Avtor/Urednik		Barbaric, Jelena; Sekerija, Mario; Agius, Dominic; Coza, Daniela; Dimitrova, Nadya; Demetriou, Anna; Safaei Diba, Chakameh; Eser, Sultan; Gavrić, Živana; Primic-Žakelj, Maja
Naslov		Disparities in melanoma incidence and mortality in South-Eastern Europe
Tip		članek
Vol. in št.		, št. Vol. 55
Leto izdaje		2016
Obseg		str. 47-55
ISSN		0959-8049 - European journal of cancer (Oxford, England : 1990)
Jezik		eng
Abstrakt		Introduction: Most countries in South-Eastern Europe (SEE) have lower incidence, but higher mortality rates of malignant melanoma (MM) of the skin compared to North- Western Europe (NWE). We explored trends inMM incidence and mortality in SEE countries by sex and age and compared them with the trends in NWE. Methods: We obtained data on incident cases and deaths from MM (ICD-10 code C43) from 11 population-based cancer registries in Bosnia and Herzegovina, Bulgaria, Croatia, Cyprus, Czech Republic, Malta, Romania, Serbia, Slovakia, Slovenia and Turkey. We calculated agespecific rates for 25-49 (young), 50-69 (middle aged) and 70 years (older) and estimated the average annual percent of change in incidence and mortality trends 2000-2010 according to age group and sex, using joinpoint regression analysis. Findings: The incidence rates of MM across the region were uniformly increasing. Significant increases in mortality rates were observed in middle aged men in Serbia and Bulgaria, middle aged women in Slovenia, older men in the Czech Republic, Serbia and Turkey, and older women in Slovenia and Serbia. Interpretation: While MM incidence rates were still increasing across SEE, mortality trends diverged and were less favourable than in NWE. Empowering cancer registration and improving the quality of incidence and mortality data will be essential for monitoring progress inMMcontrol. In the context of prevention of melanoma, disparities in early detection appear to be widening the gap between SEE and NWE, while the provision of care to patients with advanced disease is likely to prove a challenge for regional healthcare budgets.
Proste vsebinske oznake		melanom maligni melanom incidenca smrtnost malignant melanoma incidence mortality