Time trends of cancer incidence in childhood in Campania region: 25 years of observation
Childhood cancer is relatively uncommon and the European age-standardized rate was 164 new case per million per year among children 0 to 14 years of age (95 % CI 158-170). Aims of our study are to evaluate the cases of these malignant diseases observed between 0 and 15 years of age in the Campania r...
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| Veröffentlicht in: | Italian journal of pediatrics 2016-09, Vol.42 (1), p.82-82, Article 82 |
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| creator | Indolfi, Paolo Picazio, Serena Perrotta, Silverio Rossi, Francesca Pession, Andrea Di Martino, Martina Pota, Elvira Di Pinto, Daniela Indolfi, Cristiana Rondelli, Roberto Vetrano, Francesco Casale, Fiorina |
| description | Childhood cancer is relatively uncommon and the European age-standardized rate was 164 new case per million per year among children 0 to 14 years of age (95 % CI 158-170). Aims of our study are to evaluate the cases of these malignant diseases observed between 0 and 15 years of age in the Campania region between 1990 and 2014, the ration between observed and expected cases by disease and province of residence. Also we studied the percentage of extra-regional migration over the time by disease and province of residence.
In this study we reported the patients with malignant disease observed in 25 years (1990-2014) based on the specialized registry, the Mod. 1.01 of the AIEOP (Association Italian Pediatric Hematology-Oncology). The size of the monitored population also allowed us to systematically examine five time trends: 1990-94: 1995-99; 2000-04; 2005-09; and 2010-14.
Between 1990 and 2014 a total of 3655 malignant neoplasms were reported: Napoli province (2059 cases), Salerno province (625), Caserta province (589), Avellino province (229), and Benevento province (153). Epidemiological data suggested that about 4100 cases could be expected in Campania region during the same period. The overall ratio between observed (O) and expected (E) numbers of cases in the five periods considered rose gradually from 0.69 in the first period to 0.76, then 0.82, 0.91, and 0.94, in the other periods considered. The extra-regional migration involved 1029 cases (28.1 %), showing a reduction from 33.7 % of the first period to 20.3 % of the last period considered. Considering single province of residence we observed the lowest rate of migration in Napoli and Caserta province, whereas higher levels were observed in the other provinces. For all provinces, except Salerno, the extra-regional migration declined significantly over time.
The present findings showed an increase over time of O/E ratio, probably due to improvement in the organization of centers and greater trust of families in local centers. It is possible to further improve the efficiency of healthcare system of Campania region and migration can be reduced with a more rational use of hospitals throughout region. |
| doi_str_mv | 10.1186/s13052-016-0287-y |
| format | Article |
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In this study we reported the patients with malignant disease observed in 25 years (1990-2014) based on the specialized registry, the Mod. 1.01 of the AIEOP (Association Italian Pediatric Hematology-Oncology). The size of the monitored population also allowed us to systematically examine five time trends: 1990-94: 1995-99; 2000-04; 2005-09; and 2010-14.
Between 1990 and 2014 a total of 3655 malignant neoplasms were reported: Napoli province (2059 cases), Salerno province (625), Caserta province (589), Avellino province (229), and Benevento province (153). Epidemiological data suggested that about 4100 cases could be expected in Campania region during the same period. The overall ratio between observed (O) and expected (E) numbers of cases in the five periods considered rose gradually from 0.69 in the first period to 0.76, then 0.82, 0.91, and 0.94, in the other periods considered. The extra-regional migration involved 1029 cases (28.1 %), showing a reduction from 33.7 % of the first period to 20.3 % of the last period considered. Considering single province of residence we observed the lowest rate of migration in Napoli and Caserta province, whereas higher levels were observed in the other provinces. For all provinces, except Salerno, the extra-regional migration declined significantly over time.
