Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11733
Title: Bladder carcinoma in situ (CIS) in Australia: a rising incidence for an under-reported malignancy.
Authors: Ranasinghe, Weranja K B;Attia, John;Oldmeadow, Christopher;Lawrentschuk, Nathan;Robertson, Jane;Ranasinghe, Tamra;Bolton, Damien M;Persad, Raj
Affiliation: Department of Surgery, Urology Unit, Austin Hospital, Heidelberg, Victoria.
Issue Date: 10-Apr-2013
Citation: Bju International 2013; 112 Suppl 2(): 46-52
Abstract: To investigate the incidence of carcinoma in situ (CIS) in Australia and examine implications for its diagnosis and management, as CIS of the urinary bladder is a non-reportable disease in Australia.Analysis of annual hospitalisation data using Australian Institute of Health and Welfare (AIHW) datasets showed an increase in CIS from 2001 onwards. To determine whether the increase seen with AIHW data represented a true increase in the rates offices, patient level data was examined using the Centre for Health record linkage (CHeReL) datasets.CHeReL linked data of 13,790 males and 5902 females, calculated the average incidence of CIS to be 20.9 per 100,000 and 6.5 per 100,000 respectively in those aged > 50 years, showing a rapid increase in the rates of CIS from 2001. There was an 11% (P = 0.04) and 14% (P = 0.02) annual increase in incidence of CIS in men and women and these rates increased with age.National data (AIHW) substantially underestimate the incidence of CIS in the Australian population. Patient level data suggest CIS rates are rapidly increasing in Australia despite high treatment rates. Closer surveillance and awareness of these high rates warrants further study and we recommend that CIS be considered a reportable disease.
Internal ID Number: 23573811
URI: http://ahro.austin.org.au/austinjspui/handle/1/11733
DOI: 10.1111/bju.12052
URL: http://www.ncbi.nlm.nih.gov/pubmed/23573811
Type: Journal Article
Subjects: Australia
bladder carcinoma
carcinoma in situ
Age Factors
Aged
Aged, 80 and over
Australia.epidemiology
Biopsy
Carcinoma in Situ.diagnosis.epidemiology.therapy
Endoscopy
Female
Humans
Incidence
Male
Middle Aged
Registries
Risk Factors
Transurethral Resection of Prostate
Urinary Bladder Neoplasms.diagnosis.epidemiology.therapy
Appears in Collections:Journal articles

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