http___www.urology-today.com_epidemioloska-analiza-bolesti-prostate-prostatitisa-adenoma-karcinoma-u-dvjema-hercegovackim-zupanijama-hercegovacko-neretvanskoj-zapadnohercegovackoj__1.xml
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Epidemiologycal analysis of the prostate diseases (prostatitis, benign prostatic enlargement and carcinoma) in two canton in Herzegovina Baranik, I. Gilja ,D. Tomić, D. Zalihić,M. Kordić,M. Tipurić,V. Bekavac, M. Ignatkov, K. Pavlović, Klinika za urologiju SKB Mostar,F BiH SUMMARY Objective: The objective of the thesis is to determine the epidemiological parameters of prostate diseases (prostatitis, adenoma and carcinoma) in the Herzegovina-Neretva County and West Herzegovina County. In the period 2008 – 2012, the investigation was carried out identifying the incidence of prostate diseases, trends of incidence of new cases, possible differences in the incidence of diseases in these two counties, compared with the regional situation. Also, the thesis will establish baseline data for further research of prostate disease in this region. Methods: A retrospective investigation was undertaken that included all patients living in the WHC and HNC with diagnosed prostatitis, adenoma or carcinoma of the prostate in the period 2008- 2012. According to the disease they suffer from, the patients were divided into three groups. The cases of prostatitis and adenoma were analyzed in a sample of 60 patients each, while all 313 patients with prostate cancer were encompassed by the investigation. Results: For the period 2008-2012, in the HNC and WHC new cases were diagnosed: 1851 patients suffering from prostatitis, 5377 suffering from adenoma and 313 suffering from prostate cancer. The average age of patients with cancer was 71.2 years and in two samples including 60 patients with adenoma and prostatitis, the average age amounted to 69.2 and 51.4 years respectively. The difference between numbers of patients in the counties is proportional to the ratio of the total number of inhabitant. Numbers of patients according to their ethnicity also reflect population structure. In all three groups of patients, a higher incidence of disease was diagnosed with people living in cities than in villages, but the differences were statistically irrelevant. Within the period of five years, 74 patients had radical surgery for the reason of CAP and 125 patients had orhiectomia. Transvesical prostatectomy had 193 patients and transurethral resection of the prostate had 220, with the trend of growth of total number of surgeries. Conclusion: The investigation showed an increased number of patients suffering from all prostate diseases within the period of study. The tendency is mostly evident in CAP whose incidence rate increased from 28.4 new cases per 100,000 men in 2008 to 61.5 new cases per 100,000 men in 2012, that is significantly higher than the rate in FBH.
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Epidemiološka analiza bolesti prostate (prostatitisa, adenoma i karcinoma) u dvjema hercegovačkim županijama: hercegovačko-neretvanskoj i zapadnohercegovačkoj J.Baranik, I.Gilja ,D.Tomić, D.Zalihić,M.Kordić,M. Tipurić,V.Bekavac, M.Ignatkov, K.Pavlović, Klinika za urologiju SKB Mostar,F BiH SAŽETAK Cilj rada: Odrediti epidemiološke parametre bolesti prostate (prostatitisa, adenoma i karcinoma) u Hercegovačko-neretvanskoj i Zapadnoherce-govačkoj županiji). Ustanoviti incidenciju bolesti prostate u razdoblju od 2008. do 2012. godine, kretanje trenda novooboljelih, utvrditi eventualne razlike u pojavnosti oboljenja između dvije županije te ih usporediti s okruženjem. Također, uspostaviti bazne podatke za daljnje istraživanje bolesti prostate na ovim prostorima. Metode: Retrospektivno istraživanje kojim su obuhvaćeni svi bolesnici s prostora ZHŽ i HNŽ kojima je dijagnosticiran prostatitis, adenom ili karcinom prostate u razdoblju od 2008. do 2012. godine. Prema oboljenju podijeljeni su u tri skupine, prostatitisi i adenomi su obrađeni na uzorku od 60 ispitanika, dok su bolesnici s karcinomom prostate kompletno obrađeni (svih 313 ispitanika). Rezultati: Na prostorima HNŽ i ZHŽ, u razdoblju od 2008. do 2012. godine, novodijagnosticirano je ukupno 1851 oboljeli od prostatitisa, 5377 od adenoma i 313 od karcinoma prostate. Prosječna dob oboljelih od karcinoma iznosila je 71,2 godine, a na uzorku od 60 bolesnika s adenomom, odnosno prostatitisom, prosječna dob je iznosila 69,2, odnosno 51,4 godine. Razlika u broju oboljelih između županija srazmjerna je odnosu na broj stanovnika ovih županija; broj oboljelih po nacionalnosti također je u srazmjeru s nacionalnom strukturom stanovništva. U svim skupinama veći je broj oboljelih s prebivalištem u gradu u odnosu na selo, ali statistički nije bilo značajnih razlika. Broj radikalno operiranih bolesnika zbog CAP za ovih pet godina iznosio je 74, broj orhiectomia 125. Broj transvezikalnih prostatektomija iznosio je 193, a broj transuretralnih resekcija prostate 220, s trendom porasta udjela u ukupnom broju operacija. Zaključak: Kod svih bolesti prostate vidljiv je porast broja oboljelih u istraživanom razdoblju, tendencija je najznačajnija kod CAP čija je stopa incidencije porasla s 28,4 novooboljelih na 100000 muškaraca 2008. godine, na 61,5 novooboljelih na 100000 muškaraca 2012. godine, te je značajno veća od stope FBiH.