%0 Journal Article
%T Ya a  zel kanser insidans h zlar  ileri ya larda neden d¨¹ ¨¹yor? Kohort etkisi mi, sa kal m yan lg s  m , yoksa ya l lar n uygun sa l k hizmetine ula mas ndaki sorunun g stergesi mi?
%A Sultan Eser
%A H¨¹lya Karak£¿l£¿n£¿
%A Raziye £¿zdemir
%J Turkish Journal of Public Health
%D 2011
%I Turkish Society of Public Health Specialists
%R 10.5421/tjph.v8i3.20
%X zet Ama :  al  man n amac  T¨¹rkiye¡¯de ya l  n¨¹fusta g zlenen kanser insidans h zlar ndaki d¨¹ ¨¹ ¨¹ irdelemektir.  Y ntem: Bu  al  mada Be  K tada Kanser G r¨¹l¨¹ ¨¹, IX (Cancer Incidence in Five Continents, IX)¡¯da yay mlanm   olan  zmir ve Antalya illerinde 1998-2002 y llar nda saptanan ya a  zel kanser insidans h zlar  de erlendirildi.Bulgular: zmir ve Antalya illerinde t¨¹m kanserler i in ve hemen her kanser i in 64 ya  ¨¹zerindeki gruplarda her iki cinsiyette de ya a  zel insidans h zlar nda belirgin d¨¹ ¨¹  e imi g r¨¹lmektedir. Sonu : T¨¹rkiye¡¯de ya l  gruplar n insidans h zlar nda, pek  ok kanser i in belirgin d¨¹ ¨¹ ler s z konusudur. Oysa ger ekte pek  ok epitelyal kanserde insidans h z  ya la birlikte artar.  zmir ve Antalya¡¯da geli mekte olan di er ¨¹lkelerdekine benzer  ekilde g zlenen bu  r¨¹nt¨¹y¨¹ a  klamak i in ¨¹  varsay mdan s zedebiliriz: 1. Ya l lar n uygun sa l k hizmetlerine ula malar ndaki eksiklik (tan  konmas ndaki azl k), 2. Kohort etkisi, 3. Sa kal m yan lg s . T¨¹rkiye¡¯de kanser kay t  l   ndaki geli meler bu soruyu ilerde daha a  k yan tlayabilecek olanaklar  sa layacakt r. Anahtar Kelimeler: Kanser insidans , ya l l k, T¨¹rkiye  Abstract Aim: Our purpose was to evaluate the decline in cancer incidence rates in the elderly in Turkey. Methods: Age specific cancer incidence rates for Izmir and Antalya in 1998-2002, which have been published in Cancer Incidence in Five Continents, IX were evaluated. Results: In both Izmir and Antalya, for both sexes, age specific incidence rates are decreasing with age significantly after the age of 64. Conclusion: Despite the fact that the  incidences of most of the epithelial cancers increase with age, there are obvious decreases in cancer incidence rates in the oldest age groups in most sites in Turkey. Three main resons may be suggested for these decreases: 1, Underdiagnosis due to a lack of access to appropriate health services for the elderly; 2, A Cohort Effect and 3, Survival bias. The recent developments in cancer registration in Turkey  are promising to  provide more clear answers to these questions as well as to many others.Key Words: Cancer incidence, elderly, Turkey
%U http://tjph.org/ojs/index.php/TJPH/article/view/20