Trake, Bronş Ve Akciğer Kanserinin Küresel Yükünün Zamansal Trendlerinin Karşılaştırılması

Trakea, bronş ve akciğer (TBA) kanserleri hem Türkiye'de hem de dünyada önde gelen ölüm nedenleri arasında yer alan önemli bir halk sağlığı sorunudur. Bu çalışmada, 1990-2019 yılları arasında Trake, bronş ve akciğer (TBA) kanserlerinin insidans, mortalite ve DALY oranlarının zamansal eğilimlerinin belirlenmesi ve değerlendirilmesi amaçlanmıştır. Çalışmada Mortality-Insidans Ratio (MIR) ve Joinpoint Regresyon Analiz (JRA) yöntemi kullanılmıştır. Değişken olarak insidans, mortalite ve engelliliğe göre ayarlanmış yaşam yılları tercih edilmiştir. TBA kanserlerinin zamansal eğilimleri küresel, Türkiye ve Sosyo-Demografik İndeks (SDI) grupları arasında karşılaştırmıştır. Araştırma bulgularında TBL kanserlerinin yaşa göre standardize edilmiş küresel yükü azalma eğiliminde olduğu tespit edilmiştir. TBL kanseri yükü, bu döne içinde yüksek SDI ülkelerde düşme eğiliminde iken, düşük SDI ülkelerde artma eğilimdedir. Türkiye'de ise TBL kanser yükü 2005 yılına kadar azalma eğilimi görülür iken, 2006 yılından sonra artma eğiliminde olduğu tespit edilmiştir. TBL küresel kanser yükü bu dönem içinde erkeklerde azalma eğiliminde iken kadınlarda artma eğilimdedir. Sonuç olarak, TBL kanser yükü küresel olarak düşme eğilimde iken, düşük ve düşük-orta SDI grup ülkelerinde artma eğiliminde olduğu belirlenmiştir. TBL küresel kanser yükünü düşürmek için kanser tedavisine adil erişim için hem Türkiye hem de uluslararası sağlık sistemlerinde sağlık politikaları geliştirilmesi önerilmektedir.

Anahtar Kelimeler:

Trakea Bronş ve Akciğer Kanseri, Mortalite İnsidans Oranı, Joinpoint Regresyon Analizi

COMPARISON OF TEMPORAL TRENDS IN THE GLOBAL BURDEN OF TRACHEA, BRONCHIAL, AND LUNG CANCER

Trachea, bronchial, and lung (TBL) cancers are significant public health problems among the leading causes of death in Turkey and the world. In this study, it was aimed to determine and evaluate the temporal trends of incidence, mortality, and DALY rates of TBA cancers between 1990 and 2019. Mortality-Incidence Ratio (MIR) and Joinpoint Regression Analysis (JRA) methods were used in this study. Incidence, mortality, and disability-adjusted life-years were used as variables in the study. The temporal trends of TBL cancers were compared between the global, Turkey, and Socio-Demographic Index (SDI) groups. In this study, it was determined that the age-standardized global burden of TBL cancers tended to decrease between 1990 and 2019. While the burden of TBL cancers tended to decline in high SDI countries during this period, it tended to increase in low SDI countries. In Turkey, while the TBL cancers burden decreased until 2005, it increased after 2006. While the global cancer burden of TBL tended to decline in men, it tended to increase in women during this period. According to the data obtained from the research findings, the burden of TBL cancers tends to decrease globally. However, it tends to increase in low and low-middle SDI group countries. To reduce the TBL global cancer burden, it is recommended that health policies should be developed in both Turkey and international health systems for fair access to cancer treatment.

Keywords:

Trachea Bronchial and Lung Cancer, Mortality-Incidence Ratio, Joinpoint Regression Analysis,

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