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Cervix uteri - Ladies

Rates per 100,000 inhabitants

Table 1: Incidence: frequencies, crude and standardized rates per year

Incidence		1999	2000	2001	2002	2003	2004	2005	2006	1999‑2006
Count		87	67	71	73	70	71	65	58	562
Crude rate		12.8	9.9	10.5	10.9	10.5	10.5	9.5	8.4	10.4 (9.5‑11.3)
Standardized rate	Italy 2001	11.6	9.0	9.0	9.5	9.0	9.1	7.9	7.0	9.0 (8.3‑9.8)
Standardized rate	Europe	9.9	7.5	7.4	8.1	7.6	7.8	6.3	5.6	7.5 (6.9‑8.3)
Standardized rate	World	7.8	6.0	5.6	6.1	5.9	6.0	4.9	4.3	5.8 (5.3‑6.4)

Table 2: Mortality: frequencies, crude and standardized rates per year

Mortality		1999	2000	2001	2002	2003	2004	2005	2006	1999‑2006
Count		15	14	14	16	15	10	14	8	106
Crude rate		2.2	2.1	2.1	2.4	2.3	1.5	2.0	1.2	2.0 (1.6‑2.4)
Standardized rate	Italy 2001	1.9	1.7	1.8	1.8	1.9	1.1	1.8	0.8	1.6 (1.3‑2.0)
Standardized rate	Europe	1.6	1.3	1.4	1.4	1.7	0.6	1.5	0.6	1.3 (1.0‑1.6)
Standardized rate	World	1.2	1.0	1.0	1.0	1.2	0.4	1.1	0.4	0.9 (0.7‑1.2)

Table 3: Register quality indicators per year

Indicator	1999	2000	2001	2002	2003	2004	2005	2006	1999‑2006
Mortality/Incidence ratio (%)	16.4	18.9	20.0	18.9	21.1	12.1	22.8	11.4	17.8
Cito-histologically confirmed (%)	96.6	100.0	97.2	94.5	95.7	95.8	95.4	91.4	95.9
Death certificate only - DCO (%)	1.2	0.0	0.0	0.0	0.0	0.0	3.1	1.7	0.7

Table 4: Comparison of Italian Registries mean prevalence by macro-areas

Graf 04

_	Milan	North West	North East	Centre	South	Italy
Incidence	6.8	6.7	6.7	6.9	6.0	6.6
Mortality	1.1	1.1	1.0	0.9	0.6	0.9

Table 5: Basis of diagnosis per period

_	1999‑2002	%	2003‑2006	%	1999‑2006	%
Histological	286	96.0	247	93.6	533	94.8
Citological	3	1.0	3	1.1	6	1.1
Clinical	8	2.7	11	4.2	19	3.4
DCO	1	0.3	3	1.1	4	0.7

Table 6: More frequent morphologies

Morphology	N	%
Squamous cell carcinoma, NOS	131	52.4
Squamous cell carcinoma, large cell, non-keratinising, NOS	25	10.0
Squamous cell carcinoma, keratinising, NOS	22	8.8
Adenocarcinoma, NOS	17	6.8
Carcinoma, NOS	11	4.4
Squamous cell carcinoma, microinvasive	10	4.0

Table 7: Age distribution of rates

Graf 07

Age groups	Incidence	Mortality
0	0.0	0.0
1-4	0.0	0.0
5-9	0.0	0.0
10-14	0.0	0.0
15-19	0.0	0.0
20-24	1.0	0.0
25-29	1.3	0.0
30-34	6.9	0.5
35-39	9.5	0.9
40-44	12.5	2.0
45-49	11.1	1.2
50-54	6.6	2.4
55-59	15.4	2.1
60-64	13.6	2.1
65-69	18.2	2.1
70-74	16.5	5.7
75-79	15.9	2.0
80-84	11.3	1.7
85+	13.9	6.9

Table 8: Temporal trends of rates

Graf 08

Year	Mortality	Incidence
1999	1.6	9.9
2000	1.3	7.5
2001	1.4	7.4
2002	1.4	8.1
2003	1.7	7.6
2004	0.6	7.8
2005	1.5	6.3
2006	0.6	5.6

Table 10: Comparison of Italian Registries mean prevalence by macro-areas

Graf 10

Years since diagnosis	Italy	South	Centre	North East	North West	Milan
0-2	14.7	12.5	15.5	14.4	16.3	18.2
2-5	18.1	13.7	18.0	18.6	20.4	19.4
5-10	26.8	21.4	26.2	27.3	29.7	30.4
10-15	24.1	17.6	19.4	27.9	25.4	26.6
15-20	21.3	16.7	17.5	21.0	27.3	24.7
>20	83.6	57.9	78.8	84.4	103.0	100.6

Table 11: 5 years relative survival by macro-areas

Graf 11

Area	Relative survival (95% CI)
Milan	66.1 (61.0‑71.3)
North West	67.3 (64.6‑69.8)
North Est	67.5 (65.0‑69.8)
Centre	69.8 (66.0‑73.3)
South	65.4 (61.5‑69.1)
Italy	67.6 (66.1‑69.0)

Table 12: Relative survival by age since diagnosis

Age class	0	1	2	3	4	5
15-44	100.00	96.20	89.90	87.40	86.70	83.30
45-59	100.00	85.10	79.50	75.20	72.30	70.90
60-74	100.00	88.90	75.90	68.50	61.10	59.50
75+	100.00	71.00	59.30	56.20	54.80	46.00

Table 13: 5 years relative survival by biennium of incidence

Years since diagnosis	1999‑2000	2001‑2002	2003‑2004	2005‑2006
1	89.2	84.9	84.7	87
2	77.7	70.3	81.3	79.4
3	72.9	64.9	79.2	72.2
4	70	59.5	75.6	69.5
5	66.3	56.1	72.5	67.6

Table 14: Rates distribution by deprivation index

‑	1	2	3	4	5
Incidence	5.9	9	8.6	11.5	12
Mortality	1.2	1.1	2	2.1	2

Table 15: Relative survival by deprivation index

Years since diagnosis	Most deprived	Most affluent
0	100.0	100.0
1	82.9	83.0
2	74.5	77.3
3	65.6	77.3
4	62.4	75.7
5	60.3	66.4