Abstract

Analysis of descriptive epidemiological characteristics of pancreatic cancer in Vojvodina, Serbia. The study covers population of Vojvodina in the period from 2000 to 2009. The method used for data processing was the descriptive. The data, referring to a specified period of time, were analyzed from chronological and demographic aspects and according to histological diagnosis. In the period from 2000 to 2009, there were 2,108 registered cases of pancreatic cancer of which 1,886 had a fatal outcome. Standardized incidence rates varied between 5.7 and 9.1 per 100,000 population in males and between 4.2 and 5.3 in females. Linear incidence trends in males in the specified period of time, based on crude (r=0.7883, p<0.05) and standardized (r=0,6373, p<0,05) incidence rates, demonstrated increase. Annual percent increase in the crude incidence rate was 4.5% in males, and 2.8% in females. Age-standardized mortality rates varied between 5.2 and 7.5 per 100,000 population in males and 3.6 and 4.7 in females. Linear mortality trends in males in the specified period of time, based on crude (r=0.8795, p<0.05) and standardized (r=0.7669, p<0.05) mortality rates, also demonstrated annual percent increase. Data analysis shows unfavorable onco-epidemiological situation related to pancreatic cancer in Vojvodina, in aspects of both incidence and mortality. Absence of primary and secondary prevention does not allow medical institutions to successfully fight against this disease.

Highlights

  • It is estimated that in 2012 337.872 people worldwide were diagnosed with pancreatic cancer, while 330.372 people died of the consequences of the disease

  • In the period between 2000 and 2009, 2108 persons with pancreatic cancer diagnosis were registered in AP Vojvodina - 55 % of them were males and 45% females

  • The highest average age specified incidence rate occurs in the 75-79 age group, with the crude incidence rate for both sexes of 478, 52/100 000, and the greatest number of newly diagnosed cases occurs in the 70-74 age group

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Summary

Introduction

It is estimated that in 2012 337.872 people worldwide were diagnosed with pancreatic cancer, while 330.372 people died of the consequences of the disease. Pancreatic cancer is ranked the 9th on the cancer frequency world list and is considered to be a relatively rare type of tumor. Pancreatic cancer is almost always fatal and because of its high mortality rate it is ranked the seventh most frequent cause of cancer death in the world (Ferlay et al, 2013a). Pancreatic cancer is one of the most frequent and most aggressive types of malignancies and to the present day it remains an example of a rapid spreading and poor prognosis disease (Engin et al, 2012). In Europe, a five-year survival rate is between 2% and 9% (Sant et al, 2009; Inal et al, 2012))

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