Trends in Incidence and Mortality of Skin Melanoma in Lithuania 1991-2015

We aimed to investigate age-specific and sex-specific incidence trends of melanoma in Lithuania from 1991 to 2015. Analysis was based on data from the population-based Lithuanian Cancer Registry database for 1991-2015, and 6024 cases of skin melanoma were identified. Age-adjusted rates (ASRs) by sex...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-04, Vol.18 (8), p.4165
Main Authors: Dulskas, Audrius, Cerkauskaite, Dovile, Vincerževskiene, Ieva, Urbonas, Vincas
Format: Article
Language:English
Subjects:
Adenomatous polyposis coli
Age groups
Confidence intervals
Epidemiology
Fatalities
Generalized linear models
Hispanic people
Melanoma
Mortality
Pathogenesis
Population
Prevention
Risk factors
Sexes
Skin
Skin cancer
Software
Sun
Surveillance
Trends
Young adults
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Summary:We aimed to investigate age-specific and sex-specific incidence trends of melanoma in Lithuania from 1991 to 2015. Analysis was based on data from the population-based Lithuanian Cancer Registry database for 1991-2015, and 6024 cases of skin melanoma were identified. Age-adjusted rates (ASRs) by sex and age group were calculated. Adjustment for ASRs was done using the old European standard population, where a total of three age groups were considered: 0-39, 40-59 and 60+. Additionally, the annual percent change (APC) was calculated, and 95% confidence intervals for APC were calculated. Between 1991 and 2015, the overall melanoma rates increased by an annual percent change (APC) of 3.9% in men (95% CI, 3.6-4.1%) and 2.3% in women (95% CI, 2.1-2.5%). The highest incidences of new cutaneous melanoma cases were observed between old adults (60+) of both sexes, while the lowest incidence rates were observed in the young adult group (up to 39 years old), with the lowest APC (1.6% in males and 0.4% in females). The overall number of melanoma deaths during 1991 and 2015 increased from 64 to 103 deaths per year, and the age-standardized rate (ASR) increased 1.3 times (from 1.8 to 2.4). The incidence and mortality of skin melanoma seem to be increased in all age groups. These trends indicate that skin protection behavior is not sufficient in our population and more efforts need to be taken in order to decrease incidence and mortality rates.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18084165