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Hospitalizations in Pediatric and Adult Patients for All Cancer Type in Italy: The EPIKIT Study under the E.U. COHEIRS Project on Environment and Health
- Source :
- International Journal of Environmental Research and Public Health, International Journal of Environmental Research and Public Health, Vol 14, Iss 5, p 495 (2017), International journal of environmental research and public health, vol 14, iss 5, International Journal of Environmental Research and Public Health; Volume 14; Issue 5; Pages: 495
- Publication Year :
- 2016
-
Abstract
- Background: Cancer Registries (CRs) remain the gold standard for providing official epidemiological estimations. However, due to CRsâ partial population coverage, hospitalization records might represent a valuable tool to provide additional information on cancer occurrence and expenditures at national/regional level for research purposes. The Epidemiology of Cancer in Italy (EPIKIT) study group has been built up, within the framework of the Civic Observers for Health and Environment: Initiative of Responsibility and Sustainability (COHEIRS) project under the auspices of the Europe for Citizens Program, to assess population health indicators. Objective: To assess the burden of all cancers in Italian children and adults. Methods: We analyzed National Hospitalization Records from 2001 to 2011. Based on social security numbers (anonymously treated), we have excluded from our analyses all re-hospitalizations of the same patients (n = 1,878,109) over the entire 11-year period in order to minimize the overlap between prevalent and incident cancer cases. To be more conservative, only data concerning the last five years (2007â2011) have been taken into account for final analyses. The absolute number of hospitalizations and standardized hospitalization rates (SHR) were computed for each Italian province by sex and age-groups (0â19 and 20â49). Results: The EPIKIT database included a total of 4,113,169 first hospital admissions due to main diagnoses of all tumors. The annual average number of hospital admissions due to cancer in Italy has been computed in 2362 and 43,141 hospitalizations in pediatric patients (0â19 years old) and adults (20â49 years old), respectively. Women accounted for the majority of cancer cases in adults aged 20â49. As expected, the big city of Rome presented the highest average annual number of pediatric cancers (n = 392, SHR = 9.9), followed by Naples (n = 378; SHR = 9.9) and Milan (n = 212; SHR = 7.3). However, when we look at SHR, minor cities (i.e., Imperia, Isernia and others) presented values >10 per 100,000, with only 10 or 20 cases per year. Similar figures are shown also for young adults aged 20â49. Conclusions: In addition to SHR, the absolute number of incident cancer cases represents a crucial piece of information for planning adequate healthcare services and assessing social alarm phenomena. Our findings call for specific risk assessment programs at local level (involving CRs) to search for causal relations with environmental exposures.
- Subjects :
- 0301 basic medicine
Gerontology
Registrie
Male
cancer incidence
Health, Toxicology and Mutagenesis
lcsh:Medicine
Adult cancer
Cancer incidence
Children
Environment and health
Hospitalizations
Pediatric cancer
Public Health, Environmental and Occupational Health
Toxicology
hospitalizations
children
pediatric cancer
adult cancer
environment and health
0302 clinical medicine
Residence Characteristics
Neoplasms
Epidemiology of cancer
Health care
Epidemiology
Prevalence
Medicine
Registries
Child
Cancer
education.field_of_study
Environmental exposure
Middle Aged
3. Good health
Europe
Hospitalization
Italy
Health
030220 oncology & carcinogenesis
Child, Preschool
Female
Public Health
Risk assessment
Human
hospitalization
Adult
medicine.medical_specialty
Adolescent
Population
Population health
Article
03 medical and health sciences
Young Adult
Clinical Research
Humans
Toxicology and Mutagenesis
education
Preschool
business.industry
Environmental and Occupational Health
lcsh:R
Comment
Infant
030104 developmental biology
Residence Characteristic
Neoplasm
business
Demography
Subjects
Details
- ISSN :
- 16604601
- Volume :
- 14
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- International journal of environmental research and public health
- Accession number :
- edsair.doi.dedup.....4a673128dd2feebb9b2767f298add961