Title of Article |
Cervical Cancer in Khon Kaen, Thailand: Analysis of 1990-2014 Incidence Data and Prediction of Future Trends |
Date of Acceptance |
27 January 2019 |
Journal |
Title of Journal |
Asian Pacific Journal of Cancer Prevention (APJCP) |
Standard |
SCOPUS |
Institute of Journal |
Asia Pacific Organization for Cancer Prevention (APOCP) |
ISBN/ISSN |
|
Volume |
20 |
Issue |
2 |
Month |
February |
Year of Publication |
2019 |
Page |
369-375 |
Abstract |
Background: Cervical cancer is the second most common cancer of women in Thailand. There have been no reports of incidence and future in Khon Kaen, a province in northeastern Thailand, where the relatively high prevalence gives evaluation of cervical cancer screening a high priority. Objectives: To determine cervical cancer incidence rates in Khon Kaen for 1990–2014 and predict future trends until 2029.
Methods: Cancer incidence data from the Khon Kaen population-based cancer registry were analyzed and age-standardized incidence rates (ASR) were estimated. Joinpoint analysis and age-period-cohort modeling were applied for data from 1990 to 2014 and the Nordpred package was
employed to project trends from 2015 to 2029. Results: Between 1990 and 2014, a total of 3,258 cases were diagnosed with ICD-O code C53 (invasive cervical cancer). Before 2005, an annual percentage change (APC) varied widely, with
outliers in 1993 and 1999. The APC computed with the Joinpoint software decreased at -2.8% (95% CI;-4.5 to -1.1) per year on average. After 2005, a rise was noted until 2008, after which a drop became apparent with an APC of -8.0% (95% CI; -14.5 to -1.1) per year on average. Both period and cohort effects played a role in shaping the decrease in incidence. The three projection method suggested that incidence rates would continue to decrease in the future.
Conclusions: A decreasing trend in incidence of cervical cancer in Khon Kaen was noted from 1990 to 2014 with a prediction of continuous decrease until 2029. Maintenance and improvement of the screening program is advised. |
Keyword |
Cervical cancer; Time trend; Population-based cancer registry data |
Author |
|
Reviewing Status |
มีผู้ประเมินอิสระ |
Status |
ได้รับการตอบรับให้ตีพิมพ์ |
Level of Publication |
นานาชาติ |
citation |
true |
Part of thesis |
true |
ใช้สำหรับสำเร็จการศึกษา |
ไม่เป็น |
Attach file |
|
Citation |
0
|
|