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Melanoma in the Italian Population and Regional Environmental Influences: A National Retrospective Survey on 2001-2008 Hospitalization Records.

Piscitelli P, Neglia C, Falco A, Rivezzi M, Agnello N, Argentiero A, Chitano G, Distante C, Della Rosa G, Vinci G, De Donno A, Distante A, Romanini A - Int J Environ Res Public Health (2015)

Bottom Line: The highest increases over the 8-year period were observed in people aged ≥81 years old (+34%), 61-70 years old (+20%) and surprisingly in the age group 31-40 years old (+17%).Southern Regions showed lower hospitalization rates compared to Northern Italy and Region Lazio.The highest increases between 2001 and 2008 were observed in Trentino/Alto Adige, Friuli Venezia Giulia, Valla d'Aosta and Veneto Region.

View Article: PubMed Central - PubMed

Affiliation: Southern Italy Hospital Institute, IOS/Coleman Ltd., Naples 80100, Italy. prisco.piscitelli@tiscali.it.

ABSTRACT

Objective: To assess the burden of regional environmental factors influencing the incidence of Melanoma in the Italian population and overcome the problem of partial population coverage by local cancer registries and thematic archives.

Methods: We analyzed the Italian national hospitalization records from 2001 to 2008 provided by the Ministry of Health, excluding hospital re-admissions of the same patients, in order to assess the occurrence of Melanoma over a 8-year period. Data were presented by age groups (absolute number of cases from 20 to ≥80 years old) and per Region (rates per 100,000 inhabitants) for each year.

Results: The overall number of new hospitalizations due to malignant Melanoma increased by 16.8% from 2001 (n = 4846) to 2008 (n = 5823), with the rate per 100,000 inhabitants passing from 10.5 to almost 12.0 at a national level. The majority of new diagnoses of malignant Melanoma was observed in two age groups: 61-70 years old (from 979 in 2001 up to 2109 in 2008, corresponding to 15.1 and 18.1 new cases per 100,000 inhabitants, respectively) and 71-80 years old (from 954 in 2001 up to 1141 in 2008, corresponding to 19.5 and 21.8 new cases per 100,000 inhabitants, respectively). The number of hospitalizations due to Melanoma increased in all age groups with the only exception of the youngest patients aged 20-30 years old. The highest increases over the 8-year period were observed in people aged ≥81 years old (+34%), 61-70 years old (+20%) and surprisingly in the age group 31-40 years old (+17%). Southern Regions showed lower hospitalization rates compared to Northern Italy and Region Lazio. The highest increases between 2001 and 2008 were observed in Trentino/Alto Adige, Friuli Venezia Giulia, Valla d'Aosta and Veneto Region.

Conclusions: Hospitalizations due to malignant Melanoma in Italy seem to be influenced by environmental or population-related factors showing a decreasing incidence rate from the Northern to Southern Regions.

No MeSH data available.


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Differences in the hospitalizations due to malignant skin Melanoma between 2001 and 2008 in the Italian Regions.
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ijerph-12-09102-f002: Differences in the hospitalizations due to malignant skin Melanoma between 2001 and 2008 in the Italian Regions.

Mentions: As Reported in Table 1, the overall number of new hospitalizations due to main diagnosis of malignant Melanoma increased by 16.8% from 2001 (n = 4846) to 2008 (n = 5823), with new hospitalizations per 100,000 inhabitants passing from 10.5 to almost 12.0 at the national level (Table 2). The majority of new diagnoses of malignant Melanoma was observed in two age groups: 61–70 years old (from 979 in 2001 up to 1209 in 2008, corresponding to 15.1 and 18.1 new cases per 100,000 inhabitants, respectively) and 71–80 years old (from 954 in 2001 up to 1141 in 2008, corresponding to 19.5 and 21.8 new cases per 100,000 inhabitants, respectively). The number of hospitalization due to malignant Melanoma increased in all age groups with the only positive exception of the youngest patients aged 20–30 years old. The highest increases over the 8-year period were observed in people aged ≥81 years old (+34%), 61–70 years old (+20%) and surprisingly in the age group 31–40 years old (+17%). Table 3 summarizes the number of hospitalizations per 100,000 inhabitants in the Italian regions and the corresponding standardized hospitalization rates, showing that the Southern regions and islands (Sicily and Sardinia) have lower rates compared to northern regions (8.4 and 13.3, respectively in year 2008). Southern regions presented also the lowest increase over the 8-year period. The number of hospitalizations recorded in the Lazio region were higher than those observed in other Central Italian regions. Friuli Venezia Giulia, Lazio, Veneto, and Valle d’Aosta presented the highest hospitalization rates due to main diagnosis of Melanoma (ranging from 16 to 24 per 100,000 in 2008), while Apulia was the region where the highest number of cases were observed in Southern Italy (Table 3). Figure 1 summarizes the average (2001–2008) hospitalization rates per 100,000 inhabitants for each region. The highest increases in the number of hospitalizations between 2001 and 2008 were observed in the Trentino/Alto Adige, Friuli Venezia Giulia, Valla d’Aosta and Veneto regions, as shown in Table 3 and displayed in Figure 2. Table 4 shows the Standardized Hospitalizations Rate (SHR) per 100,000 inhabitants in Italian regions per year (2001–2008) and age groups, highlighting that people aged 71–80 and >80 are usually more affected by skin Melanoma. However, the incidence in younger people is different according to the regions where people live.


