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.
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