Professional paper
https://doi.org/10.20471/acc.2018.57.s1.03
Epidemiology of Prostate Cancer in Croatia – Situation and Perspectives
Ante Reljić
; Department of Urology, Sestre Milosrdnice University Hospital Center, Zagreb; National Referral Centre for Prostate Tumours of the Ministry of Health of the Republic of Croatia
Petra Čukelj
; Croatian National Cancer Registry, Croatian Institute of Public Health, Zagreb
Igor Tomašković
; Department of Urology, Sestre Milosrdnice University Hospital Center, Zagreb; National Referral Centre for Prostate Tumours of the Ministry of Health of the Republic of Croatia; Faculty of Medicine, Josip Juraj Strossmayer University, Osijek, Croatia
Boris Ružić
; Department of Urology, Sestre Milosrdnice University Hospital Center, Zagreb; National Referral Centre for Prostate Tumours of the Ministry of Health of the Republic of Croatia
Mario Šekerija
; Croatian National Cancer Registry, Croatian Institute of Public Health, Zagreb; 4Andrija Štampar School of Public Health, University of Zagreb, School of Medicine
Abstract
Prostate cancer represents a significant public health burden in Croatia, as well as in other developed countries. The aim of this paper was to present the current epidemiological situation in Croatia in com-parison to other similar countries, using basic indicators such as incidence, mortality, prevalence and survival, and to discuss future possibilities in this field. The incidence of prostate cancer in Croatia has been rapidly increasing since the mid-nineties; recent data indicates that the trend is levelling off. Mortality data show constant increase since the 1960s, but mortality trends seem to be stabilizing in the recent period; however, Croatia is still in the top ten countries regarding prostate cancer mortality in Europe. Five-year prevalence in 2012 was estimated at 7,592 cases (426.7/100,000), ranking Croatia in the middle of European countries in the GLOBOCAN 2012 database. According to the CONCORD-2 study, five-year net survival in Croatia in the 2005-2009 period was 75.1%, which is lower than in similar European countries. The epidemiological pattern of prostate cancer in Croatia indicates a relatively low incidence, with significant room for improvement in mortality and survival data. Given the recent discussions regarding prostate cancer screening modalities, a debate is warranted and should be encouraged regarding the role of PSA testing in Croatia.
Keywords
Prostate cancer; Croatia; Incidence; Mortality; Survival; PSA testing
Hrčak ID:
207886
URI
Publication date:
1.10.2018.
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