Cervical cancer incidence and mortality rates including the screening program results in the Podkarpackie Region between 1999-2010

Abstract

Introduction: A continuous decrease in the cervical cancer morbidity and mortality rates has been noted in the Podkarpackie Region. A 34.6% and a 23.1% drop in the morbidity and mortality, respectively, was reported between 1999-2010. The aim of the study was to analyze the trends of cervical cancer morbidity and mortality rates in women of the Podkarpackie Region between 1999-2010. Materials and methods: A total of 1898 cervical cancer cases and 883 cervical cancer-related deaths were analyzed. Crude and standardized morbidity and mortality rates, structure ratios and share of cervical cancer cases identified in the screening program were formulated. Results: A decrease in cervical cancer morbidity by 65 newly diagnosed cases was observed in 2010 in the Podkarpackie Region as compared with 1999. Crude and standardized morbidity rates showed a tendency to decline, from 17.3/100 000 (standardized ratio 13.9/100 000) in 1999 to 11.6/100 000 (standardized ratio 8.0/100 000) in 2010. A slight decrease in the mortality rate, from 8.4/100 000 (standardized 6.3/100 000) in 1999 to 6.5/100 000 (standardized 3.6/100 000) in 2010, was noted as well. High heterogeneity was observed in cervical cancer morbidity and mortality rates in different counties of Podkarpackie in 2010. Morbidity and mortality rates ranged between 21.1-0.0/100 000 and 35.2-0.0/100 000, respectively. The percentage share of cervical cancer cases diagnosed in the screening program between 2006-2010 showed an increase of 0.7%. Conclusions: Between 1999-2010, the morbidity and mortality rates were lower in the Podkarpackie Region as compared to other regions of Poland. As far as the counties of the Podkarpackie region are concerned, in 2010 the highest morbidity rate in the Krosnienski County was 21-fold higher than in Kolbuszowski County, while the mortality rate in Bieszczadzki County was 35-fold higher as compared to Leski County, Nizanski County and Przemysl city. The percentage share of cervical cancer cases diagnosed in screening program increased in 2006-2010 from 4.7% to 5.4%.