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Time Trends Analysis of Cervical Cancer Incidence in Cluj County, Romania, Using Data from a Population-Based Cancer Registry

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Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
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Department of Cancer Prevention and Control, “Prof. Dr. Ion Chiricuţă” Oncology Institute, 400015 Cluj-Napoca, Romania
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Department of Radiotherapy, “Prof. Dr. Ion Chiricuţă” Oncology Institute, 400015 Cluj-Napoca, Romania;
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(3), 1706-1717; https://doi.org/10.3390/curroncol28030159
Received: 14 March 2021 / Revised: 11 April 2021 / Accepted: 28 April 2021 / Published: 30 April 2021
(1) Background: Romania has one of the highest cervical cancer incidence rates in Europe. In Cluj County, the first screening program was initiated in 1998. We aimed to investigate the time trends of cervical cancer incidence in women from Cluj County and to evaluate the data quality at the Cancer Registry. (2) Methods: We calculated time trends of standardized incidence rates in the period 1998–2014 and the Annual Percent Change (APC%). To assess data quality, we used the indicators: mortality/incidence ratio (M/I), percentage of cases declared only at death (DOD%), and percentage of cases with pathological confirmation (PC%). (3) Results: The standardized incidence rate increased steadily, from 23.74 cases/100,000 in 1998, to 32/100,000 in 2014, with an APC% of 2.49% (p < 0.05). The rise in incidence affected both squamous cell carcinoma (APC% 2.49%) (p < 0.05) and cervical adenocarcinoma (APC% 10.54%) (p < 0.05). The M/I ratio was 0.29, DOD% 2.66%, and MC% 94.8%. The last two parameters are within the silver standard concerning data quality. (4) Conclusions. Our study revealed an ascending trend of cervical cancer incidence, more consistent for adenocarcinoma, in the context of a newly introduced screening program and partially due to the improvement of the quality of case reporting at the Cancer Registry from Cluj. View Full-Text
Keywords: cervical cancer; incidence time trends; data quality; organized screening program; population-based cancer registry cervical cancer; incidence time trends; data quality; organized screening program; population-based cancer registry
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MDPI and ACS Style

Ignat, R.-M.; Coza, D.; Ignat, P.; Badea, R.-I.; Șuteu, O. Time Trends Analysis of Cervical Cancer Incidence in Cluj County, Romania, Using Data from a Population-Based Cancer Registry. Curr. Oncol. 2021, 28, 1706-1717. https://doi.org/10.3390/curroncol28030159

AMA Style

Ignat R-M, Coza D, Ignat P, Badea R-I, Șuteu O. Time Trends Analysis of Cervical Cancer Incidence in Cluj County, Romania, Using Data from a Population-Based Cancer Registry. Current Oncology. 2021; 28(3):1706-1717. https://doi.org/10.3390/curroncol28030159

Chicago/Turabian Style

Ignat, Radu-Mihai; Coza, Daniela; Ignat, Patricia; Badea, Radu-Ion; Șuteu, Ofelia. 2021. "Time Trends Analysis of Cervical Cancer Incidence in Cluj County, Romania, Using Data from a Population-Based Cancer Registry" Curr. Oncol. 28, no. 3: 1706-1717. https://doi.org/10.3390/curroncol28030159

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