Morbidity and mortality of malignant neoplasms in Macedonia

Abstract

Introductions: Malignant neoplasms are the second cause of death among the population in Republic of Macedonia with representation of 19.0% in the structure of total deaths.

Objective: To analyze the morbidity and mortality of the most common malignant neoplasms in Republic of Macedonia.

Material and methods: Used official data from the Institute of Public Health of the Republic of Macedonia, National institute for statistic of Republic Macedonia.

Results and discussions: In the analyzed period in 2003-2013, morbidity and mortality showed an upward trend. The lowest rate of mortality has in 2004 (76.3), and highest in 2010 (164.4) per 100.000 inhabitants. In the distribution by gender, the number of deaths by malignant neoplasms shows a increase in both genders, with highest rate of mortality among males in 2012 (216.7), and among females in 2010 (145.1) per 100.000 inhabitants. Rates of mortality are higher among males. From 3654 deaths from malignant neoplasms in 2013 in Republic of Macedonia, males are represented in 60.1% (2196), and females in 39.9% (1458). In the structure of most common causes of deaths, by individual diagnoses among males, on first place are malignant neoplasms of bronchus and lungs with mortality rate of 66.5 (688 deaths), while the second is a malignant neoplasm of the prostate with mortality rate of 19.6 (203 deaths) and the third place belongs to malignant neoplasm of stomach with mortality rate of 19.1 (198 deaths). Among the female population, the first place belongs to malignant neoplasms of the breast with mortality rate of 26.4 (240 deaths), while the second is malignant neoplasm of bronchus and lungs at a rate of 15.3 (158 deaths). On the third place is malignant neoplasm of the stomach with mortality rate of 10.6 (109 deaths). In distribution by municipalities in 2013, the highest rates of mortality are in Krivogashtani with 21 total of deaths and with mortality rate of 368.4 per 100.000 inhabitants., Demir Hisar  with 26 total of deaths or mortality rate of 303.9 per 100.000 inhibitants and Berovo with 34 total of deaths  and a mortality rate of 252.9 per 100.000 inhabitants.

Conclusion: Malignant neoplasms are the second cause of death among the population of Republic of Macedonia, after the diseases of circulatory system. In the period between 2003-2012, the morbidity and mortality showed an upward trend. In the distribution by gender, the number of deaths from malignant neoplasms shows a positive development tendency in both genders. Mortality rates are higher among males. The most common cause of death from malignant neoplasms are malignant neoplasms of bronchus and lungs. The most common cause of death from malignant neoplasms among females, is malignant neoplasm of the breast.

Keywords: malignant neoplasms, morbidity, mortality, malignant neoplasms of bronchus and lungs, malignant neoplasm of the prostate, malignant neoplasms of the breast, malignant neoplasms of the stomach