Colorectal cancer in Ukraine: the epidemiological and organizational aspects of the problem

Authors

  • Z.P. Fedorenko MD, PhD, head of the Information and Analytical Department of Medical Statistics, National Cancer Institute, Kyiv, Ukraine,
  • O.O. Kolesnik MD, PhD, director of National Cancer Institute, Kyiv, Ukraine,
  • L.O. Gulak PhD, leading research associate of the Department of Cancer Control Organization and the National Cancer Registry, National Cancer Institute, Kyiv, Ukraine,
  • A.Yu. Ryzhov PhD, senior research associate of the Department of Cancer Control Organization and the National Cancer Registry, National Cancer Institute, Kyiv, Ukraine,
  • O.V. Sumkina research associate of the Department of Cancer Control Organization and the National Cancer Registry, National Cancer Institute, Kyiv, Ukraine,

DOI:

https://doi.org/10.22141/2663-3272.2.2.2019.176026

Keywords:

colorectal cancer, incidence, mortality, survival, cancer registry, cancer control, oncoepidemiology

Abstract

Colorectal cancer takes a leading place in the structure of cancer incidence in Ukraine — the second one among men and the third one among women; in the structure of morta­lity, it takes the second place in both men and women. Dynamic models of colorectal cancer incidence in Ukraine for the last 20 years show a steady increase in both male and female population, with the predominance in men. The peak incidence of colorectal cancer is registered in the older age groups. The average mortality-to-incidence ratio in Ukraine ranges from 51.8 to 57.3 %, with an increase of this value in some regions to 76.0 %. Significant shortcomings in the prevention, diagnosis and treatment of patients with colorectal cancer lead to the fact that 27.6–33.3 % of them died within one year since the time of diagnosis, and in some areas, this rate exceeds 40 %. Survival of persons with colorectal cancer directly depends on the timeliness of cancer detection; therefore, the 5-year relative survival rate of patients with early stages of the cancer is 8–10 times higher than of those with advanced stages.

References

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Issue

Section

Original Researches