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2019, vol. 48, br. 3, str. 33-42
Umiranje usled kolorektalnog raka u Centralnoj Srbiji u periodu 1999-2014 - "Joinpoint" regresiona analiza
aUniverzitet u Beogradu, Medicinski fakultet, Institut za epidemiologiju
bDom zdravlja Voždovac, Beograd
cKlinički centar Srbije, Klinika za digestivnu hirurgiju – I hirurška, Beograd + Univerzitet u Beogradu, Medicinski fakultet

e-adresasandra.grujicic2014@gmail.com
Projekat:
Epidemiološka istraživanja (MPNTR - 175042)

Ključne reči: rak kolorektuma; rak kolona; rak rektuma; mortalitet; trend; jointpoint regresiona analiza
Sažetak
Uvod/Cilj: U svetu, rak kolorektuma je treći vodeći uzrok umiranja kod muškaraca i drugi kod žena, i predstavlja jedan od vodećih uzroka umiranja među svim malignim tumorima. Cilj ovog rada je da se analizira trend mortaliteta usled raka kolorektuma u centralnoj Srbiji u periodu 1999-2014. godine. Metode: Od Instituta za javno zdravlje Srbije "Dr Milan Jovanović - Batut" preuzeti su podaci o mortalitetu za rak kolorektuma za period 1999-2014. godine. U cilju određivanja godišnje procentualne promene (APCs) umiranja i za identifikovanje kritičnih perioda kada su se dogodile značajne promene umiranja korišćena je joinpoint regresiona analiza. Rezultati: U centralnoj Srbiji, u periodu između 1999. i 2014. godine, rak kolorektuma je bio drugi vodeći uzrok umiranja, među svim malignim tumorima, kako za muškarce tako i za žene. Prosečna standardizovana stopa mortaliteta je bila 18,2 na 100.000 za muškarce i 10,5 na 100.000 za žene. Stope su bile 1,7 puta više kod muškaraca nego žena. U periodu 1999-2014, dolazi do značajnog porasta stope mortaliteta od raka kolorektuma od 1,3% godišnje kod muškaraca, dok je kod žena trend umiranja bio stabilan. Kod muškaraca je uočen značajan porast stope mortaliteta za rak kolona (APC - 1,8%) i rak rektosigmoidalnog prelaza (APC - 3,3%). Takođe, značajan porast umiranja beleži se kod muškaraca u uzrasta 35-74 godina, kao i kod muškaraca i žena uzrasta 75 i više godina. Zaključak: Rezultati ovog istraživanja ukazuju na porast mortaliteta usled kolorektalnog raka u Srbiji. Rad na boljoj primeni nacionalnog organizovanog skrininga mora biti od najvećeg značaja u Srbiji. Mere primarne prevencije treba uglavnom usredsrediti na održavanje optimalne telesne težine i uravnoteženu ishranu, kao i na prestanak pušenja i konzumiranja alkohola.
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O članku

jezik rada: engleski
vrsta rada: originalan članak
DOI: 10.5937/ZZ1903033S
objavljen u SCIndeksu: 09.11.2019.