HR studies - experiences in Poland

Bielska-Lasota Magdalena National Institute of Public Health – National Institute of Hygiene Warsaw, Poland

EUROCARE HR Workshop Malpensa Airport, November 6th 2012

Podlaskie Voivodeship

• Population ca 1.200.000• No of breast cancer cases 659 (excluded 5%)• Study period 2001-2002• National Cancer Plan (breast cancer screening) impl. 2006

Excellent collaboration between Medical University and regional CR localized at the Cancer Centre in Białystok

PhD thesies, completed (breast cancer inc. 2001-2002):1. Maślach D. The evaluation of breast cancer control in women in Podlaskie Voivodeship with the use

of selected indicators recommended by World Health Organization for the evaluation of cancer control (supported by the Ministry of Science and Higher Education grant N N404 194837).

2. Krzyżak M. Analysis of 5-years survival rates among women with breast cancerin Podlaskie Voivodeship in years 2001-2002 (supported by the Ministry of Science and Higher Education grant N N404 161437).

(7 publications + 3 presentations at Int. Congressess)

PhD thesies, ongoing (recent data) 1. Maksimowicz K. Analysis of early effect of the breast cancer population screening in Podlaskie

voivodship, introduced in 20062. Kowalewska A. Rare cancers in Podlaskie voivodship (descriptive analysis) (title tbc)

Świętokrzyskie Voivodeship

• Population ca 1.300.000• Study period 1996• No of colorectal cancer cases HR: 274 • National Cancer Plan (colorectal

cancer screening) impl. 2006

Planning studies:1. HR colorectal study2. Organization of rare cancers treatment in Świętokrzyskie voivodship

Other former HR studies in Poland

Warsaw-city, the capital Mazowieckie voivodeship

• Breast HR 597 cases, inc. 1996

Krakow-city , the capital of Małopolskie • Breast HR 619 cases, inc. 1997-1998• Colorectal HR 512 cases inc. 1997-1998• Prostate HR 261 cases inc. 1996-1998• Testicular HR 274 cases inc. 1996-1998

EUROCARE-5 database in Poland

• Warsaw-city ??• Kracow-city• Świętokrzyskie voivoideship• Lower Silesia (Dolnośląskie) is it

included in EUROCARE-5 data base ??

Publications:• Maślach D, Krzyżak M, Szpak A, Juczewska M, Maksimowicz K, Łapińska U: Treatment delay of breast cancer patients receiving

curative treatment In Podlaskie Voivodeship in 2001-2002. Population study. European Journal of Epidemiology, vol. 24, suppl. 1/2009. IEA-EEF European Congress of Epidemiology 2009 Epidemiology for Clinical Medicine and Public Health, Warsaw, Poland 26-29 August.

• Krzyżak M, Maślach D, Lasota W, Szpak A: Breast cancer incidence in Podlaskie Voivodeship (Poland) in 2001-2002 by stage – population study. 3rd International Cancer Control Congress 8-11 November, 2009 Cernobbio, Italy - Abstract Volume.

• Maślach D, Krzyżak M, Lasota W, Kamiński J, Łapińska U, Szpak A.: Palliative treatment applied to breast cancer patients in Podlaskie Voivodeship (Poland) in 2001-2002 – population study. 3 rd International Cancer Control Congress 8-11 November, 2009 Cernobbio, Italy- Abstract Volume.

• Krzyżak M, Maślach D, Juczewska M, Lasota W, Rabczenko D, Marcinkowski JT, Szpak A: Differences in breast cancer incidence and stage distribution between urban and rural female population in Podlaskie Voivodeship, Poland in years 2001-2002. Ann Agric Environ Med 2010, 17, 159–162.

• Krzyżak M, Maślach D, Bielska-Lasota M, Juczewska M, Rabczenko D, Marcinkowski JT, Szpak A: Breast cancer survival gap between urban and rural female population in Podlaskie Voivodship, Poland, in 2001-2002.– Population study. Ann Agric Environ Med 2010, 17, 277-282.

• Krzyżak M, Maślach D, Juczewska M, Maksimowicz K, Lasota, Szpak A: Stopień zaawansowania raka piersi wśród kobiet w województwie podlaskim w latach 2001-2002 – badania populacyjne. Probl Hig Epidemiol 2010, 91, 83-86.

• Krzyżak M, Maślach D, Bielska-Lasota M, Maksimowicz K, Karpińska M, Łapińska U, Szpak A: Zagrożenie rakiem piersi w województwie podlaskim przed wprowadzeniem Populacyjnego Programu Wczesnego Wykrywania Raka Piersi. Probl Hig Epidemiol 2011, 92(1): 35-39.

• Maślach D, Krzyżak M, Szpak A, Owoc A, Bielska-Lasota M: The breast-conserving surgery of women with breast cancer in Podlaskie Voivodeship (Poland). Population study. Submitted to Archives of Medical Science.

• Maślach D, Krzyżak M, Szpak A, Owoc A, Bielska-Lasota M: Waiting time for the treatment of breast cancer women in Podlaskie Voivodeship (Poland) in view of place of living. Population study. Submitted to the Annals of Environmental and Agriculture Medicine.

• Maślach D, Krzyżak M, Szpak A, Owoc A, Gębska-Kuczerowska A, Bielska-Lasota M: Differences in results of breast cancer curative treatment between urban and rural female population in Podlaskie Voivodship before the introduction of the National Cancer Control Programme. Submitted to the Annals of Environmental and Agriculture Medicine.