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


- Department of Genetics and Bioinformatics, Norwegian Institute of Public Health, Oslo Norway
- Center of Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway
- Cancer Epidemiology and Primary Prevention Department, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
open access
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.
Keywords
cancer; mortality; elderly; Poland


Title
Trends in cancer mortality among Poland’s oldest old (aged 85 years and older)
Journal
Nowotwory. Journal of Oncology
Issue
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