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. 2019 Feb 28;60(1):26-32.
doi: 10.3325/cmj.2019.60.26.

Lung cancer mortality in Montenegro, 1990 to 2015

Mirjana Nedović-Vuković  1 , Dragan Laušević, Agima Ljaljević, Mileta Golubović, Goran Trajković
Affiliations

Lung cancer mortality in Montenegro, 1990 to 2015

Mirjana Nedović-Vuković et al. Croat Med J. .

Abstract

Aim: To analyze the trend of lung cancer mortality in Montenegro from 1990 to 2015.

Methods: Data on lung cancer mortality were collected from death certificates obtained from the Statistical Office of Montenegro for the period 1990-2009 and the Institute for Public Health for the period 2010-2015. Population data were obtained from the Statistical Office of Montenegro. Rates were age-standardized to the World Standard Population, and mortality trends were analyzed with the joinpoint regression.

Results: In 2015, lung cancer accounted for 5.44% of all deaths and 22.92% of all cancer deaths. It was the leading cause of all cancer deaths and the third-leading cause of all deaths. A joinpoint was observed in 2004 in women and in the entire population, and in 2005 in men. The overall mortality rates increased from 1990 to 2004 by an average of 3.91% per year and decreased from 2004 to 2015 by an average of 1.95%; which in the entire observed period resulted in an average increase of 1.3% per year. A particularly strong growth rate was observed in women, even 7.14% in the period from 1990 to 2004.

Conclusion: The observed increase in lung cancer mortality warrants improved tobacco control.

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Figures

Figure 1
Figure 1
Joinpoint regression analysis of overall lung cancer mortality in Montenegro from 1990 to 2015. ASR – rate per 100 000 age-standardized to World Standard Population. Red square – observed; blue line – 1990-2004 annual percent change (APC) = 3.91*; green line – 2004-2015 APC = -1.95*. Asterisk indicates APC that is significantly different from zero at alpha = 0.05.
Figure 2
Figure 2
Joinpoint regression analysis mortality of lung cancer in Montenegro. Parallel pairwise comparison between sexes from 1990-2015; ASR – a rate per 100 000 age-standardized to World Standard Population. Red square – men; blue line – 1990-2005 annual percent change (APC) = 2.88*; green line – 2005-2015 APC = -2.79*; purple dot – female; light blue line – 1990-2004 APC = 7.14*; brown line – 2004-2015 APC = -0.93. Asterisk indicates APC that is significantly different from zero at alpha = 0.05; Parallelism refused, APC difference = 2.8, 95% CI 0.6-6.2, P < 0.001.
See this image and copyright information in PMC

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