Colorectal cancer mortality in Poland - analysis of regional variation.
BACKGROUND
In 1999 in Poland 7,139 people died of colon cancer, while in 2008 this number rose to 9,915. Among malignant tumours, colorectal cancer is the second most commonly occurring one, frequently leading to death. The main reason for this is the fact that in 50% of patients with this cancer the illness is diagnosed at an advanced stage already. The risk increases significantly after 60 years of age. The aim of study was analysing the mortality of patients with colorectal cancer over 10 years in Poland (1999-2008), in both men and women from all provinces in the country.


METHODS
The basis for the study was the number of deaths caused by colorectal cancer taking into account sex. Statistical data were drawn from the National Cancer Registry.


RESULTS
In 1999 in Poland 3,706 men and 3,433 women died of colorectal cancer, while in 2008 the number of deaths stood at 5,385 and 4,530 respectively. In the years 1999-2008, colorectal cancer mortality rates among men were approximately 1.5 times higher than among women, and the majority of provinces demonstrate an upward trend. Among women the differences in the values of the coefficients are less clear.


CONCLUSIONS
Early detection of cancer could significantly reduce mortality among patients with colon cancer. Screening for colorectal cancer and colonoscopy are tests that should permanently become a part of preventive measures aimed at detecting disease and teaching risk factors, particularly in males and people over 60 years of age.
Department of History of Medicine and Pharmacy, Medical University of Lodz, Poland.
Alicja
A
Klimczak
Department of History of Medicine and Pharmacy, Medical University of Lodz, Poland.
Bogumiła
B
Kempińska-Mirosławska
Department of General and Colorectal Surgery, Medical University of Lodz, Poland.
Michał
M
Mik
Department of General and Colorectal Surgery, Medical University of Lodz, Poland.
Lukasz
L
Dziki
Department of General and Colorectal Surgery, Medical University of Lodz, Poland.
Adam
A
Dziki
Poland; colorectal cancer; mortality