Retrospective cohort study Confounding Factors Epidemiologic General Medicine Middle Aged medicine.disease Neoplasms Neuroepithelial Oncology 030220 oncology & carcinogenesis Female business Glioblastoma Demography |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0300-8916 |
| Popis: | Aim and Background To establish the incidence of primary tumors of the central nervous system (CNS) in the resident population of the Coast and Gorski Kotar County, Croatia, in the period 1977-2000. Methods A retrospective descriptive epidemiological study. Tumors were classified according to the World Health Organization's scheme. A total of 911 cases was identified. Information about patient gender and age at diagnosis, tumor location and histologic type was obtained from case histories, autopsy protocols and pathology reports. Age- and sex-adjusted incidence were determined by a direct standardization method. Results Histologic confirmation was obtained in 84.5% of cases. The most frequent tumors were glioblastoma in men (30.2%) and meningioma in women (29.5%). The average annual crude and world-standardized incidence was 11.2 (95% CI, 10.1-12.3) and 8.2/100,000/year (95% CI, 7.4-9.0), respectively. The highest specific age incidence was detected in the seventh decade of life, 24.7/100,000/year (95% CI, 21.4-28.8). The tumors occurred equally in each sex. The lowest incidence was detected on the islands, 7.4/100,000/year (95% CI, 5.9-9.2) and the highest along the coast, 12.7/100,000/year (95% CI, 11.4-14.0). The survey showed the highest incidence of these neoplasms in the coastal municipality of Senj, 14.7/100,000/year (95% CI, 10.3-20.5). Conclusion The descriptive epidemiological incidence of primary CNS tumors in the Coast and Gorski Kotar County, Croatia, especially those of neuroepithelial and meningeal origin, correspond to the data reported in similar studies elsewhere in the world. The incidence of these neoplasms in the area investigated is uneven. Limitations in study design preclude definitive conclusions about the causes of these differences. |
| Databáze: | OpenAIRE |
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