The analysis of the regional incidence of cervical cancer
Aim. To examine the incidence of cervical cancer in the Tula region and conduct a retrospective analysis of its temporal changes between the years 2012 and 2018.Volkov V.G., Survillo E.V.
Material and methods. This descriptive observational retrospective epidemiological study analyzed state medical statistics for the years 2012-2018. The incidence of cervical cancer was presented as both absolute annual incidence (i.e., number of cases per year) and as crude and standardized rates per 100,000 of the female population in the Tula region, one of the regions of Central Russia.
Results. Over 7 years, the absolute incidence increased by 21.4% with a mean annual increase of 3.3%. The mean absolute annual incidence of cervical cancer cases over this period was 203.71 [95% CI 153.46; 197.4]. Over 7 years, the standardized incidence rate increased by 20.3% with a mean annual increase of 3.1%. The mean incidence rate for the analyzed period was 16.6 per 100,000 of the female population [95% CI 3.94; 25.89]. The crude incidence rate also increased over 7 years by 26.3% with a mean annual increase of 4%. The mean incidence rate was 24.64 per 100,000 of the female population [95% CI 17.9; 23.14].
Conclusion. The present study showed a steady increase in the incidence of cervical cancer in the region. This situation suggests the need for additional research to identify risk factors characteristic of the territory. Prophylactic human papillomavirus vaccines represent a revolutionary approach in preventing and potentially eliminating cervical cancer.
Keywords
cervical cancer
epidemiology
incidence
mortality
human papillomavirus
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Received 20.12.2019
Accepted 26.12.2019
About the Authors
Valerii G. Volkov, MD, professor, Tula State University. Phone: +7 (4872)25-54-41. E-mail: valvol@Yandex.ru; http://orcid.org/0000-0002-7274-3837300012, 92, Lenin Ave., Tula, Russia.
Elena V. Survillo, PhD, Tula State University. Phone: +7 (4872)25-54-41. E-mail: lena@dop38.ru; http://orcid.org/0000-0002-5660-7958
300012, 92, Lenin Ave., Tula, Russia.
For citation: Volkov V.G., Survillo E.V. The analysis of the regional incidence of cervical cancer. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 1(Suppl): 69-73. (in Russian)
https://dx.doi.org/10.18565/aig.2020. 1Suppl.69-73