Malignant testicular tumour incidence and mortality trends.
OBJECTIVE
In Poland testicular tumours are the most frequent cancer among men aged 20-44 years. Testicular tumour incidence since the 1980s and 1990s has been diversified geographically, with an increased risk of mortality in Wielkopolska Province, which was highlighted at the turn of the 1980s and 1990s. The aim of the study was the comparative analysis of the tendencies in incidence and death rates due to malignant testicular tumours observed among men in Poland and in Wielkopolska Province.


METHODS
Data from the National Cancer Registry were used for calculations. The incidence/mortality rates among men due to malignant testicular cancer as well as the tendencies in incidence/death ratio observed in Poland and Wielkopolska were established based on regression equation. The analysis was deepened by adopting the multiple linear regression model. A p-value < 0.05 was arbitrarily adopted as the criterion of statistical significance, and for multiple comparisons it was modified according to the Bonferroni adjustment to a value of p < 0.0028. Calculations were performed with the use of PQStat v1.4.8 package.


RESULTS
The incidence of malignant testicular neoplasms observed among men in Poland and in Wielkopolska Province indicated a significant rising tendency. The multiple linear regression model confirmed that the year variable is a strong incidence forecast factor only within the territory of Poland. A corresponding analysis of mortality rates among men in Poland and in Wielkopolska Province did not show any statistically significant correlations.


CONCLUSIONS
Late diagnosis of Polish patients calls for undertaking appropriate educational activities that would facilitate earlier reporting of the patients, thus increasing their chances for recovery. Introducing preventive examinations in the regions of increased risk of testicular tumour may allow earlier diagnosis.
Department of Epidemiology, Poznan Medical University, Poznan, Poland.
Barbara
B
Stawińska-Witoszyńska
Department of Hygiene, Poznan Medical University, Poznan, Poland.
Paulina
P
Wojtyła-Buciora
Chair and Department of Informatics and Statistics, Poznan Medical University, Poznan, Poland.
Barbara
B
Więckowska
Department of Epidemiology, Poznan Medical University, Poznan, Poland.
Małgorzata
M
Krzywinska-Wiewiorowska
Division of Medical Sociology, Poznan Medical University, Poznan, Poland.
Małgorzata
M
Gromadecka-Sutkiewicz
epidemiology; incidence; mortality; testicular tumours