Paciej-Gołębiowska Paulina, Pikala Małgorzata, Maniecka-Bryła Irena
Department of Epidemiology and Biostatistics, Medical University of Lodz, Poland.
Eur J Cancer Prev. 2020 Sep;29(5):388-399. doi: 10.1097/CEJ.0000000000000574.
The aim of the study was to analyse years of life lost due to selected malignant neoplasms of the digestive system (colorectum, stomach, and pancreas) in Poland, a post-communist country in Central Europe, according to socioeconomic variables: sex, age, level of education, marital status, working status, and place of residence. The study included a dataset comprising death certificates of Polish citizens from 2002 (N = 359 486) and 2011 (N = 375 501). The data on deaths caused by malignant neoplasms of the digestive system, that is, coded as C15-C26 according to International Statistical Classification of Diseases and Related Health Problems, 10th Revision, was analyzed. The standard expected years of life lost meter was used to calculate years of life lost. In 2002, malignant neoplasms of the digestive system caused 25 024 deaths among Polish citizens (7.0% of all deaths), which translated into a premature loss of 494 442.1 years of life (129.4 years per 10 000 people). In 2011, the number of deaths increased to 26 537 (7.1% of all deaths) and the number of years of life lost rose to 499 804.0 (129.7 years per 10 000). The most important causes of mortality and years of life lost were colorectal, stomach, and pancreatic cancers. In both studied years, the socioeconomic features with an adverse effect on years of life lost due to each considered malignant neoplasm of the digestive system included male gender, lower than secondary education, widowed marital status, economic inactivity, living in urban areas. Years of life lost analysis constitutes a valuable part of epidemiological assessment of health inequalities in society. It appears that the observed inequalities may have many causes; however, further research is needed to better understand their full extent.
性别、年龄、教育程度、婚姻状况、工作状态和居住地，分析中欧后共产主义国家波兰因特定消化系统恶性肿瘤（结肠直肠癌、胃癌和胰腺癌）导致的寿命损失年数。该研究纳入了一个数据集，包含2002年（N = 359486）和2011年（N = 375501）波兰公民的死亡证明。对根据《国际疾病和相关健康问题统计分类》第10次修订版编码为C15 - C26的消化系统恶性肿瘤所致死亡数据进行了分析。使用标准预期寿命损失计量器来计算寿命损失年数。2002年，消化系统恶性肿瘤在波兰公民中导致25024人死亡（占所有死亡人数的7.0%），这意味着过早损失了494442.1年的寿命（每10000人中有129.4年）。2011年，死亡人数增加到26537人（占所有死亡人数的7.1%），寿命损失年数增至499804.0年（每10000人中有129.7年）。导致死亡和寿命损失年数的最重要原因是结肠直肠癌、胃癌和胰腺癌。在两个研究年份中，对因每种所考虑的消化系统恶性肿瘤导致的寿命损失年数有不利影响的社会经济特征包括男性、低于中学教育程度、丧偶婚姻状况、无经济活动、居住在城市地区。寿命损失年数分析是社会健康不平等流行病学评估的重要组成部分。看来观察到的不平等可能有多种原因；然而，需要进一步研究以更好地了解其全部程度。
