Ageing and other factors behind recent cancer incidence and mortality trends in Italy

Emanuele Crocetti, Carlotta Buzzoni, Alberto Quaglia, Roberto Lillini, Marina Vercelli, Guido Mazzoleni, Fabio Falcini, Lauro Bucchi, Flavia Foca, Silvia Mancini, Alessandra Ravaioli, Stefano Ferretti, Eugenio Paci, Diego Serraino, Fabio Pannozzo, Massimo Federico, Mario Fusco, Maria Michiara, Rosario Tumino, Lucia MangoneAndrea Donato, Mario Budroni, Maria Lia Contrino, Roberto Tessandori, Roberto Zanetti, Silvano Piffer, Francesco La Rosa, Fabrizio Stracci, Paola Zambon, Stefano Guzzinati, Adele Traina, Giuseppe Carruba, Valerio Gennaro, Adriano Giacomin, Francesco Donato, Susanna Vitarelli, Luigi Bisanti, Giuseppina Candela, Paolo Crosignani, Maurizio Ponz de Leon, Paola Pisani, Cristiana Pascucci, Riccardo Capocaccia

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: The aim of this paper is to outline the age effect on cancer trends observed in Italy between 1998 and 2005. Methods: We analysed crude and age-adjusted cancer incidence and mortality trends for 36 sites and both sexes using data from 22 population-based registries of the Italian Network of Cancer Registries (AIRTUM). Some 818,017 incident cancers and 342,444 cancer deaths were analysed. Results: The population aged 65. years and older increased from 19.0% to 20.6% between 1998 and 2005 with a significant effect on the cancer burden. The all-cancer, age-adjusted incidence rate was quite stable over the period (all sites excluding non-melanoma skin cancers: annual percent change (APC) men +. 0.3 CI +. 0.1/+0.5, women +. 0.2 CI - 0.1/+0.4), but population ageing resulted in a growing number of new cases (crude rates: APC men +. 1.3 CI +. 1.0/+1.7, women +. 0.9 CI +. 0.6/+1.2). This effect was not evident for those cancer sites with high incidence rates among young subjects. The all-cancer, age-adjusted mortality rate decreased in both sexes but the crude rate changed in women only. Mortality increased for lung cancer among women (APC +. 1.5; CI +. 0.5/+2.5) and for melanoma among men (APC +. 2.7; CI +. 0.5/+4.8). Conclusions: Recent cancer trends in Italy are quite favourable, showing decreasing mortality rates for most sites (except for lung cancer among women and melanoma among men) and showing overall stable incidence. However, it follows that population ageing will have increased the cancer diagnostic and therapeutic needs and costs.

Original languageEnglish
Pages (from-to)111-119
Number of pages9
JournalJournal of Geriatric Oncology
Volume3
Issue number2
DOIs
Publication statusPublished - Apr 2012

Fingerprint

Italy
Mortality
Incidence
Neoplasms
Population
Registries
Melanoma
Lung Neoplasms
Skin Neoplasms
Costs and Cost Analysis

Keywords

  • Ageing
  • Cancer
  • Incidence
  • Mortality
  • Trends

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Oncology

Cite this

Crocetti, E., Buzzoni, C., Quaglia, A., Lillini, R., Vercelli, M., Mazzoleni, G., ... Capocaccia, R. (2012). Ageing and other factors behind recent cancer incidence and mortality trends in Italy. Journal of Geriatric Oncology, 3(2), 111-119. https://doi.org/10.1016/j.jgo.2012.01.001

Ageing and other factors behind recent cancer incidence and mortality trends in Italy. / Crocetti, Emanuele; Buzzoni, Carlotta; Quaglia, Alberto; Lillini, Roberto; Vercelli, Marina; Mazzoleni, Guido; Falcini, Fabio; Bucchi, Lauro; Foca, Flavia; Mancini, Silvia; Ravaioli, Alessandra; Ferretti, Stefano; Paci, Eugenio; Serraino, Diego; Pannozzo, Fabio; Federico, Massimo; Fusco, Mario; Michiara, Maria; Tumino, Rosario; Mangone, Lucia; Donato, Andrea; Budroni, Mario; Contrino, Maria Lia; Tessandori, Roberto; Zanetti, Roberto; Piffer, Silvano; Rosa, Francesco La; Stracci, Fabrizio; Zambon, Paola; Guzzinati, Stefano; Traina, Adele; Carruba, Giuseppe; Gennaro, Valerio; Giacomin, Adriano; Donato, Francesco; Vitarelli, Susanna; Bisanti, Luigi; Candela, Giuseppina; Crosignani, Paolo; de Leon, Maurizio Ponz; Pisani, Paola; Pascucci, Cristiana; Capocaccia, Riccardo.

