Abstract

BackgroundThe aim of the study was to assess trends in mortality and the number of lost years of life due to breast cancer in the female population in the years 2000–2016, with consideration given to differences regarding the level of education and place of residence.MethodsThe analysis was based on a database of the Central Statistical Office of Poland, containing information gathered from 92,154 death certificates of all Polish female inhabitants who died in the period 2000–2016 due to breast cancer. The SEYLLp (Standard Expected Years of Life Lost per living person), the SEYLLd (per deaths), the APC (Annual Percentage Change), the AAPC (Average Annual Percentage Change) were calculated to determine years of life lost.ResultsThe mean age of women who died from breast cancer increased in the study period from 64.7 years to 69.7. The SEYLLp index (per 100,000) increased to 776.8 years in 2016 (AAPC = 0.5%). The most unfavorable changes were observed in the group of women with secondary education. In 2004, the SEYLLp values started to grow at a rate of 2.3% and since 2011, they have been higher than amongst women with elementary education. In the years 2000–2016, the authors observed that SEYLLp was steadily declining (APC = -1.0%) in the group of inhabitants of rural areas, whereas with regards to city dwellers, the SEYLLp index has been increasing since 2004 (APC = 0.5%), which has resulted in increased disproportions regarding the place of residence.ConclusionsThe results of this study showed that breast cancer is becoming a serious epidemiological problem in Poland. There is the need to intensify activities among women at highest risk group and it should be the starting point for making key decision in combating breast cancer.

Highlights

  • The aim of the study was to assess trends in mortality and the number of lost years of life due to breast cancer in the female population in the years 2000–2016, with consideration given to differences regarding the level of education and place of residence

  • The aim of this study was to assess trends in mortality and mortality-related lost years of life due to breast cancer in the female population, in the years 2000–2016, with consideration given to differences regarding the level of education and place of residence

  • The standard expected years of life lost (SEYLL) index (Standard Expected Years of Life Lost) was used to calculate the number of years of life lost by the studied population in comparison to the years lost by the referential population [10]

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Summary

Introduction

The aim of the study was to assess trends in mortality and the number of lost years of life due to breast cancer in the female population in the years 2000–2016, with consideration given to differences regarding the level of education and place of residence. A review of epidemiological data on morbidity and mortality due to cancer indicates that estimates of the global cancer burden has increased to 18,1 million cases and 9, 6 million deaths were recorded in 2018 [1]. 000 and was the second most common kind of cancer in the global population. Deaths due to this reason constituted 6.1% of all cancer deaths (the third cause of deaths in this class) [2]. Between the mid-1970s and the middle of the first decade of the twenty-first century, breast cancer was the most common cause of mortality of all cancer-related deaths, affecting the female population in Poland. Since 2007, it has been the second cause of death in the group of cancer-related deaths, which is mainly caused by the increase in morbidity and mortality due to lung cancer [3]

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