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Trends in Pancreatic Cancer Incidence and Mortality in Lithuania, 1998–2015

Background: Pancreatic cancer is one of the deadliest cancers worldwide, and its incidence is increasing. The aim of this study was to examine the time trends in the incidence and mortality rates of pancreatic cancer for the period of 1998–2015 for the first time in Lithuania by sex, age, subsite, a...

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Autores principales: Kavaliauskas, Povilas, Dulskas, Audrius, Kildusiene, Inga, Arlauskas, Rokas, Stukas, Rimantas, Smailyte, Giedre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775817/
https://www.ncbi.nlm.nih.gov/pubmed/35055770
http://dx.doi.org/10.3390/ijerph19020949
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author Kavaliauskas, Povilas
Dulskas, Audrius
Kildusiene, Inga
Arlauskas, Rokas
Stukas, Rimantas
Smailyte, Giedre
author_facet Kavaliauskas, Povilas
Dulskas, Audrius
Kildusiene, Inga
Arlauskas, Rokas
Stukas, Rimantas
Smailyte, Giedre
author_sort Kavaliauskas, Povilas
collection PubMed
description Background: Pancreatic cancer is one of the deadliest cancers worldwide, and its incidence is increasing. The aim of this study was to examine the time trends in the incidence and mortality rates of pancreatic cancer for the period of 1998–2015 for the first time in Lithuania by sex, age, subsite, and stage. Methods: This study was based on all cases (deaths) of pancreatic cancer diagnosed between 1998 and 2015. Age-standardized incidence (mortality) rates and group-specific rates were calculated for each sex using the direct method (European Standard). TNM classification-based information reported to the cancer registry was grouped into three categories: (1) localized cancer: T1-3/N0/M0; (2) cancer with regional metastasis: any 1-3/N+/M0; (3) advanced cancer: any T/any N/M+. Joinpoint regression was used to provide annual percentage changes (APCs) and to detect points in time where statistically significant changes in the trends occurred. Results: Overall, 8514 pancreatic cancer cases (4364 in men and 3150 in women) were diagnosed and 7684 persons died from cancer of the pancreas. Pancreatic cancer incidence rates were considerably lower for women than for men, with a female:male ratio of 1:2. Incidence rates changed during the study period from 14.2 in 1998 to 15.0/100,000 in the year 2015 in men, and from 6.7 to 9.8/100,000 in women. Incidence rates over the study period were stable for men (APC = 0.1%) and increasing for women by 1.1% per year. Similarly, mortality rates increased in women by 0.9% per year, and were stable in men. During the study period, incidence and mortality rates of pancreatic cancer were close. For the entire study period, rates increased significantly in the 50–74 years age group; only cancer of the head of pancreas showed a decline by 0.9%, while tail and not-specified pancreatic cancer incidence increased by 11.4% and 4.51%, respectively. Conclusions: The increasing pancreatic cancer incidence trend in the Lithuanian population may be related to the prevalence of its main risk factors (smoking, obesity, physical inactivity, diet, and diabetes).
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spelling pubmed-87758172022-01-21 Trends in Pancreatic Cancer Incidence and Mortality in Lithuania, 1998–2015 Kavaliauskas, Povilas Dulskas, Audrius Kildusiene, Inga Arlauskas, Rokas Stukas, Rimantas Smailyte, Giedre Int J Environ Res Public Health Article Background: Pancreatic cancer is one of the deadliest cancers worldwide, and its incidence is increasing. The aim of this study was to examine the time trends in the incidence and mortality rates of pancreatic cancer for the period of 1998–2015 for the first time in Lithuania by sex, age, subsite, and stage. Methods: This study was based on all cases (deaths) of pancreatic cancer diagnosed between 1998 and 2015. Age-standardized incidence (mortality) rates and group-specific rates were calculated for each sex using the direct method (European Standard). TNM classification-based information reported to the cancer registry was grouped into three categories: (1) localized cancer: T1-3/N0/M0; (2) cancer with regional metastasis: any 1-3/N+/M0; (3) advanced cancer: any T/any N/M+. Joinpoint regression was used to provide annual percentage changes (APCs) and to detect points in time where statistically significant changes in the trends occurred. Results: Overall, 8514 pancreatic cancer cases (4364 in men and 3150 in women) were diagnosed and 7684 persons died from cancer of the pancreas. Pancreatic cancer incidence rates were considerably lower for women than for men, with a female:male ratio of 1:2. Incidence rates changed during the study period from 14.2 in 1998 to 15.0/100,000 in the year 2015 in men, and from 6.7 to 9.8/100,000 in women. Incidence rates over the study period were stable for men (APC = 0.1%) and increasing for women by 1.1% per year. Similarly, mortality rates increased in women by 0.9% per year, and were stable in men. During the study period, incidence and mortality rates of pancreatic cancer were close. For the entire study period, rates increased significantly in the 50–74 years age group; only cancer of the head of pancreas showed a decline by 0.9%, while tail and not-specified pancreatic cancer incidence increased by 11.4% and 4.51%, respectively. Conclusions: The increasing pancreatic cancer incidence trend in the Lithuanian population may be related to the prevalence of its main risk factors (smoking, obesity, physical inactivity, diet, and diabetes). MDPI 2022-01-15 /pmc/articles/PMC8775817/ /pubmed/35055770 http://dx.doi.org/10.3390/ijerph19020949 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kavaliauskas, Povilas
Dulskas, Audrius
Kildusiene, Inga
Arlauskas, Rokas
Stukas, Rimantas
Smailyte, Giedre
Trends in Pancreatic Cancer Incidence and Mortality in Lithuania, 1998–2015
title Trends in Pancreatic Cancer Incidence and Mortality in Lithuania, 1998–2015
title_full Trends in Pancreatic Cancer Incidence and Mortality in Lithuania, 1998–2015
title_fullStr Trends in Pancreatic Cancer Incidence and Mortality in Lithuania, 1998–2015
title_full_unstemmed Trends in Pancreatic Cancer Incidence and Mortality in Lithuania, 1998–2015
title_short Trends in Pancreatic Cancer Incidence and Mortality in Lithuania, 1998–2015
title_sort trends in pancreatic cancer incidence and mortality in lithuania, 1998–2015
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775817/
https://www.ncbi.nlm.nih.gov/pubmed/35055770
http://dx.doi.org/10.3390/ijerph19020949
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