Jobczyk Mateusz, Pikala Małgorzata, Różański Waldemar, Maniecka-Bryła Irena
2 Department of Urology, Medical University of Łódź, Łódź, Poland.
Department of Epidemiology and Biostatistics, the Chair of Social and Preventive Medicine of the Medical University of Łódź, Łódź, Poland.
Cent European J Urol. 2017;70(4):338-343. doi: 10.5173/ceju.2017.1521. Epub 2017 Sep 22.
The aim of the study is to evaluate the number of years of life lost in inhabitants of Poland due to bladder cancer (BC), identify trends of the mortality and calculate the pace of change which has happened over the period of the first fifteen years of the 21 century.
The study material was a database including 44,283 death certificates of Polish inhabitants who died due to bladder cancer in the period 2000-2014. The number of years of life lost were calculated using the SEYLL indices: SEYLLp (Standard Expected Years of Life Lost per living person) and SEYLLd (Standard Expected Years of Life Lost per death).
The crude death rates (CDR) index increased from 10.79 per 100,000 males in 2000 to 14.30 in 2014 (Annual Percentage Change [APC] = 2.1%, p <0.05). In women, the group value of the CDR index increased from 2.50 in 2000 to 3.83 in 2014 (APC = 2.9%, p <0.05). The standardized death rates (SDR) index fell from 23.27 in 2000 to 22.48 in 2014 (APC = -0.1%, p >0.05) in men, but rose from 3.54 in 2000 to 3.83 in 2014 (APC = 0.4%, p <0.05) in women.The SEYLLp index (per 100,000 population) due to bladder cancer in Poland increased from 202.9 in 2000 to 243.4 in 2014 (APC = 1.3%, p <0.05) in men, and from 40.4 in 2000 to 60.1 in 2014 (APC = 2.7%, p <0.05) in women.
Despite the prolongation of patient life, as shown by the SEYLLd factor, Polish patients still lose too many years of life due to BC than compared to United States patients.
本研究的目的是评估波兰居民因膀胱癌(BC)而损失的寿命年数,确定死亡率趋势,并计算21世纪前15年期间发生的变化速度。
研究材料是一个数据库,其中包含2000 - 2014年期间因膀胱癌死亡的44,283名波兰居民的死亡证明。使用SEYLL指数计算寿命损失年数:SEYLLp(每存活一人的标准预期寿命损失年数)和SEYLLd(每死亡一人的标准预期寿命损失年数)。
粗死亡率(CDR)指数从2000年男性每10万人中的10.79上升至2014年的14.30(年百分比变化[APC] = 2.1%,p <0.05)。在女性中,CDR指数的组值从2000年的2.50上升至2014年的3.83(APC = 2.9%,p <0.05)。男性的标准化死亡率(SDR)指数从2000年的23.27降至2014年的22.48(APC = -0.1%,p >0.05),而女性则从2000年的3.54升至2014年的3.83(APC = 0.4%,p <0.05)。波兰因膀胱癌导致的SEYLLp指数(每10万人口)在男性中从2000年的202.9增至2014年的243.4(APC = 1.3%,p <0.05),在女性中从2000年的40.4增至2014年的60.1(APC = 2.7%,p <0.05)。
尽管如SEYLLd因素所示患者寿命有所延长,但与美国患者相比,波兰患者仍因膀胱癌损失过多寿命年数。