Prikaz incidencije i mortaliteta raka debelog crijeva u Republici Hrvatskoj

Abstract

Introduction. Colon cancer is considered one of the most significant health issues in the world where, according to the GLOBOCAN 2020 data, it is diagnosed in 1,931,590 patients annually and is the cause of death in 935,173 patients. Approximately 3,500 new cases of colon cancer are diagnosed each year in Croatia. Aim. To present and analyze the recent trends in the incidence of colon cancer in Croatia for the period from 2001 to 2018 and trends in mortality for the period from 2001 to 2019. Methods. The analysis of colon cancer incidence reports for the period from 2001 to 2018 gathered from the Croatian National Cancer Registry and mortality reports obtained from the database of the Croatian Bureau of Statistics and the Croatian Institute of Public Health. The trends in incidence and mortality were processed using the Joinpoint program. Results. An incidence rate of 626.8 per 100,000, 706.4 per 100,000 for males, and 552.4 per 100,000 for females was recorded. In the year 2018, 13,809 people died from cancer in Croatia, including 8,049 men and 5,760 women. The mortality rates were 337.8 per 100,000, 407.5 per 100,000 for males, and 272.6 per 100,000 for females. In women, colon cancer ranked second in terms of incidence, while in men it was in the third place. The total number of new cases was 2,121 for men and 1,508 for women, totaling 3,629 cases. The share of colon cancer in the number of neoplasms in 2018 was 14.1%. Conclusion. The trends in the incidence and mortality rates of colorectal cancer in Croatia still show an increasing tendency in standardized rates.