Trends in Incidence and Mortality of Skin Melanoma in Lithuania 1991–2015

Audrius Dulskas, Dovile Cerkauskaite, Ieva Vincerževskiene and Vincas Urbonas
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Audrius Dulskas: Department of Abdominal and General Surgery and Oncology, National Cancer Institute, 1 Santariskiu Str., LT-08406 Vilnius, Lithuania
Dovile Cerkauskaite: Faculty of Medicine, Lithuanian University of Health Sciences, 9 A. Mickeviciaus Str., LT-44307 Kaunas, Lithuania
Ieva Vincerževskiene: Laboratory of Clinical Oncology, National Cancer Institute, LT-08406 Vilnius, Lithuania
Vincas Urbonas: Laboratory of Clinical Oncology, National Cancer Institute, LT-08406 Vilnius, Lithuania

IJERPH, 2021, vol. 18, issue 8, 1-10

Abstract: Background. We aimed to investigate age-specific and sex-specific incidence trends of melanoma in Lithuania from 1991 to 2015. Methods. Analysis was based on data from the population-based Lithuanian Cancer Registry database for 1991–2015, and 6024 cases of skin melanoma were identified. Age-adjusted rates (ASRs) by sex and age group were calculated. Adjustment for ASRs was done using the old European standard population, where a total of three age groups were considered: 0–39, 40–59 and 60+. Additionally, the annual percent change (APC) was calculated, and 95% confidence intervals for APC were calculated. Results. Between 1991 and 2015, the overall melanoma rates increased by an annual percent change (APC) of 3.9% in men (95% CI, 3.6–4.1%) and 2.3% in women (95% CI, 2.1–2.5%). The highest incidences of new cutaneous melanoma cases were observed between old adults (60+) of both sexes, while the lowest incidence rates were observed in the young adult group (up to 39 years old), with the lowest APC (1.6% in males and 0.4% in females). The overall number of melanoma deaths during 1991 and 2015 increased from 64 to 103 deaths per year, and the age-standardized rate (ASR) increased 1.3 times (from 1.8 to 2.4). Conclusions. The incidence and mortality of skin melanoma seem to be increased in all age groups. These trends indicate that skin protection behavior is not sufficient in our population and more efforts need to be taken in order to decrease incidence and mortality rates.

Keywords: melanoma; epidemiology; incidence; mortality (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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