Trends in oesophageal cancer mortality in Montenegro, 1990-2018.

IF 3.7 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Mirjana Nedović Vuković, Marina Jakšić, Brigita Smolović, Miloš Lukić, Zoran Bukumirić
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引用次数: 0

Abstract

Background: Oesophageal cancer (OC) is a significant public health issue, despite the decreasing trends in OC mortality rates observed globally in the past decades. The objective of our study is to analyze the pattern of OC mortality in Montenegro between 1990 and 2018 and contribute to the development of a national long-term strategy for the prevention and control of this malignancy.

Methods: The data on OC death cases in Montenegro between 1990 and 2018 were collected. The mortality rates were standardized according to the World Standard Population. The Joinpoint, Linear and Poisson regressions were applied to analyze the OC mortality trend.

Results: Joinpoint regression analysis showed an increase in death rates for men and the overall level which were not statistically significant. However, the number of cases increases significantly with an average annual percentage change (AAPC) increase of 2.6% for the overall level [AAPC (95% CI)=2.6 (1.0-4.2); P = 0.002] at the expense of the increase in men, which on average was 2.6% annually [AAPC (95%CI) = 2.6 (1.2-4.1); P = 0.001]. The age groups 55-64 and 65-74 have the highest percentage of deaths cases from OC with 30.6% and 31.4%, respectively.

Conclusion: Montenegro has witnessed a recent increase in the number of deaths from OC, although the mortality rates remain stable. National strategies to further reduce mortality rates for OC are necessary. Individuals aged 55-64 and 65-74 need specific attention during the ongoing monitoring of this cancer.

1990-2018 年黑山食道癌死亡率趋势。
背景:食管癌(OC)是一个重大的公共卫生问题,尽管过去几十年全球食管癌死亡率呈下降趋势。我们的研究旨在分析 1990 年至 2018 年间黑山的食管癌死亡模式,为制定预防和控制这种恶性肿瘤的国家长期战略做出贡献:收集了1990年至2018年间黑山OC死亡病例的数据。死亡率根据世界标准人口进行了标准化。采用连接点、线性和泊松回归分析 OC 死亡率趋势:接合点回归分析表明,男性死亡率和总体水平均有所上升,但无统计学意义。然而,病例数显著增加,总体水平的年均百分比变化(AAPC)增加了 2.6% [AAPC (95%CI)=2.6 (1.0-4.2); P = 0.002],而男性的年均百分比变化增加了 2.6% [AAPC (95%CI)=2.6 (1.2-4.1); P = 0.001]。55-64 岁和 65-74 岁年龄组因 OC 死亡的比例最高,分别为 30.6% 和 31.4%:黑山近期死于 OC 的人数有所增加,但死亡率保持稳定。有必要制定进一步降低 OC 死亡率的国家战略。在对这种癌症进行持续监测时,需要特别关注 55-64 岁和 65-74 岁的人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
European Journal of Public Health
European Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
2.30%
发文量
2039
审稿时长
3-8 weeks
期刊介绍: The European Journal of Public Health (EJPH) is a multidisciplinary journal aimed at attracting contributions from epidemiology, health services research, health economics, social sciences, management sciences, ethics and law, environmental health sciences, and other disciplines of relevance to public health. The journal provides a forum for discussion and debate of current international public health issues, with a focus on the European Region. Bi-monthly issues contain peer-reviewed original articles, editorials, commentaries, book reviews, news, letters to the editor, announcements of events, and various other features.
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