Midenin Malign Neoplazmının Neden Olduğu Ölümlerin Sağlıklı Yaşam Beklentisi (SYB) ile İlişkisi: ICD-10 Mortalite Listesinde Zamana Dayalı Bir Boylamsal Analiz

Amaç: Bu araştırmada, midenin malign neoplazmına bağlı ölümlerin sağlıklı yaşam beklentisi (SYB) ile ilişkisinin değerlendirilmesi amaçlandı. Yöntem: 1996-2017 yılları arasında 14 ülke için Dünya Sağlık Örgütü (DSÖ) tarafından yayınlanan ICD-10 ölüm verileri ile yine DSÖ tarafından yayınlanan SYB-doğum ve SYB-60 yaş parametreleri kullanıldı. Araştırma parametrelerinin analizinde Spearman’ın rho yıl kontrollü kısmi korelasyon analizi ve Logit modeli kullanıldı. Bulgular: Tüm yıllar ve ülkeler için minimum toplam ölüm 1, maksimum ölüm 25.898 idi. Ortalama ölüm 3.030.50±6.307.23 idi. SYB-doğum ortalaması 62.75±4.52, SYB-60 yaş ortalaması 13.93±1.90 idi. Hem Spearman'ın rho korelasyon analizi hem de yıl kontrollü kısmi korelasyon analizi sonuçları, mide malign neoplazmına bağlı ölümün SYB-doğum ve SYB-60 yaş ile negatif korelasyon gösterdiğini gösterdi (p<0.01). Yıl kontrollü korelasyon katsayıları, bu korelasyonların zaman diliminde azalma eğiliminde olduğunu gösterdi. Hem SYB-doğum hem de SYB-60 yaş midenin malign neoplazmından, cinsiyet ve ülkeden önemli ölçüde etkilenmiştir. Yıl, SYB-60 yaş üzerinde pozitif ve anlamlı bir etkiye sahipken (p<0.01), SYB-doğum için etkisi önemsizdi (p>0.05). Model R2 değerleri, SYB-60 yaş modelinin SYB-doğum modeline göre daha yüksek anlama sahip olduğunu göstermiştir. Sonuç: Midenin malign neoplazmına bağlı ölümler dünyanın bazı bölgelerinde hala önemli bir halk sağlığı sorunu olarak karşımıza çıkmaktadır. Ayrıca SYB-doğum ve SYB-60 yaş göstergelerinin bu ülkelerde belirli bir düzene uymaması ve zamanla bu süreçte gelişme olmaması halk sağlığı konusunda halen önemli eksikliklerin olduğunu göstermektedir. Bu tür çalışmalarla halk sağlığı değişkenlerinin küresel anlamda incelenmesi, sağlık hizmetlerinin tüm kesimlerine ulaşması ve her bireye sağlık hizmeti sunulması açısından önemlidir.

Anahtar Kelimeler:

Malign neoplazm, Mide, ICD-10, Mortalite, HALE

Relationship of deaths caused by malignant neoplasm of stomach with healthy life expectancy (HALE) : a time-based longitudinal analysis on the ICD-10 mortality list

Aim: In this research, it was aimed to evaluate relationship of deaths caused by malignant neoplasm of stomach with healthy life expectancy (HALE) : a time-based longitudinal analysis on the ICD-10 mortality list. Material and Method: World Health Organization (WHO) ICD-10 mortality data and WHO-HALE at birth and HALE at 60 ages for 14 countries between 1996-2017 were used. Spearman’s rho, year controlled partial correlation analysis and Logit model was used for analysis of research parameters. Results: Minimum total death was 1, and maximum was 25.898 for all years and countries. The mean death was 3.030.50±6.307.23. HALE at birth mean was 62.75±4.52, and HALE at 60 age mean was 13.93±1.90. Both Spearman’s rho correlation analysis and year controlled partial correlation analysis results showed that malignant neoplasm of stomach death is negatively correlated with HALE at birth and HALE at 60 ages (p<0.01). Year controlled correlation coefficients showed that these correlations have been in decreasing trend in time period. Both HALE at birth and HALE at 60 ages have significantly affected from malignant neoplasm of stomach deaths, gender and country. Year has positive and significant effect on HALE at 60 ages (p<0.01), whereas its effect was insignificant for HALE at birth (p>0.05). Model R2 values showed that HALE at 60 age model has higher explanation value than the model for HALE at birth. Conclusion: Deaths due to malignant neoplasm of stomach still emerge as an important public health problem in certain parts of the world. In addition, the fact that the HALE at birth and HALE at 60 age indicators do not have a certain order in these countries and there is no progress in time show that there are still important deficiencies in public health. With such studies, it is important to examine public health variables in the global sense in terms of reaching all segments of health services and providing health services to each individual.

Keywords:

Malignant neoplasm, Stomach, ICD-10, Mortality, HALE,

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