scholarly journals A magyarországi emlő- és méhnyakszűrés retrospektív vizsgálatának jellemzői a halálozási és megbetegedési adatok tükrében

2019 ◽  
Vol 160 (49) ◽  
pp. 1948-1956
Author(s):  
Attila Sárváry ◽  
Pál Csaba Bálint ◽  
Anikó Gyulai ◽  
Zsigmond Kósa

Abstract: Introduction: The organized breast and cervical screening programs were implemented in the framework of public health program in Hungary in order to reduce breast cancer mortality by 30% and cervical cancer mortality by 60% in given age groups within 10 years by 2012. Aim: The aim of our study was to conduct a retrospective analysis of mortality and morbidity data and to evaluate the effectiveness of the implemented screening programs. Method: Descriptive statistical analysis was performed by age-standardized mortality and morbidity data between 1980 and 2015 with special regard to the period of 2002–2012. Results: Breast cancer mortality of women aged 45–64 reduced by 28.3%, the incidence reduced by 23.6% and the incidence of in situ carcinoma increased by 242% between 2002 and 2012. Cervical cancer mortality of women aged 25–64 years reduced by 25.5%, the incidence reduced by 21.2%, and the incidence of in situ carcinoma increased by 13.3% during 2002–2012. Conclusion: Although both breast cancer and cervical cancer mortality substantially decreased in Hungary, the decrease in cervical cancer did not reach the target value. Orv Hetil. 2019; 160(49): 1948–1956.

2014 ◽  
Vol 48 (3) ◽  
pp. 459-467 ◽  
Author(s):  
Vania Reis Girianelli ◽  
Carmen Justina Gamarra ◽  
Gulnar Azevedo e Silva

OBJECTIVE To analyze cervical and breast cancer mortality in Brazil according to socioeconomic and welfare indicators. METHODS Data on breast and cervical cancer mortality covering a 30-year period (1980-2010) were analyzed. The data were obtained from the National Mortality Database, population data from the Brazilian Institute of Geography and Statistics database, and socioeconomic and welfare information from the Institute of Applied Economic Research. Moving averages were calculated, disaggregated by capital city and municipality. The annual percent change in mortality rates was estimated by segmented linear regression using the joinpoint method. Pearson’s correlation coefficients were conducted between average mortality rate at the end of the three-year period and selected indicators in the state capital and each Brazilian state. RESULTS There was a decline in cervical cancer mortality rates throughout the period studied, except in municipalities outside of the capitals in the North and Northeast. There was a decrease in breast cancer mortality in the capitals from the end of the 1990s onwards. Favorable socioeconomic indicators were inversely correlated with cervical cancer mortality. A strong direct correlation was found with favorable indicators and an inverse correlation with fertility rate and breast cancer mortality in inner cities. CONCLUSIONS There is an ongoing dynamic process of increased risk of cervical and breast cancer and attenuation of mortality because of increased, albeit unequal, access to and provision of screening, diagnosis and treatment. 


2021 ◽  
Vol 74 ◽  
pp. 102002
Author(s):  
Ingrid Salciccioli ◽  
Charlie D. Zhou ◽  
Emeka C. Okonji ◽  
Joseph Shalhoub ◽  
Justin D. Salciccioli ◽  
...  

2011 ◽  
Vol 20 (4) ◽  
pp. 720.1-720 ◽  
Author(s):  
A Trentham-Dietz ◽  
BL Sprague ◽  
O Alagoz ◽  
P Reaidi ◽  
M Rosenberg ◽  
...  

