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Home    Θνησιμότητα και νοσηρότητα από καρκίνο του μαστού στην Κρήτη, 1992--2013. : Επιιδημιολογικοί δείκτες στο χώρο και το χρόνο  

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Identifier 000410281
Title Θνησιμότητα και νοσηρότητα από καρκίνο του μαστού στην Κρήτη, 1992--2013. : Επιιδημιολογικοί δείκτες στο χώρο και το χρόνο
Alternative Title Mortality and incidence of breast cancer in Crete, 1992-2013.
Author Κοτζαμάνη, Αργυρώ
Thesis advisor Λιονής, Χρήστος
Μαυρουδής, Δημήτριος
Abstract Aim: Breast cancer (BC) is the second cause of death for females according to global data. In 2012, 522.000 people lost their lives due to BC. This study aims to estimate the “burden” of the disease in Crete in incidence and mortality rates and detect the high risk municipalities in order to take preventive measures. Method: Data were obtained from the Cancer Registry Center (CRC) regarding all cases of BC for the period 1992-2013.The following rates were estimated of Crete, Αge-Standardized Incidence Rates (ASIR), Age-Specific Incidence Rates (ASpIR), Age-Standardized Mortality Rates (ASMR), Age-Specific Mortality Rates (ASpMR). The automatic processes of the CRC’s monitoring system (connected to STATA software and ArcGIS 10.3) were utilized to calculate the above rates and illustrate them in graphs and tables (all tests were conducted at a significance level of 0.05). Spatio-temporal trends and CC hot spots were estimated using the Getis Ord G *. Bayesian age-period-cohort prediction model was used for the estimation of the expected incidence and mortality rates (2014-2023). Results: For the study period (1992-2013) incidence and mortality showed an increasing trend. Specifically, mean ASIR was 56.5/100.000/year and mean ASMR was 19.9/100.000/year. Age groups 65-69 and 80-84 presented the highest rates of Age-Specific Incidence Rate (ASIR=389.5/100.000/year and ASIR=395.2/100.000/year). Five-year survival rate of BC was 87.9% and ten-year survival rate was 78.1%. Risk factors that were identified include personal history of cancer, family history of BC or other cancer, degree of relationship and smoking. Most municipalities of Crete are high risk areas for BC, while differences were detected in incidence and mortality rates, and annual rate change among them. Conclusion: BC incidence and mortality in Crete during 1992-2013 was increasing,. Future trends indicate further increase probably due to the lifestyle of the residents, economic crisis and inadequate preventive measures. These data should be further examined and preventive measures to reduce the disease “burden” should be taken.
Language Greek
Subject cancer registry center
κέντρο καταγραφής καρκίνου
Issue date 2017-07-26
Collection   School/Department--School of Medicine--Department of Medicine--Post-graduate theses
  Type of Work--Post-graduate theses
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