151 research outputs found
Cervical Cancer in Croatia: State of the Art and Possibilities for Prevention
In Croatia, there are about 355 incident cases and about 100 deaths from cervical cancer every year. The aim of this
study is to present the trends of cervical cancer incidence and mortality and to propose preventive strategies for cervical
cancer in Croatia. Age-standardised and age-specific cervical cancer incidence rates were calculated for the period
1985–2004. For cervical cancer mortality data, the WHO Mortality Database was used. After an early decrease of cervical
cancer incidence and mortality following the introduction of opportunistic screening in Croatia, no further decrease has
been observed since the 1990s. An increase in incidence over the last 20 years was observed in the age-groups 40–44 and
45–49 years. To reduce cervical cancer rates, an organised cervical cancer screening programme is essential. In addition,
HPV vaccination should be introduced in the school vaccination programme to achieve further reductions in cervical
cancer incidence in the future
Rak dojke u Hrvatskoj - kako stojimo i što očekujemo?
S oko 1 151 298 novooboljelih i 410 712 umrlih žena (procjene za 2002.), rak dojke najčešće je sijelo raka žena u svijetu (Slika 1). U razvijenim zemljama rak dojke odgovoran je za oko četvrtinu novih slučajeva raka u žena. U Europi godišnje od raka dojke obolijeva oko 429 900, a umire oko 131 900 žena (procjene za 2006.). Prema zadnjim objavljenim podacima za Hrvatsku, 2005. godine broj novooboljelih žena bio je 2 303 (stopa 100,1/100 000)
Registar za rak
Registar za rak pri Hrvatskom zavodu za javno zdravstvo osnovao je prof.dr.sc. Živko Kulčar 1959. godine od kada kontinuirano djeluje
Rak dojke u Hrvatskoj i provođenje nacionalnog programa (Breast cancer in Croatia and National Screening Programme funktioning)
Rak dojke najčešće je sijelo raka u žena u RH od kojeg obolijeva četvrtina žena novooboljelih od raka. U 2006. godini od raka dojke oboljelo je 2203 žena. S 861 umrlom ženom u 2007. rak dojke također je najčešći uzrok smrti od raka u žena u RH. Incidencija raka dojke u Hrvatskoj je u kontinuiranom porastu. Mortalitet je također u porastu premda se zadnjih godina bilježi stabilizacija trenda.Dok su mogućnosti utjecaja na incidenciju raka dojke ograničene s obzirom da su faktori rizika uvelike povezani sa suvremenim životnim stilovima, na smanjenje mortaliteta može se utjecati organiziranim programima ranog otkrivanja
Trends in prostate cancer incidence and mortality in Croatia, 1988 to 2008
AIM:
To describe and interpret prostate cancer incidence and mortality trends in Croatia between 1988 and 2008. ----- METHODS:
Incidence data for the period 1988-2008 were obtained from the Croatian National Cancer Registry. The number of prostate cancer deaths was obtained from the World Health Organization mortality database. We also used population estimates for Croatia from the Population Division of the Department of Economic and Social Affairs of the United Nations. Age standardized incidence and mortality rates were calculated by the direct standardization method. To describe time trends of incidence and mortality, joinpoint regression analysis was used. ----- RESULTS:
Average age-standardized incidence rate between the first and last five-year period doubled, from 19.0/100,000 in 1988-1992 to 39.1 per 100,000 in 2004-2008. Age-standardized mortality rate increased by 6.9%, from 14.5 to 15.5 per 100,000. Joinpoint analysis of incidence identified two joinpoints. The increasing incidence trend started from 1997, with the estimated annual percent of change (EAPC) of 12.9% from 1997-2002 and of 4.1% from 2002-2008. Joinpoint analyses of mortality identified one joinpoint. Mortality trend first decreased, with EAPC of -3.0% from 1988-1995 to increase later with EAPC of 2.0% from 1995-2008. ----- CONCLUSION:
The incidence of prostate cancer in Croatia has been on the increase since 1997. Trend in mortality is increasing, contrary to the trends in some higher-income countries. An improvement in the availability of different treatment modalities as well as establishing prostate cancer units could have a positive impact on prostate cancer mortality in Croatia
Trends in lung cancer incidence and mortality in Croatia, 1988-2008
Aim To describe and interpret lung cancer incidence and
mortality trends in Croatia between 1988 and 2008.
Methods Incidence data on lung cancer for the period
1988-2008 were obtained from the Croatian National Cancer
Registry, while mortality data were obtained from the
World Health Organization mortality database. Population
estimates for Croatia were obtained from the Population
Division of the Department of Economic and Social Affairs
of the United Nations. We also calculated and analyzed
age-standardized incidence and mortality rates. To describe
time incidence and mortality trends, we used joinpoint
regression analysis.
Results Lung cancer incidence and mortality rates in men
decreased significantly in all age groups younger than 70
years. Age-standardized incidence rates in men decreased
significantly by -1.3% annually. Joinpoint analysis of mortality
in men identified three trends, and average annual percent
change (AAPC) decreased significantly by -1.1%. Lung
cancer incidence and mortality rates in women increased
significantly in all age groups older than 40 years and decreased
in younger women (30-39- years). Age-standardized
incidence rates increased significantly by 1.7% annually.
Joinpoint analysis of age-standardized mortality rates
in women identified two trends, and AAPC increased significantly
by 1.9%.
Conclusion Despite the overall decreasing trend, Croatia
is still among the European countries with the highest
male lung cancer incidence and mortality. Although the
incidence trend in women is increasing, their age standardized
incidence rates are still 5-fold lower than in men.
These trends follow the observed decrease and increase in
the prevalence of male and female smokers, respectively.
These findings indicate the need for further introduction
of smoking prevention and cessation policies targeting
younger population, particularly women
- …