In: Journal of Geriatric Oncology, Vol. 3, No. 2, 04.2012, p. 111-119.

Research output: Contribution to journalArticle

Crocetti, E, Buzzoni, C, Quaglia, A, Lillini, R, Vercelli, M, Mazzoleni, G, Falcini, F, Bucchi, L, Foca, F, Mancini, S, Ravaioli, A, Ferretti, S, Paci, E, Serraino, D, Pannozzo, F, Federico, M, Fusco, M, Michiara, M, Tumino, R, Mangone, L, Donato, A, Budroni, M, Contrino, ML, Tessandori, R, Zanetti, R, Piffer, S, Rosa, FL, Stracci, F, Zambon, P, Guzzinati, S, Traina, A, Carruba, G, Gennaro, V, Giacomin, A, Donato, F, Vitarelli, S, Bisanti, L, Candela, G, Crosignani, P, de Leon, MP, Pisani, P, Pascucci, C & Capocaccia, R 2012, 'Ageing and other factors behind recent cancer incidence and mortality trends in Italy', Journal of Geriatric Oncology, vol. 3, no. 2, pp. 111-119. https://doi.org/10.1016/j.jgo.2012.01.001
Crocetti, Emanuele ; Buzzoni, Carlotta ; Quaglia, Alberto ; Lillini, Roberto ; Vercelli, Marina ; Mazzoleni, Guido ; Falcini, Fabio ; Bucchi, Lauro ; Foca, Flavia ; Mancini, Silvia ; Ravaioli, Alessandra ; Ferretti, Stefano ; Paci, Eugenio ; Serraino, Diego ; Pannozzo, Fabio ; Federico, Massimo ; Fusco, Mario ; Michiara, Maria ; Tumino, Rosario ; Mangone, Lucia ; Donato, Andrea ; Budroni, Mario ; Contrino, Maria Lia ; Tessandori, Roberto ; Zanetti, Roberto ; Piffer, Silvano ; Rosa, Francesco La ; Stracci, Fabrizio ; Zambon, Paola ; Guzzinati, Stefano ; Traina, Adele ; Carruba, Giuseppe ; Gennaro, Valerio ; Giacomin, Adriano ; Donato, Francesco ; Vitarelli, Susanna ; Bisanti, Luigi ; Candela, Giuseppina ; Crosignani, Paolo ; de Leon, Maurizio Ponz ; Pisani, Paola ; Pascucci, Cristiana ; Capocaccia, Riccardo. / Ageing and other factors behind recent cancer incidence and mortality trends in Italy. In: Journal of Geriatric Oncology. 2012 ; Vol. 3, No. 2. pp. 111-119.
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abstract = "Objective: The aim of this paper is to outline the age effect on cancer trends observed in Italy between 1998 and 2005. Methods: We analysed crude and age-adjusted cancer incidence and mortality trends for 36 sites and both sexes using data from 22 population-based registries of the Italian Network of Cancer Registries (AIRTUM). Some 818,017 incident cancers and 342,444 cancer deaths were analysed. Results: The population aged 65. years and older increased from 19.0{\%} to 20.6{\%} between 1998 and 2005 with a significant effect on the cancer burden. The all-cancer, age-adjusted incidence rate was quite stable over the period (all sites excluding non-melanoma skin cancers: annual percent change (APC) men +. 0.3 CI +. 0.1/+0.5, women +. 0.2 CI - 0.1/+0.4), but population ageing resulted in a growing number of new cases (crude rates: APC men +. 1.3 CI +. 1.0/+1.7, women +. 0.9 CI +. 0.6/+1.2). This effect was not evident for those cancer sites with high incidence rates among young subjects. The all-cancer, age-adjusted mortality rate decreased in both sexes but the crude rate changed in women only. Mortality increased for lung cancer among women (APC +. 1.5; CI +. 0.5/+2.5) and for melanoma among men (APC +. 2.7; CI +. 0.5/+4.8). Conclusions: Recent cancer trends in Italy are quite favourable, showing decreasing mortality rates for most sites (except for lung cancer among women and melanoma among men) and showing overall stable incidence. However, it follows that population ageing will have increased the cancer diagnostic and therapeutic needs and costs.",
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T1 - Ageing and other factors behind recent cancer incidence and mortality trends in Italy