The present findings showed an increase over time of O/E ratio, probably due to improvement in the organization of centers and greater trust of families in local centers. It is possible to further improve the efficiency of healthcare system of Campania region and migration can be reduced with a more rational use of hospitals throughout region.</description><identifier>ISSN: 1824-7288</identifier><identifier>ISSN: 1720-8424</identifier><identifier>EISSN: 1824-7288</identifier><identifier>DOI: 10.1186/s13052-016-0287-y</identifier><identifier>PMID: 27599999</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Adolescent ; Age ; Cancer ; Child ; Child, Preschool ; Disease ; Epidemiology ; Female ; Health risk assessment ; Hospitals ; Humans ; Incidence ; Infant ; Infant, Newborn ; Italy - epidemiology ; Leukemia ; Lymphoma ; Male ; Migration ; Neoplasms - epidemiology ; Nervous system ; Oncology ; Pediatrics ; Population ; Risk Factors ; Trends ; Tumors</subject><ispartof>Italian journal of pediatrics, 2016-09, Vol.42 (1), p.82-82, Article 82</ispartof><rights>Copyright BioMed Central 2016</rights><rights>The Author(s). 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-2c81213d2002a954caeb9032f48e51dc14ba8d671493280a29aead2e0cef9ebd3</citedby><cites>FETCH-LOGICAL-c494t-2c81213d2002a954caeb9032f48e51dc14ba8d671493280a29aead2e0cef9ebd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013613/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013613/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27599999$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Indolfi, Paolo</creatorcontrib><creatorcontrib>Picazio, Serena</creatorcontrib><creatorcontrib>Perrotta, Silverio</creatorcontrib><creatorcontrib>Rossi, Francesca</creatorcontrib><creatorcontrib>Pession, Andrea</creatorcontrib><creatorcontrib>Di Martino, Martina</creatorcontrib><creatorcontrib>Pota, Elvira</creatorcontrib><creatorcontrib>Di Pinto, Daniela</creatorcontrib><creatorcontrib>Indolfi, Cristiana</creatorcontrib><creatorcontrib>Rondelli, Roberto</creatorcontrib><creatorcontrib>Vetrano, Francesco</creatorcontrib><creatorcontrib>Casale, Fiorina</creatorcontrib><title>Time trends of cancer incidence in childhood in Campania region: 25 years of observation</title><title>Italian journal of pediatrics</title><addtitle>Ital J Pediatr</addtitle><description>Childhood cancer is relatively uncommon and the European age-standardized rate was 164 new case per million per year among children 0 to 14 years of age (95 % CI 158-170). Aims of our study are to evaluate the cases of these malignant diseases observed between 0 and 15 years of age in the Campania region between 1990 and 2014, the ration between observed and expected cases by disease and province of residence. Also we studied the percentage of extra-regional migration over the time by disease and province of residence.
In this study we reported the patients with malignant disease observed in 25 years (1990-2014) based on the specialized registry, the Mod. 1.01 of the AIEOP (Association Italian Pediatric Hematology-Oncology). The size of the monitored population also allowed us to systematically examine five time trends: 1990-94: 1995-99; 2000-04; 2005-09; and 2010-14.
Between 1990 and 2014 a total of 3655 malignant neoplasms were reported: Napoli province (2059 cases), Salerno province (625), Caserta province (589), Avellino province (229), and Benevento province (153). Epidemiological data suggested that about 4100 cases could be expected in Campania region during the same period. The overall ratio between observed (O) and expected (E) numbers of cases in the five periods considered rose gradually from 0.69 in the first period to 0.76, then 0.82, 0.91, and 0.94, in the other periods considered. The extra-regional migration involved 1029 cases (28.1 %), showing a reduction from 33.7 % of the first period to 20.3 % of the last period considered. Considering single province of residence we observed the lowest rate of migration in Napoli and Caserta province, whereas higher levels were observed in the other provinces. For all provinces, except Salerno, the extra-regional migration declined significantly over time.
The present findings showed an increase over time of O/E ratio, probably due to improvement in the organization of centers and greater trust of families in local centers. It is possible to further improve the efficiency of healthcare system of Campania region and migration can be reduced with a more rational use of hospitals throughout region.</description><subject>Adolescent</subject><subject>Age</subject><subject>Cancer</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Disease</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Italy - epidemiology</subject><subject>Leukemia</subject><subject>Lymphoma</subject><subject>Male</subject><subject>Migration</subject><subject>Neoplasms - epidemiology</subject><subject>Nervous system</subject><subject>Oncology</subject><subject>Pediatrics</subject><subject>Population</subject><subject>Risk Factors</subject><subject>Trends</subject><subject>Tumors</subject><issn>1824-7288</issn><issn>1720-8424</issn><issn>1824-7288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdUcFq3DAQFaWlSbf9gF6KoZdc3GpkyZZ7KJQlaQOBXlLoTYylcVbBlraSN7B_X202DWnmMm-Y9x4zPMbeA_8EoNvPGRquRM2hrbnQXb1_wU5BC1l3QuuXT_AJe5PzLeeNUC28ZieiU_2hTtnvaz9TtSQKLldxrCwGS6nywXpHBRZU2Y2f3CZGdxjWOG8xeKwS3fgYvlRCVXvCdK-OQ6Z0h0tZvGWvRpwyvXvoK_br4vx6_aO--vn9cv3tqrayl0strAYBjROcC-yVtEhDX-4cpSYFzoIcULu2A9k3QnMUPRI6QdzS2NPgmhX7evTd7oaZnKWwJJzMNvkZ095E9Ob_TfAbcxPvjOLQtNAUg7MHgxT_7CgvZvbZ0jRhoLjLBjR0Wuq2cFfs4zPqbdylUN4rLKE6Cb0ShQVHlk0x50Tj4zHAzSE3c8zNlNzMITezL5oPT794VPwLqvkLnFaUOg</recordid><startdate>20160906</startdate><enddate>20160906</enddate><creator>Indolfi, Paolo</creator><creator>Picazio, Serena</creator><creator>Perrotta, Silverio</creator><creator>Rossi, Francesca</creator><creator>Pession, Andrea</creator><creator>Di