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


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 - 0.0/700,000, 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%.
Zakład Onkologii Wydzialu Medycznego Uniwersytetu Rzeszowskiego, Rzeszów, Polska. bkb8@tlen.pl
Bozenna
B
Karczmarek-Borowska
Zakład Epidemiologii i Podkarpacki Rejestr Nowotworów, Podkarpackie Centrum Onkologii w Rzeszowie, Polska.
Monika
M
Grsdalska-Lampart
D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D002423:Cause of Death; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009367:Neoplasm Staging; D011044:Poland; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000401:mortality*; D016387:Women's Health