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The ITACARE Study

M Sant1, G Gatta, F Valente

  • 1Divisione di Epidemiologia, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy.

Tumori
|January 1, 1997
PubMed
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The ITACARE study analyzed survival data for over 100,000 Italian cancer patients (1978-1989). Cancer mortality decreased overall, with notable regional and sex-based differences in survival rates.

Area of Science:

  • Epidemiology
  • Oncology
  • Public Health

Background:

  • The ITACARE study is a collaborative effort involving 11 Italian population-based cancer registries.
  • It covers approximately 10% of the Italian population, primarily in the northern regions.
  • The study focuses on cancer patient survival between 1978 and 1989.

Purpose of the Study:

  • To describe the ITACARE database and its structure.
  • To identify and analyze geographical variations in cancer survival across Italy.
  • To assess factors influencing cancer mortality and survival rates.

Main Methods:

  • Inclusion of all malignant cancer sites (ICD-9 codes), excluding skin cancers; bladder cancers included papillomas and transitional cell tumours (grades 1-2).
  • Collection of survival data for over 100,000 cases, including variables like sex, diagnosis date, life status, ICD-9/ICD-0 codes, and tumour stage.

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  • Active follow-up in all registries with systematic data validation, excluding approximately 0.2% of cases due to errors.

    • Main Results:

    • Microscopic verification rate was high (90-92%) for younger patients and breast cancer cases, and in specific registries (Varese, Torino, Forli-Ravenna).
    • Cases identified solely by death certificate were around 3%, higher in older patients.
    • Province-specific mortality varied by diagnosis period, sex, and area, with highest mortality in Ragusa women and northern men; overall mortality decreased during the study period, particularly in the north and among women.

    Conclusions:

    • The ITACARE database provides a robust dataset for studying cancer survival in Italy.
    • Significant regional and sex-based disparities in cancer mortality exist.
    • Improvements in cancer survival were observed, with a more pronounced decrease in the north and among women.