Martino, Martina</creator><creator>Pota, Elvira</creator><creator>Di Pinto, Daniela</creator><creator>Indolfi, Cristiana</creator><creator>Rondelli, Roberto</creator><creator>Vetrano, Francesco</creator><creator>Casale, Fiorina</creator><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160906</creationdate><title>Time trends of cancer incidence in childhood in Campania region: 25 years of observation</title><author>Indolfi, Paolo ; Picazio, Serena ; Perrotta, Silverio ; Rossi, Francesca ; Pession, Andrea ; Di Martino, Martina ; Pota, Elvira ; Di Pinto, Daniela ; Indolfi, Cristiana ; Rondelli, Roberto ; Vetrano, Francesco ; Casale, Fiorina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-2c81213d2002a954caeb9032f48e51dc14ba8d671493280a29aead2e0cef9ebd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Cancer</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Disease</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Italy - epidemiology</topic><topic>Leukemia</topic><topic>Lymphoma</topic><topic>Male</topic><topic>Migration</topic><topic>Neoplasms - epidemiology</topic><topic>Nervous system</topic><topic>Oncology</topic><topic>Pediatrics</topic><topic>Population</topic><topic>Risk Factors</topic><topic>Trends</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Indolfi, Paolo</creatorcontrib><creatorcontrib>Picazio, Serena</creatorcontrib><creatorcontrib>Perrotta, Silverio</creatorcontrib><creatorcontrib>Rossi, Francesca</creatorcontrib><creatorcontrib>Pession, Andrea</creatorcontrib><creatorcontrib>Di Martino, Martina</creatorcontrib><creatorcontrib>Pota, Elvira</creatorcontrib><creatorcontrib>Di Pinto, Daniela</creatorcontrib><creatorcontrib>Indolfi, Cristiana</creatorcontrib><creatorcontrib>Rondelli, Roberto</creatorcontrib><creatorcontrib>Vetrano, Francesco</creatorcontrib><creatorcontrib>Casale, Fiorina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Italian journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Indolfi, Paolo</au><au>Picazio, Serena</au><au>Perrotta, Silverio</au><au>Rossi, Francesca</au><au>Pession, Andrea</au><au>Di Martino, Martina</au><au>Pota, Elvira</au><au>Di Pinto, Daniela</au><au>Indolfi, Cristiana</au><au>Rondelli, Roberto</au><au>Vetrano, Francesco</au><au>Casale, Fiorina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Time trends of cancer incidence in childhood in Campania region: 25 years of observation</atitle><jtitle>Italian journal of pediatrics</jtitle><addtitle>Ital J Pediatr</addtitle><date>2016-09-06</date><risdate>2016</risdate><volume>42</volume><issue>1</issue><spage>82</spage><epage>82</epage><pages>82-82</pages><artnum>82</artnum><issn>1824-7288</issn><issn>1720-8424</issn><eissn>1824-7288</eissn><abstract>Childhood cancer is relatively uncommon and the European age-standardized rate was 164 new case per million per year among children 0 to 14 years of age (95 % CI 158-170). Aims of our study are to evaluate the cases of these malignant diseases observed between 0 and 15 years of age in the Campania region between 1990 and 2014, the ration between observed and expected cases by disease and province of residence. Also we studied the percentage of extra-regional migration over the time by disease and province of residence.
In this study we reported the patients with malignant disease observed in 25 years (1990-2014) based on the specialized registry, the Mod. 1.01 of the AIEOP (Association Italian Pediatric Hematology-Oncology). The size of the monitored population also allowed us to systematically examine five time trends: 1990-94: 1995-99; 2000-04; 2005-09; and 2010-14.
Between 1990 and 2014 a total of 3655 malignant neoplasms were reported: Napoli province (2059 cases), Salerno province (625), Caserta province (589), Avellino province (229), and Benevento province (153). Epidemiological data suggested that about 4100 cases could be expected in Campania region during the same period. The overall ratio between observed (O) and expected (E) numbers of cases in the five periods considered rose gradually from 0.69 in the first period to 0.76, then 0.82, 0.91, and 0.94, in the other periods considered. The extra-regional migration involved 1029 cases (28.1 %), showing a reduction from 33.7 % of the first period to 20.3 % of the last period considered. Considering single province of residence we observed the lowest rate of migration in Napoli and Caserta province, whereas higher levels were observed in the other provinces. For all provinces, except Salerno, the extra-regional migration declined significantly over time.
The present findings showed an increase over time of O/E ratio, probably due to improvement in the organization of centers and greater trust of families in local centers. It is possible to further improve the efficiency of healthcare system of Campania region and migration can be reduced with a more rational use of hospitals throughout region.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>27599999</pmid><doi>10.1186/s13052-016-0287-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Age Cancer Child Child, Preschool Disease Epidemiology Female Health risk assessment Hospitals Humans Incidence Infant Infant, Newborn Italy - epidemiology Leukemia Lymphoma Male Migration Neoplasms - epidemiology Nervous system Oncology Pediatrics Population Risk Factors Trends Tumors |
| title | Time trends of cancer incidence in childhood in Campania region: 25 years of observation |
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