Changes in mortality and years of life lost due to lung cancer in Poland, 2000-2016

Małgorzata Pikala; Monika Burzyńska; Irena Maniecka-Bryła

doi:10.1186/s12967-020-02354-4

Changes in mortality and years of life lost due to lung cancer in Poland, 2000-2016

J Transl Med. 2020 May 6;18(1):188. doi: 10.1186/s12967-020-02354-4.

Authors

Małgorzata Pikala¹, Monika Burzyńska², Irena Maniecka-Bryła²

Affiliations

¹ Department of Epidemiology and Biostatistics, The Chair of Social and Preventive Medicine of the Medical University of Lodz, Żeligowskiego 7/9, Łódź, 90-742, Poland. malgorzata.pikala@umed.lodz.pl.
² Department of Epidemiology and Biostatistics, The Chair of Social and Preventive Medicine of the Medical University of Lodz, Żeligowskiego 7/9, Łódź, 90-742, Poland.

Abstract

Background: The aim of the study was to evaluate trends of mortality and the number of years of life lost due to lung cancer in Poland, in the period 2000-2016.

Methods: The study material was 375,151 death certificates of all inhabitants of Poland who died in the period 2000-2016 due to lung cancer. In order to calculate the number of years of life lost, the authors used indices: SEYLL_p (Standard Expected Years of Life Lost per living person), SEYLL_d (per deaths), APC (Annual Percentage Change) and AAPC (Average Annual Percentage Change).

Results: The standardized death rate (SDR) due to lung cancer decreased in the analyzed period from 74.5 to 68.3 per 100,000 population (AAPC = -0.6%). The most rapid decrease was noted in the years 2008-2011 (APC = -2.2%). With regards to males, SDR decreased from 148.8 to 114.5 (AAPC = -1.7%), whereas in females, it increased from 25.7 to 37.6 (AAPC = 2.3%). The SEYLL_p index, calculated per 100,000 inhabitants, increased from 1189.9 in the year 2000 to 1250.5 in the year 2016. The trend and pace of changes fluctuated. In 2000-2008, the SEYLL_p index was increasing at a pace of 0.7%. This growth was followed by a decrease at a pace of -1.2%, noted in 2008-2011. After the year 2011, the indices started to grow at an annual pace of 0.4%. AAPC in the whole study period was 0.3%. Increased mortality in females was responsible for the increase in the number of lost years of life. SEYLL_p values in this sex group increased from 464.8 in the year 2000 to 774.7 in the year 2016 (APC = 3.3%).With regards to males, SEYLL_p values, calculated for 100,000 male population, decreased in the analyzed period from 1961.1 to 1758.3.

Conclusions: Lung cancer still poses a serious epidemiological problem in Poland and the number of years of life lost due to this cause reflects social and economic implications of premature lung cancer-related mortality. There is a great need to educate, particularly women, and show effective ways of quitting smoking.

Keywords: Epidemiology; Lung cancer; Mortality; Neoplasms; Poland; Trends; Years of life lost.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Cause of Death
Female
Humans
Life Expectancy*
Lung Neoplasms* / epidemiology
Male
Poland / epidemiology
Smoking