Nowotwory w Polsce w 2012 roku

Abstract

Introduction. Cancer is an increasing health problem in Poland and the number of cases has been growing steadily during the last three decades. Cancer has now become the second most common cause of death (24% of deaths in 2010). In this report we present the latest estimates of morbidity and mortality from cancer in Poland in 2012 and also a wide range of information on the occurrence of cancer in 2010, by gender, age, tumor location and administrative region of Poland. The report also includes long-term time trends in incidence and mortality which help to assess changes in the risk of cancer in Poland in recent decades. Material and methods. Data on cancer cases are derived from the National Cancer Registry, and are collected based on a unified protocol for the whole country. This allows us to maintain the same cancer registration rules throughout Poland. The source of data on deaths from cancer is the Central Statistical Office. In this report the basic statistical indicators were used. These are absolute numbers, percentages, crude and age-standardized (ASW) rates, cumulative risk and lifetime risk of developing and dying from cancer. Estimates number of incidence and of deaths for the year 2012 are calculated on the basis of the AP (age-period) model. Annual percentage changes in incidence and mortality trends were analyzed by the Joinpoint Regression Program, allowing up to 3 joinpoints. Results. A total of 145,890 new cancer cases and 98,500 deaths from cancer are estimated to occur in Poland in 2012. These estimates indicate that the most frequently detected cancer in men in 2012 are lung cancer (20%), prostate cancer (15%) and colorectal cancer (13%). The most common causes of death in men were lung cancer (31%) and colorectal cancer (12%). Among women the most commonly diagnosed cancers in 2012 were breast cancer (23%), colorectal cancer (10%) and lung cancer (9%). The most common causes of death among women were lung cancer (15%), breast cancer (13%) and colorectal cancer (12%). In 2010, in Poland, more than 140,500 new cases of cancer were registered and more than 92,500 persons died from cancer. Cancer is the second leading cause of death in Poland, with 26% of deaths in men and 23% of deaths among women. Over the past 30 years, both the number of cases and number of deaths in Poland have grown for both sexes. In recent years there has been a decrease in cancer incidence rates in men by 0.2% per year and an increase in incidence rates in women by 1% per year. For mortality a decline has been observed of 1.9% per year in men and 1.5% per year in women. The most frequently diagnosed cancer in 2010 in men was lung cancer (21%) followed by prostate cancer (13%) and colorectal cancer (12%). The most common causes of death in men were lung cancer (12%) and prostate cancer (8%). In the female population the most frequently diagnosed cancer in 2010 was breast cancer (22%), followed by colorectal cancer (10%) and lung cancer (9%). The most frequent causes of cancer deaths in women were lung cancer (15%), breast cancer (13%) and colorectal cancer (12%). Analysis of regional differences revealed that the incidence rates in Poland vary (from 209/105 to 303/105 in males and from 176/105 to 249/105 in females) depending on administrative region. Regional differences are also observed in the level of mortality. In the male population mortality rates range from 151/105 to 209/105 and in the female population from 75/105 to 119/105. Summary. This report presents the latest data on incidence and mortality from cancer in 2010 and the estimates for 2012. In comparison to previous years, in 2010 there is still a dominant position for lung cancer in men (both in incidence and mortality), although the incidence is decreasing. In men, there is observed increasing importance of colorectal and prostate cancers. In the population of women in Poland there is observed a growing importance for lung cancer, which is reflected by its dominant position in cancer deaths. In incidence, as in previous years, the most common are breast cancer and colorectal cancer. According to estimates, a significant change in the structure of morbidity and mortality from cancer in 2012 is not expected. © 2013, Polskie Towarzystwo Onkologiczne.