Melanoma in the Italian Population and Regional Environmental Influences: A National Retrospective Survey on 2001-2008 Hospitalization Records.

Piscitelli P, Neglia C, Falco A, Rivezzi M, Agnello N, Argentiero A, Chitano G, Distante C, Della Rosa G, Vinci G, De Donno A, Distante A, Romanini A - Int J Environ Res Public Health (2015)

Differences in the hospitalizations due to malignant skin Melanoma between 2001 and 2008 in the Italian Regions.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555267&req=5

ijerph-12-09102-f002: Differences in the hospitalizations due to malignant skin Melanoma between 2001 and 2008 in the Italian Regions.
Mentions: As Reported in Table 1, the overall number of new hospitalizations due to main diagnosis of malignant Melanoma increased by 16.8% from 2001 (n = 4846) to 2008 (n = 5823), with new hospitalizations per 100,000 inhabitants passing from 10.5 to almost 12.0 at the national level (Table 2). The majority of new diagnoses of malignant Melanoma was observed in two age groups: 61–70 years old (from 979 in 2001 up to 1209 in 2008, corresponding to 15.1 and 18.1 new cases per 100,000 inhabitants, respectively) and 71–80 years old (from 954 in 2001 up to 1141 in 2008, corresponding to 19.5 and 21.8 new cases per 100,000 inhabitants, respectively). The number of hospitalization due to malignant Melanoma increased in all age groups with the only positive exception of the youngest patients aged 20–30 years old. The highest increases over the 8-year period were observed in people aged ≥81 years old (+34%), 61–70 years old (+20%) and surprisingly in the age group 31–40 years old (+17%). Table 3 summarizes the number of hospitalizations per 100,000 inhabitants in the Italian regions and the corresponding standardized hospitalization rates, showing that the Southern regions and islands (Sicily and Sardinia) have lower rates compared to northern regions (8.4 and 13.3, respectively in year 2008). Southern regions presented also the lowest increase over the 8-year period. The number of hospitalizations recorded in the Lazio region were higher than those observed in other Central Italian regions. Friuli Venezia Giulia, Lazio, Veneto, and Valle d’Aosta presented the highest hospitalization rates due to main diagnosis of Melanoma (ranging from 16 to 24 per 100,000 in 2008), while Apulia was the region where the highest number of cases were observed in Southern Italy (Table 3). Figure 1 summarizes the average (2001–2008) hospitalization rates per 100,000 inhabitants for each region. The highest increases in the number of hospitalizations between 2001 and 2008 were observed in the Trentino/Alto Adige, Friuli Venezia Giulia, Valla d’Aosta and Veneto regions, as shown in Table 3 and displayed in Figure 2. Table 4 shows the Standardized Hospitalizations Rate (SHR) per 100,000 inhabitants in Italian regions per year (2001–2008) and age groups, highlighting that people aged 71–80 and >80 are usually more affected by skin Melanoma. However, the incidence in younger people is different according to the regions where people live.

Bottom Line: The highest increases over the 8-year period were observed in people aged ≥81 years old (+34%), 61-70 years old (+20%) and surprisingly in the age group 31-40 years old (+17%).Southern Regions showed lower hospitalization rates compared to Northern Italy and Region Lazio.The highest increases between 2001 and 2008 were observed in Trentino/Alto Adige, Friuli Venezia Giulia, Valla d'Aosta and Veneto Region.

View Article: PubMed Central - PubMed

Affiliation: Southern Italy Hospital Institute, IOS/Coleman Ltd., Naples 80100, Italy. prisco.piscitelli@tiscali.it.

ABSTRACT

Objective: To assess the burden of regional environmental factors influencing the incidence of Melanoma in the Italian population and overcome the problem of partial population coverage by local cancer registries and thematic archives.

Methods: We analyzed the Italian national hospitalization records from 2001 to 2008 provided by the Ministry of Health, excluding hospital re-admissions of the same patients, in order to assess the occurrence of Melanoma over a 8-year period. Data were presented by age groups (absolute number of cases from 20 to ≥80 years old) and per Region (rates per 100,000 inhabitants) for each year.

Results: The overall number of new hospitalizations due to malignant Melanoma increased by 16.8% from 2001 (n = 4846) to 2008 (n = 5823), with the rate per 100,000 inhabitants passing from 10.5 to almost 12.0 at a national level. The majority of new diagnoses of malignant Melanoma was observed in two age groups: 61-70 years old (from 979 in 2001 up to 2109 in 2008, corresponding to 15.1 and 18.1 new cases per 100,000 inhabitants, respectively) and 71-80 years old (from 954 in 2001 up to 1141 in 2008, corresponding to 19.5 and 21.8 new cases per 100,000 inhabitants, respectively). The number of hospitalizations due to Melanoma increased in all age groups with the only exception of the youngest patients aged 20-30 years old. The highest increases over the 8-year period were observed in people aged ≥81 years old (+34%), 61-70 years old (+20%) and surprisingly in the age group 31-40 years old (+17%). Southern Regions showed lower hospitalization rates compared to Northern Italy and Region Lazio. The highest increases between 2001 and 2008 were observed in Trentino/Alto Adige, Friuli Venezia Giulia, Valla d'Aosta and Veneto Region.

Conclusions: Hospitalizations due to malignant Melanoma in Italy seem to be influenced by environmental or population-related factors showing a decreasing incidence rate from the Northern to Southern Regions.

No MeSH data available.


Related in: MedlinePlus