AU - Crocetti, Emanuele

AU - Buzzoni, Carlotta

AU - Quaglia, Alberto

AU - Lillini, Roberto

AU - Vercelli, Marina

AU - Mazzoleni, Guido

AU - Falcini, Fabio

AU - Bucchi, Lauro

AU - Foca, Flavia

AU - Mancini, Silvia

AU - Ravaioli, Alessandra

AU - Ferretti, Stefano

AU - Paci, Eugenio

AU - Serraino, Diego

AU - Pannozzo, Fabio

AU - Federico, Massimo

AU - Fusco, Mario

AU - Michiara, Maria

AU - Tumino, Rosario

AU - Mangone, Lucia

AU - Donato, Andrea

AU - Budroni, Mario

AU - Contrino, Maria Lia

AU - Tessandori, Roberto

AU - Zanetti, Roberto

AU - Piffer, Silvano

AU - Rosa, Francesco La

AU - Stracci, Fabrizio

AU - Zambon, Paola

AU - Guzzinati, Stefano

AU - Traina, Adele

AU - Carruba, Giuseppe

AU - Gennaro, Valerio

AU - Giacomin, Adriano

AU - Donato, Francesco

AU - Vitarelli, Susanna

AU - Bisanti, Luigi

AU - Candela, Giuseppina

AU - Crosignani, Paolo

AU - de Leon, Maurizio Ponz

AU - Pisani, Paola

AU - Pascucci, Cristiana

AU - Capocaccia, Riccardo

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N2 - Objective: The aim of this paper is to outline the age effect on cancer trends observed in Italy between 1998 and 2005. Methods: We analysed crude and age-adjusted cancer incidence and mortality trends for 36 sites and both sexes using data from 22 population-based registries of the Italian Network of Cancer Registries (AIRTUM). Some 818,017 incident cancers and 342,444 cancer deaths were analysed. Results: The population aged 65. years and older increased from 19.0% to 20.6% between 1998 and 2005 with a significant effect on the cancer burden. The all-cancer, age-adjusted incidence rate was quite stable over the period (all sites excluding non-melanoma skin cancers: annual percent change (APC) men +. 0.3 CI +. 0.1/+0.5, women +. 0.2 CI - 0.1/+0.4), but population ageing resulted in a growing number of new cases (crude rates: APC men +. 1.3 CI +. 1.0/+1.7, women +. 0.9 CI +. 0.6/+1.2). This effect was not evident for those cancer sites with high incidence rates among young subjects. The all-cancer, age-adjusted mortality rate decreased in both sexes but the crude rate changed in women only. Mortality increased for lung cancer among women (APC +. 1.5; CI +. 0.5/+2.5) and for melanoma among men (APC +. 2.7; CI +. 0.5/+4.8). Conclusions: Recent cancer trends in Italy are quite favourable, showing decreasing mortality rates for most sites (except for lung cancer among women and melanoma among men) and showing overall stable incidence. However, it follows that population ageing will have increased the cancer diagnostic and therapeutic needs and costs.

AB - Objective: The aim of this paper is to outline the age effect on cancer trends observed in Italy between 1998 and 2005. Methods: We analysed crude and age-adjusted cancer incidence and mortality trends for 36 sites and both sexes using data from 22 population-based registries of the Italian Network of Cancer Registries (AIRTUM). Some 818,017 incident cancers and 342,444 cancer deaths were analysed. Results: The population aged 65. years and older increased from 19.0% to 20.6% between 1998 and 2005 with a significant effect on the cancer burden. The all-cancer, age-adjusted incidence rate was quite stable over the period (all sites excluding non-melanoma skin cancers: annual percent change (APC) men +. 0.3 CI +. 0.1/+0.5, women +. 0.2 CI - 0.1/+0.4), but population ageing resulted in a growing number of new cases (crude rates: APC men +. 1.3 CI +. 1.0/+1.7, women +. 0.9 CI +. 0.6/+1.2). This effect was not evident for those cancer sites with high incidence rates among young subjects. The all-cancer, age-adjusted mortality rate decreased in both sexes but the crude rate changed in women only. Mortality increased for lung cancer among women (APC +. 1.5; CI +. 0.5/+2.5) and for melanoma among men (APC +. 2.7; CI +. 0.5/+4.8). Conclusions: Recent cancer trends in Italy are quite favourable, showing decreasing mortality rates for most sites (except for lung cancer among women and melanoma among men) and showing overall stable incidence. However, it follows that population ageing will have increased the cancer diagnostic and therapeutic needs and costs.

KW - Ageing

KW - Cancer

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KW - Trends

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