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Biomedical subjects

R Gurevicius

Publications and source records attributed to R Gurevicius.

3 recordsLinked to original sources

Time trends in lung-cancer mortality rates among men in Lithuania, 1965-1994.

This study examines time trends in lung-cancer mortality rates among men in Lithuania during the period 1965-1994. Age-standardized mortality rates increased from 32.5 per 100,000 in 1964-1969 to 62.9 per 100,000 in 1990-1994. Regression analysis indicates that net drift (sum of cohort and period slopes) was positive. Cohort effect was dominant in the trend observed. Mortality in cohorts born before 1945 showed an increase. In younger generations, born after 1945, the risk declined in each subsequent cohort. Higher prevalence of cigarettes with filters and lower tar content of cigarettes may be of importance. This analysis suggests that mortality will rise until cohorts born around 1950 reach middle age or old age. After that some stabilization can be expected if other conditions remain unchanged and previous trends continue.

Adult

Avoidable mortality in Lithuania.

STUDY OBJECTIVE: The study aimed to analyse avoidable mortality in Lithuania as an index of the quality of health care and to assess trends in avoidable mortality from 1970-90. SETTING AND PARTICIPANTS: All deaths of Lithuanian residents aged between 0 and 64 years between 1970 and 1990 were analysed. MEASUREMENTS AND MAIN RESULTS: Twenty seven per cent of all deaths in this age group were avoidable. Avoidable deaths were grouped into preventable and treatable ones. Treatable causes of death accounted for 54%, and preventable, 46% of avoidable mortality. Time trends showed that general mortality and mortality from avoidable causes of death in this age group were almost stable between 1970 and 1990. Mortality from treatable causes of death fell, while deaths from preventable causes increased. The results in the preventable group were greatly affected by deaths from malignant neoplasms of trachea, bronchus, and lungs. Differences were noted between the sexes in total mortality as well as in avoidable mortality. CONCLUSIONS: Avoidable causes of death are relatively common and, consequently, they are of practical importance for public health and studies of the health care quality in Lithuania. Reorganisation of health care is to be carried out and considerable emphasis will be placed on health education, promotion, and prevention, as primary prevention measures have not been effective thus far.

Adolescent

Lung cancer in the USSR: patterns and trends.

Lung cancer in the USSR has become the most frequent type of tumour in males. In females, however, lung cancer rates are far behind rates for cancer of the breast, stomach and cervix. In 1980, lung cancer accounted for about one-fourth of newly diagnosed cancer cases in males and about one-sixth of all cancer cases in both sexes. The incidence of lung cancer is increasing in the USSR. In the five Soviet republics for which time trends have been examined in this paper, increases in lung cancer incidence have been observed in men for all ages, with the exception of the age group 30-39 years. Modest increases in lung cancer are seen in women in the older age groups, while small decreases or stabilization of rates are observed in younger age groups. However, there are two exceptions: statistically significant increases in Georgia for women aged 40-49 years, and an upward trend in Lithuania in urban females born in the years 1932 and 1937, suggesting that these particular groups of women smoke more than other women in the areas for which lung cancer time trends have been analysed. The continued increase in cigarette consumption in this country explains the rising trends in lung cancer and, moreover, leads to the prediction that this increase will continue for another 30-40 years.

Adolescent