Longitudinal analysis of ovarian cancer death patterns during a rapid transition period (2005-2020) in Shanghai, China: A population-based study

ObjectivesIt is important to assess the burden of ovarian cancer related premature death so as to develop appropriate evidence-based care and improve women’s health. This study aimed to characterize the long-term trends in mortality, survival and disease burden of ovarian cancer in Shanghai, China.M...

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Main Authors: Xiaopan Li, Mo Zhang, Yichen Chen, Huihui Lv, Yan Du
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.1003297/full
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author Xiaopan Li
Mo Zhang
Yichen Chen
Huihui Lv
Yan Du
author_facet Xiaopan Li
Mo Zhang
Yichen Chen
Huihui Lv
Yan Du
author_sort Xiaopan Li
collection DOAJ
description ObjectivesIt is important to assess the burden of ovarian cancer related premature death so as to develop appropriate evidence-based care and improve women’s health. This study aimed to characterize the long-term trends in mortality, survival and disease burden of ovarian cancer in Shanghai, China.Materials and MethodsCo-morbidities, crude mortality rate (CMR), age-standardised mortality rate by Segi’s world standard population (ASMRW), years of life lost (YLL), and survival rates were analysed. Temporal trends for the mortality rates and disease burden were analyzed using the Joinpoint Regression Program. Mortality rate increases by demographic and non-demographic factors were estimated by the decomposition method.ResultsA total of 1088 ovarian cancer as underlying cause of deaths were recorded. CMR and ASMRW were 4.82/105 and 2.32/105 person-years, respectively. The YLL was 16372.96 years, and the YLL rate was 72.46/105 person-years. The YLL rate increased only in the age group of 70-79 years (P = 0.017). The survival rates of ovarian cancer patients did not improve during the ten year period (2005-2015). The top co-morbidities were diseases of the respiratory system, digestive system, and circulatory system. The rates of ovarian cancer deaths caused by non-demographic and demographic factors increased by 21.29% (95%CI: 4.01% to 41.44%, P = 0.018) and 25.23% (95%CI: 14.64% to 36.81%, P < 0.001), respectively.ConclusionsPopulation ageing and all cause of death may affect ovarian cancer related deaths in Pudong, Shanghai. The high mortality and the stagnant survival rates suggest the need for more efforts in targeted prevention and treatment of this disease.
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spelling doaj.art-33812a3034cf4e8bbdbb3218859ef12a2022-12-22T03:49:46ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.10032971003297Longitudinal analysis of ovarian cancer death patterns during a rapid transition period (2005-2020) in Shanghai, China: A population-based studyXiaopan Li0Mo Zhang1Yichen Chen2Huihui Lv3Yan Du4Department of Health Management Center, Zhongshan Hospital, Shanghai Medical College of Fudan University, Shanghai, ChinaClinical Research Unit, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, ChinaOffice of Scientific Research and Information Management, Center for Disease Control and Prevention & Pudong Institute of Preventive Medicine, Pudong New Area, Shanghai, ChinaYueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaClinical Research Unit, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, ChinaObjectivesIt is important to assess the burden of ovarian cancer related premature death so as to develop appropriate evidence-based care and improve women’s health. This study aimed to characterize the long-term trends in mortality, survival and disease burden of ovarian cancer in Shanghai, China.Materials and MethodsCo-morbidities, crude mortality rate (CMR), age-standardised mortality rate by Segi’s world standard population (ASMRW), years of life lost (YLL), and survival rates were analysed. Temporal trends for the mortality rates and disease burden were analyzed using the Joinpoint Regression Program. Mortality rate increases by demographic and non-demographic factors were estimated by the decomposition method.ResultsA total of 1088 ovarian cancer as underlying cause of deaths were recorded. CMR and ASMRW were 4.82/105 and 2.32/105 person-years, respectively. The YLL was 16372.96 years, and the YLL rate was 72.46/105 person-years. The YLL rate increased only in the age group of 70-79 years (P = 0.017). The survival rates of ovarian cancer patients did not improve during the ten year period (2005-2015). The top co-morbidities were diseases of the respiratory system, digestive system, and circulatory system. The rates of ovarian cancer deaths caused by non-demographic and demographic factors increased by 21.29% (95%CI: 4.01% to 41.44%, P = 0.018) and 25.23% (95%CI: 14.64% to 36.81%, P < 0.001), respectively.ConclusionsPopulation ageing and all cause of death may affect ovarian cancer related deaths in Pudong, Shanghai. The high mortality and the stagnant survival rates suggest the need for more efforts in targeted prevention and treatment of this disease.https://www.frontiersin.org/articles/10.3389/fonc.2022.1003297/fullovarian cancerall cause of deathunderlying cause of deathmortalityyears of life losttrend analysis
spellingShingle Xiaopan Li
Mo Zhang
Yichen Chen
Huihui Lv
Yan Du
Longitudinal analysis of ovarian cancer death patterns during a rapid transition period (2005-2020) in Shanghai, China: A population-based study
Frontiers in Oncology
ovarian cancer
all cause of death
underlying cause of death
mortality
years of life lost
trend analysis
title Longitudinal analysis of ovarian cancer death patterns during a rapid transition period (2005-2020) in Shanghai, China: A population-based study
title_full Longitudinal analysis of ovarian cancer death patterns during a rapid transition period (2005-2020) in Shanghai, China: A population-based study
title_fullStr Longitudinal analysis of ovarian cancer death patterns during a rapid transition period (2005-2020) in Shanghai, China: A population-based study
title_full_unstemmed Longitudinal analysis of ovarian cancer death patterns during a rapid transition period (2005-2020) in Shanghai, China: A population-based study
title_short Longitudinal analysis of ovarian cancer death patterns during a rapid transition period (2005-2020) in Shanghai, China: A population-based study
title_sort longitudinal analysis of ovarian cancer death patterns during a rapid transition period 2005 2020 in shanghai china a population based study
topic ovarian cancer
all cause of death
underlying cause of death
mortality
years of life lost
trend analysis
url https://www.frontiersin.org/articles/10.3389/fonc.2022.1003297/full
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AT yichenchen longitudinalanalysisofovariancancerdeathpatternsduringarapidtransitionperiod20052020inshanghaichinaapopulationbasedstudy
AT huihuilv longitudinalanalysisofovariancancerdeathpatternsduringarapidtransitionperiod20052020inshanghaichinaapopulationbasedstudy
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