The levels and trends of cancer incidence in the elderly population at national and sub‐national scales in Iran from 1990 to 2016

Abstract Background Cancer is most commonly associated with aging. It is necessary to gain a better understanding of cancer's trend and distribution among elderlies and provide comprehensive cancer care for this population. Aims The aim of the current study was to show the trends in cancer inci...

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Main Authors: Zahra Shokri Varniab, Sahar Saeedi Moghaddam, Ashkan Pourabhari Langroudi, Sina Azadnajafabad, Seyede Salehe Mortazavi, Ali Sheidaei, Kimiya Gohari, Yosef Farzi, Zeinab Shirzad Moghaddam, Hanye Sohrabi, Mohsen Shati
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.1937
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author Zahra Shokri Varniab
Sahar Saeedi Moghaddam
Ashkan Pourabhari Langroudi
Sina Azadnajafabad
Seyede Salehe Mortazavi
Ali Sheidaei
Kimiya Gohari
Yosef Farzi
Zeinab Shirzad Moghaddam
Hanye Sohrabi
Mohsen Shati
author_facet Zahra Shokri Varniab
Sahar Saeedi Moghaddam
Ashkan Pourabhari Langroudi
Sina Azadnajafabad
Seyede Salehe Mortazavi
Ali Sheidaei
Kimiya Gohari
Yosef Farzi
Zeinab Shirzad Moghaddam
Hanye Sohrabi
Mohsen Shati
author_sort Zahra Shokri Varniab
collection DOAJ
description Abstract Background Cancer is most commonly associated with aging. It is necessary to gain a better understanding of cancer's trend and distribution among elderlies and provide comprehensive cancer care for this population. Aims The aim of the current study was to show the trends in cancer incidence focusing on the population aged 60+ from 1990 to 2016 in Iran. Material and Results We used the dataset of the Iran Cancer Registry to estimate cancer incidences by sex, age, province, and year. In order to account for incomplete data we used a two‐stage spatiotemporal model along with random intercept mixed effect models. We calculated annual age‐standardized incidence rates (ASIRs) for age groups 60+ and 5‐interval age groups. There was an increasing trend of 25.3% to 936.9% (95% uncertainty interval: 769.6–1141.8) in ASIR in the elderly in 2016. ASIR of all cancers were 889.7 (731.3–1083.6) in women and 988.1 (811.1–1205) in men in 2016, per 100 000 respectively, which had an increasing trend comparing 1990. Skin, breast, and stomach cancers in women and prostate, skin, and stomach cancers in men were the most common types in 2016. All the most incident cancer subtypes underwent an increasing trend in both sexes, except for the bladder, esophageal, and skin cancers which almost had a similar level in 1990 and 2016. Most provinces had an increasing trend in ASIR in all cancers combined from 1990 to 2016 except Zanjan with a decreasing trend. Conclusion Regarding the persistent increasing trend of most elderly cancers' incidence, this is crucial for policymakers to establish preventive plans, determine proper resource allocation, and develop specific treatments for elderly cancer patients.
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spelling doaj.art-ce0d5e1cf57e4288b77f105ee32186ed2024-01-26T14:25:01ZengWileyCancer Reports2573-83482024-01-0171n/an/a10.1002/cnr2.1937The levels and trends of cancer incidence in the elderly population at national and sub‐national scales in Iran from 1990 to 2016Zahra Shokri Varniab0Sahar Saeedi Moghaddam1Ashkan Pourabhari Langroudi2Sina Azadnajafabad3Seyede Salehe Mortazavi4Ali Sheidaei5Kimiya Gohari6Yosef Farzi7Zeinab Shirzad Moghaddam8Hanye Sohrabi9Mohsen Shati10Non‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranNon‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranNon‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranNon‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranGeriatric Mental Health Research Center, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry) Iran University of Medical Sciences Tehran IranNon‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranNon‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranNon‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranNon‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranNon‐Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran IranMental Health Research Center, Department of Epidemiology, Psychosocial Health Research Institute Iran University of Medical Sciences Tehran IranAbstract Background Cancer is most commonly associated with aging. It is necessary to gain a better understanding of cancer's trend and distribution among elderlies and provide comprehensive cancer care for this population. Aims The aim of the current study was to show the trends in cancer incidence focusing on the population aged 60+ from 1990 to 2016 in Iran. Material and Results We used the dataset of the Iran Cancer Registry to estimate cancer incidences by sex, age, province, and year. In order to account for incomplete data we used a two‐stage spatiotemporal model along with random intercept mixed effect models. We calculated annual age‐standardized incidence rates (ASIRs) for age groups 60+ and 5‐interval age groups. There was an increasing trend of 25.3% to 936.9% (95% uncertainty interval: 769.6–1141.8) in ASIR in the elderly in 2016. ASIR of all cancers were 889.7 (731.3–1083.6) in women and 988.1 (811.1–1205) in men in 2016, per 100 000 respectively, which had an increasing trend comparing 1990. Skin, breast, and stomach cancers in women and prostate, skin, and stomach cancers in men were the most common types in 2016. All the most incident cancer subtypes underwent an increasing trend in both sexes, except for the bladder, esophageal, and skin cancers which almost had a similar level in 1990 and 2016. Most provinces had an increasing trend in ASIR in all cancers combined from 1990 to 2016 except Zanjan with a decreasing trend. Conclusion Regarding the persistent increasing trend of most elderly cancers' incidence, this is crucial for policymakers to establish preventive plans, determine proper resource allocation, and develop specific treatments for elderly cancer patients.https://doi.org/10.1002/cnr2.1937elderlyepidemiologygeriatricsincidenceneoplasms
spellingShingle Zahra Shokri Varniab
Sahar Saeedi Moghaddam
Ashkan Pourabhari Langroudi
Sina Azadnajafabad
Seyede Salehe Mortazavi
Ali Sheidaei
Kimiya Gohari
Yosef Farzi
Zeinab Shirzad Moghaddam
Hanye Sohrabi
Mohsen Shati
The levels and trends of cancer incidence in the elderly population at national and sub‐national scales in Iran from 1990 to 2016
Cancer Reports
elderly
epidemiology
geriatrics
incidence
neoplasms
title The levels and trends of cancer incidence in the elderly population at national and sub‐national scales in Iran from 1990 to 2016
title_full The levels and trends of cancer incidence in the elderly population at national and sub‐national scales in Iran from 1990 to 2016
title_fullStr The levels and trends of cancer incidence in the elderly population at national and sub‐national scales in Iran from 1990 to 2016
title_full_unstemmed The levels and trends of cancer incidence in the elderly population at national and sub‐national scales in Iran from 1990 to 2016
title_short The levels and trends of cancer incidence in the elderly population at national and sub‐national scales in Iran from 1990 to 2016
title_sort levels and trends of cancer incidence in the elderly population at national and sub national scales in iran from 1990 to 2016
topic elderly
epidemiology
geriatrics
incidence
neoplasms
url https://doi.org/10.1002/cnr2.1937
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