open access

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Research paper (original)
Published online: 2023-02-24
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Trends in cancer mortality among Poland’s oldest old (aged 85 years and older)

Dana Kristjansson12, Marta Mańczuk3
DOI: 10.5603/NJO.a2023.0011
Affiliations
  1. Department of Genetics and Bioinformatics, Norwegian Institute of Public Health, Oslo Norway
  2. Center of Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
  3. Cancer Epidemiology and Primary Prevention Department, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland

open access

Ahead of print
Cancer epidemiology
Published online: 2023-02-24

Abstract

Introduction. The population of Poland’s oldest old has increased substantially in recent decades. We evaluate mortality rates for all major cancers and their changes from 1999–2018. 

Material and methods. Cancer death data (1999–2018) were extracted from the World Health Organization (WHO) database. Age-standardized rates, and annual percent changes (APC) were determined.

Results. Overall, 1 out of every 8 cancers are diagnosed over age 85+. Women outnumber men by 2.6 to 1. With regards to the cancers with the highest mortality rates, APCs increased for lung (0.9; 95% CI: 0.1–0.9) and breast (2.3; 95% CI: 1.7–2.9) cancer among women. Colon cancer also increased among men (2.7; 95% CI: 1.7–2.2).

Conclusions. Substantial progress has been made due to access to diagnostic testing, treatment and a reduction of smoking. However, there is a need for comprehensive cancer centers that are equipped to administer and coordinate the complex and personalized cancer care to this growing population.

Abstract

Introduction. The population of Poland’s oldest old has increased substantially in recent decades. We evaluate mortality rates for all major cancers and their changes from 1999–2018. 

Material and methods. Cancer death data (1999–2018) were extracted from the World Health Organization (WHO) database. Age-standardized rates, and annual percent changes (APC) were determined.

Results. Overall, 1 out of every 8 cancers are diagnosed over age 85+. Women outnumber men by 2.6 to 1. With regards to the cancers with the highest mortality rates, APCs increased for lung (0.9; 95% CI: 0.1–0.9) and breast (2.3; 95% CI: 1.7–2.9) cancer among women. Colon cancer also increased among men (2.7; 95% CI: 1.7–2.2).

Conclusions. Substantial progress has been made due to access to diagnostic testing, treatment and a reduction of smoking. However, there is a need for comprehensive cancer centers that are equipped to administer and coordinate the complex and personalized cancer care to this growing population.

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Keywords

cancer; mortality; elderly; Poland

About this article
Title

Trends in cancer mortality among Poland’s oldest old (aged 85 years and older)

Journal

Nowotwory. Journal of Oncology

Issue

Ahead of print

Article type

Research paper (original)

Published online

2023-02-24

Page views

14

Article views/downloads

25

DOI

10.5603/NJO.a2023.0011

Keywords

cancer
mortality
elderly
Poland

Authors

Dana Kristjansson
Marta Mańczuk

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