Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Cancer Incidence and Survival in Sivas Province 2013-2019: A Retrospective Cohort Study
Sivas İli 2013-2019 Yılları Kanser İnsidansı ve Sağkalımı: Retrospektif Kohort Çalışması
İrem AKOVAa
aDepartment of Public Health, Sivas Cumhuriyet University Faculty of Medicine, Sivas, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(2):325-33
doi: 10.5336/healthsci.2022-91806
Article Language: EN
Full Text
ABSTRACT
 Objective: This study's aim was to examine the incidence and survival of cancer in Sivas between 2013-2019. Material and Methods: In this retrospective cohort study, cancer registry data were analysed. Age, sex, treatment types, definitive pathological diagnosis results, and survival status of patients were questioned. Results: A total of 7,946 people were diagnosed with cancer in the years examined and 57.5% of the patients were male. Systemically the most common type of cancer was digestive organ cancers (20.2%) (stomach, colon, anorectal, respectively). The most common cancers in male were prostate (16%), skin (14%), and bronchopulmonary (12%). The most common cancers in female were breast (22%), thyroid (16%), and skin (14%). The cancer incidence was between 1.4 per thousand and 2.3 per thousand. Life expectancy was shorter (p<0.001), and the mortality risk was 1.6 times higher in male. The risk of cancer mortality increased with increasing age. Respiratory system and intrathoracic organ cancers were the cancers that caused the death and shortened the life span most (p<0.001). Conclusion: It was found that the cancer incidence tended to increase, and that the cancer mortality was higher in male and respiratory system organ cancers. It is important to keep detailed records (especially by including the stage and treatment protocols) in the follow-up of cancer cases.

Keywords: Neoplasms; incidence; survival; sex; treatment
ÖZET
 Amaç: Bu çalışmanın amacı, 2013-2019 yılları arasında Sivas ilinde kanser insidansını ve sağkalımını incelemektir. Gereç ve Yöntemler: Bu retrospektif kohort çalışmasında kanser kayıt verileri incelendi. Kanser hastalarının yaş, cinsiyet, aldığı tedavi türleri, kesin patolojik tanı sonuçları ve sağkalım durumu sorgulandı. Bulgular: İncelenen yıllarda toplam 7.946 kişi kanser tanısı almıştı ve hastaların %57,5'i erkekti. En çok görülen kanser tipi sindirim organları kanserleriydi (%20,2) (sırasıyla mide, kolon, anorektal). Erkeklerde en sık görülen kanserler prostat (%16), deri (%14) ve bronkopulmoner (%12) kanserdi. Kadınlarda en sık görülen kanserler meme (%22), tiroid (%16) ve deri (%14) kanseriydi. Kanser insidansı binde 1,4 ile binde 2,3 arasındaydı. Erkeklerde yaşam süresi daha kısaydı (p<0,001) ve mortalite riski 1,6 kat fazlaydı. Yaş ilerledikçe kanser mortalite riski arttı. Ölüme en fazla neden olan ve yaşam süresini en fazla kısaltan kanser, solunum sistemi ve intratorasik organ kanserleriydi (p<0,001). Sonuç: Kanser insidansının artış eğiliminde olduğu ve kanser mortalitesinin erkeklerde ve solunum sistemi organı kanserlerinde daha yüksek olduğu saptandı. Kanser vakalarının takibinde, kayıtların (özellikle evre ve tedavi protokolleri dahil edilerek) ayrıntılı olarak tutulması çok önemlidir.

Anahtar Kelimeler: Tümörler; insidans; sağkalım; cinsiyet; tedavi
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