Abstract

The aim of the study was an analysis of years of life lost due to cervical cancer in Poland in the period 2000 to 2015 with consideration given to differences related to education and place of residence. The study material was 28,274 death certificates of all female inhabitants of Poland, who died in 2000 to 2015 due to cervical cancer. In order to calculate years of life lost, the authors used indices: SEYLLp (Standard Expected Years of Life Lost per living person), SEYLLd (per deaths) and AAPC (Average Annual Percentage Change). The SEYLLp index (per 100,000) due to cervical cancer in Poland decreased from 394.3 in 2000 to 220.9 years of life in 2015 (AAPC = −3.6%). Women with university education lost the smallest number of years of life (SEYLLp = 139.0 in 2000 and 53.7 in 2015; AAPC = −5.4%), whereas those with elementary education had the greatest number of years of life lost (524.2 and 312.8; AAPC = −3.4%). Women living in rural areas lost on average 329.5 years in 2000 and 177.0 in 2015 (AAPC = −3.8%). In city areas, the values were 428.6 and 247.1 (AAPC = −3.4%). Many of the years of life lost could have been avoided by including more women, particularly those with elementary education, in screening examinations.

Highlights

  • Cervical cancer is the fourth most common neoplasm affecting female population in the world and the seventh most common cancer in the general population worldwide [1]

  • In 2013, 485,000 new cases of cervical cancer were diagnosed worldwide, and 236,000 deaths were caused by this disease, which contributed to 6.9 million disability adjusted life-years (DALY) in the female population

  • The aim of the study was an analysis of mortality trends and the number of years of life lost due to cervical cancer in Poland in the period 2000 to 2015 with consideration given to differences related to education and place of residence

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Summary

Introduction

Cervical cancer is the fourth most common neoplasm affecting female population in the world and the seventh most common cancer in the general population worldwide [1]. In 2013, 485,000 new cases of cervical cancer were diagnosed worldwide, and 236,000 deaths were caused by this disease, which contributed to 6.9 million disability adjusted life-years (DALY) in the female population. In 1990, cervical cancer was the eighth most common factor of all kinds of neoplasm which contributed to prematurely lost years of life. In the period between 1990 and 2013 the incidence and mortality rates due to cervical cancer decreased. This trend, did not cause major changes because at that time, the disease became the ninth most common neoplasm, contributing to lost years of life [4]

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