PECULIARITIES AND TRENDS IN THE SKIN MALIGNANCIES MORBIDITY
DOI:
https://doi.org/10.11603/1681-2786.2020.4.11903Keywords:
morbidity, mortality, skin cancer, melanoma, regional and sex characteristics, the National Cancer Registry of Ukraine, timeliness of cancer diagnosisAbstract
Purpose: to identify the features and trends in the skin malignant neoplasms morbidity of population in Ukraine in order to determine the priorities for the organization of preventive and treatment-diagnostic activities.
Materials and Methods. The bibliographic, epidemiological, medical-statistical and analytical methods are used. The statistical data of the Ministry of Health of Ukraine during 2000–2019, data from the National cancer registry of Ukraine and from WHO European Region office were analyzed. The regional and sex characteristics of the morbidity and mortality from cancer skin, the timeliness of diagnosis are considered.
Results. A negative trend towards an increase in the skin cancer incidence among the population by 24.0 % during 2000–2019, including melanoma by 77.3 %, was established. Higher incidence of melanoma among women in comparison with men by 22.9 %, other skin cancers – by 23.0 % and a rapid growth rate of the incidence of melanoma in men (+ 84.2 %) compared with women (+ 68.6 %) in 2019 were revealed. A negative trend towards an increase in mortality due to melanoma during 2000–2019, high mortality rates and faster growth rates in men compared with women were identified. The regional features of the incidence and mortality of the population due to skin cancer were established.
The effectiveness of preventive examinations, timeliness of pathology detection was evaluated. It was found that 8.7 % of melanoma cases are detected in stages III and IV, which correlate with indicators of the first year of life after diagnosis. The priority problems in the fighting against skin cancer are outlined.
Conclusions. The increase in morbidity and mortality of the population from malignant skin neoplasms, the lack of prevention and untimeliness of diagnostic interventions require in-depth study of the causes, justification of strategies and taking counter measures.
References
Sydorenko, A.M., Boyarsky, V.V., Yakubovskaya, A.V., & Timoshev, N.P. (2016). Epidemiolohiia melanomy shkiry u XX i na pochatku XXI stolittia v kraini ta Zaporizkii oblasti [Epidemiology of melanoma of the skin in the and early century in the country and Zaporozhye region]. Patolohiia – Pathology, 3 [in Ukrainian].
Fedorenko, Z.P., Hulak, L.O., & Mykhailovych, Yu.Y. (2015). Otsinka stanu orhanizatsii onkolohichnoi dopomohy naselenniu za danymy Natsionalnoho kantser-reiestru Ukrainy [Assessment of the state of organization of oncological care to the population according to the National Cancer Registry of Ukraine]. Klinicheskaya onkologiya – Clinical Oncology, 3, 7-12. Retrieved from: http://nbuv.gov.ua/UJRN/klinonk_2015_3_3. [in Ukrainian].
Fedorenko, Z.P., Hulak, L.O., & Horokh, Ye.L. (2004). Rak v Ukraini, 2002–2003 [Cancer in Ukraine, 2002–2003]. Biuleten natsionalnoho kantser-reiestru Ukrainy – Bulletin of the National Cancer Registry of Ukraine, 5, 31-32 [in Ukrainian].
Fedorenko, Z.P., Mykhaylovych, Yu.Y., & Hulak, L.O. (2020). Rak v Ukraini, 2018–2019 [Cancer in Ukraine, 2018–2019]. Biuleten natsionalnoho kantser-reiestru Ukrainy – Bulletin of the National Cancer Registry of Ukraine, 21. Retrieved from: http://www.ncru.inf.ua/publications/BULL_21/index.htm. [in Ukrainian].
(2016). Action Plan for the Prevention and Control of Non-communicable Diseases in the WHO European Region 2016–2025.
Adèle C. Green, & Victor Siskind. (2012). Risk factors for limb melanomas compared with trunk melanomas in Queensland. Article in Melanoma Research.
Victor Siskind, David C. Whiteman, Joanne F. Aitken, Nicholas G. Martin, & Adele C. Green. (2005). An analysis of risk factors for cutaneous melanoma by anatomical site (Australia). Cancer Causes & Control. Retrieved from: https://link.springer.com/article/10.1007/s10552-004-4325-5
(2019). Core health indicators in the WHO European Region 2019. Copenhagen: WHO Regional Office for Europe.
Yoram Rappaport, Annat Blank, Sylvia Marmor, Judith Weiss, & Moshe Graif. (2003). Cystic changes within a cervical lymph node are highly suggestive of metastatic papillary thyroid carcinoma. J. Clin. Ultrasound, 31, 21-25.
Ferlay, J., Colombet, M., Soerjomataram, I., Mathers, C., Parkin, D.M., Piñeros, M., Znaor, A., & Bray F. (2019). Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. Int. J. Cancer, 144 (8), 1941-1953. DOI: 10.1002/ijc.31937.
(2018). European health report 2018. More than numbers — evidence for all. Copenhagen: WHO Regional Office for Europe.
(2013). Global action plan for the prevention and control of noncommunicable diseases 2013–2020. Geneva: World Health Organization. Retrieved from: http://www.who.int/nmh/publications/ncd-action-plan/ en/
(2017). Global Burden of Disease 2016 Sustainable Development Goal Collaborators. Measuring progress and projecting attainment on the basis of past trends of the healthrelated Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016. Lancet, 390 (10100), 1423-1459.
Parkin, D. M., Bray, F., Ferlay, J., & Pisani, P. (2005). Global Cancer Statistics, 2002. CA A Cancer Journal for Clinicians, 55, 74–108. doi: 10.3322/canjclin.55.2.74.
(2014). Global status report on noncommunicable diseases, 2014. Attaining the nine global noncommunicable diseases targets; a shared responsibility. Geneva: WHO.
(2013). Health 2020. A European Regional Framework for Europe. Copenhagen: WHO Regional Office for Europe.
Barber, R.M., Fullman, N., Sorensen, R.J., Bollyky, T., McKee, M., & Nolte, E. (2017). Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015. Lancet, 390(10091), 231-266.
Mark H. Greene, Wallace H. Clark JR., Margaret A. Tucker, Kenneth H. Kraemer, David E. Elder, & Mary C. Fraser (1985). High risk of malignant melanoma in melanoma-prone families with dysplastic nevi. Annals of Internal Medicine. Retrieved from: https://www.acpjournals.org/doi/abs/10.7326/0003-4819-102-4-458.
Longfei Lin, Lei Yan, Yuling Liu, Fang Yuan, Hui Li & Jian Ni. (2019). Incidence and death in 29 cancer groups in 2017 and trend analysis from 1990 to 2017 from the Global Burden of Disease Study. Journal of Hematology & Oncology.
J. Kevin Thompson, Patricia van den Berg, Angela S. Guarda, & Leslie J. Heinberg. The sociocultural attitudes towards appearance scale-3 (SATAQ-3): Development and validation. International Journal of Eating Disorders (INT J EAT DISORDER)
Transforming our world: the 2030 Agenda for Sustainable Development. Retrieved from: https://sustainabledevelopment.un.org/post2015/transformingourworld.
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