2021 ◽  
Vol 16 (3) ◽  
pp. 32-36
Author(s):  
Ju. A. Belaya ◽  
N. A. Zakharova ◽  
A. R. Brentnall

Objective: to perform a retrospective analysis of the quality of mammography screening in Khanty-Mansiysk State Region – Yugra from its beginning to 2018 inclusive.Materials and methods. During this investigation a throughout analysis of epidemiological indicators (breast cancer mortality and morbidity), quality indicators (coverage of the target population, cancer detection in general and early detection, sensitivity and morbidity) and mammographic screening performance indicators (projected and observed morbidity and mortality) was carried out.Results and conclusions. During this period, 572,348 women were screened, 9.7 % of whom were recommended for further screening. The coverage of the target population for one round was 33 %. Screening test sensitivity for the specified period was 80 %. The observed number of women with newly detected breast cancer cases of stage I in 2018 made 42 % (53 cases) higher in comparison with expected numbers, and in stage T2+ it made 21 % (62 cases) less. The observed number of deaths in 2018 was 23.7 % lower than expected. The above-mentioned demonstrates once again that mammography screening in Khanty-Mansiysk State Region – Yugra has led to the improvement of early diagnosis of breast cancer. This, in turn, leads to a steady decline in breast cancer mortality among women over 40 years of age.


2020 ◽  
pp. 761-765
Author(s):  
Alba J. Kihn-Alarcón ◽  
Juan F. Alvarado-Muñoz ◽  
Loida I. Orozco-Fuentes ◽  
Erwin Calgua-Guerra ◽  
Vicky Fuentes-de Falla ◽  
...  

PURPOSE Worldwide cervical and breast cancers are among the most commonly diagnosed cancers and are leading cause of cancer deaths among females in low- and middle-income countries. In Guatemala, breast and cervical cancers are the main cause of cancer-related deaths among women. Therefore, the aim of this study was to determine the years of potential life lost (YPLL) as an indicator of premature deaths as a result of breast and cervical cancers. METHODS Data on the number of deaths as a result of breast and cervical cancers (International Classification of Diseases [10th revision] codes C50 and C53) between 2012 and 2016 and age composition by quinquennials were retrieved from the Health Information System of the Guatemalan Health Ministry. On the basis of each individual’s age at death, YPLL was estimated for females between 20 and 70 years of age. RESULTS A total of 1,476 deaths related to breast and cervical cancers was reported over the study period. The trend in breast cancer mortality rate and YPLL did not change from 2012 to 2016. The cervical cancer mortality rate has decreased to 10 deaths per 1 million habitants ( P = .046). There has been a reduction in YPLL because of cervical cancer, from 50.18 YPLL in 2012 to 29.19 YPLL by 2016, mainly in women between 30 and 34 years of age, in whom YPLL decreased from 600 to 112.50 ( P = .046). CONCLUSION Cervical cancer screening has significantly reduced the mortality rate of this malignancy, and screening of breast cancer must include creating awareness of the disease and providing access to women at risk.


Author(s):  
Gulnar SHALGUMBAYEVA ◽  
Almagul ZHABAGINA ◽  
Anargul KUANYSHEVA ◽  
Marat SANDYBAYEV ◽  
Raida FAIZOVA ◽  
...  

Background: Epidemiology of cervical cancer is relatively well studied in developed countries of the world, but little is known about Central Asian states. This study aimed to analyze the changing patterns of cervical cancer incidence and mortality in the Republic of Kazakhstan. Methods: The statistical analysis of official data on cervical cancer mortality and morbidity was performed for the whole country. Data on cervical cancer patients were retrieved for the period 2007-2016. Results: There was an increase in the incidence of cervical cancer among the population of Kazakhstan from 15.24 per 100,000 in 2007 to 18.83 per 100,000 in 2016. This might be attributed to the introduction of national health program in 2011, which improved early identification. Over the last few years, the decreasing cervical cancer mortality is observed influenced by early diagnosis. The age-standardized incidence rates show that the majority of cervical cancer cases occur in the 40-49 yr age group. Conclusion: The incidence of and mortality from cervical cancer in Kazakhstan in 2007-2016 are comparable with those in the neighboring former Soviet Union countries. Significant variations in incidence and mortality rates and one-year cancer-specific survival were observed between country regions.  


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