Cilj: Cilj istraživanja je utvrditi godišnju incidenciju raka vrata maternice od 2000. do 2011. godine u Splitsko-dalmatinskoj županiji, utvrditi broj novooboljelih žena po dobnim skupinama u razdoblju od 2000. do 2011. u Splitsko-dalmatinskoj županiji, utvrditi godišnju stopu mortaliteta od raka vrata maternice od 2001. do 2011. godine u Splitsko-dalmatinskoj županiji te usporediti incidenciju raka vrata maternice u Splitsko-dalmatinskoj županiji sa incidencijom u Republici Hrvatskoj temeljem dobno standardiziranih stopa incidencije od 2000. do 2011. godine. Materijal i metode: Podaci o broju novooboljelih od raka vrata maternice dobiveni su iz Registra za rak Hrvatskog zavoda za javno zdravstvo, a mortalitetni podaci dobiveni su iz Državnog ureda za statistiku. Za izradu stopa incidencije i mortaliteta korišteni su podaci Državnog zavoda za statistiku i Popis stanovništva 2001. i 2011. godine. Metodom direktne standardizacije (DSS) izračunate su dobno standardizirane stope u Splitsko-dalmatinskoj županiji i Republici Hrvatskoj. Rezultati: U razdoblju od 2000. do 2011. godine u Splitsko-dalmatinskoj županiji od raka vrata maternice oboljelo ukupno 1340 žena, od toga 331 (24,7%) žena od karcinoma vrata maternice (C53), a 1009 (75,2%) žena od karcinoma vrata maternice in situ (D06). Najviša stopa incidencije raka vrata maternice (C53 + D06) u ispitivanom razdoblju u SDŽ bilježi se 2008. godine sa 56,8/100 000 stanovnica, dok se najniža stopa incidencije bilježi 2010. godine sa 39,2/100 000 stanovnica. Najviše novooboljelih žena od raka vrata maternice (C53 + D06) bilo je u dobnoj skupini 30-34 godine. U razdoblju od 2001. do 2011. godine u Splitsko-dalmatinskoj županiji od karcinoma vrata maternice (C53) najviše je žena umrlo u dobnoj skupini od 75 i više godina. Najveći broj umrlih žena zabilježen je 2010. godine i iznosio je 14. Od karcinoma vrata maternice in situ u ispitivanom razdoblju nije umrla niti jedna žena. Incidencija karcinoma vrata maternice (C53) u razdoblju od 2000. do 2011. godine niža je u Splitsko-dalmatinskoj županiji nego u Republici Hrvatskoj, dok je incidencija raka vrata maternice in situ u tom periodu u SDŽ viša nego u RH. Zaključak: Rezultati ovog rada su pokazali da je od karcinoma vrata maternice (C53) u Splitsko-dalmatinskoj županiji u razdoblju od 2000. do 2011. godine najviše žena oboljelo u dobnoj skupini od 45 do 49 godina. U ispitivanom razdoblju od karcinoma vrata maternice (C53) u Splitsko-dalmatinskoj županiji umrlo je ukupno 76 žena, iako ni jedna žena ne bi smjela umrijeti od raka vrata maternice, jer je to jedan od najpreventabilnijih karcinoma. Stoga je potrebno poraditi na što većem odazivu žena na Nacionalni program ranog otkrivanja raka vrata maternice, kako bi se karcinomi otkrili u što ranijoj fazi, a time smanjila pojavnost i smrtnost od ovog karcinoma.

Objectives: The aim of this research is to determine the annual incidence of cervical cancer and the number of new cases according to age groups in Split-Dalmatia County from 2000 to 2011. Furthermore, it will compare the incidence rate in Split- Dalmatia County with the incidence rate in Republic of Croatia, and it will determine the annual mortality rate of cervical cancer in Split-Dalmatia County from 2001 to 2011. Material and methods: Data on the number of new cases of cervical cancer were obtained from the Cancer Registry of the Croatian Public Health Institute. Mortality data were obtained from the National Statistical Office. Data from the Central Bureau of Statistics (Census of Population 2000 and 2011) were used to determine rate of incidence and mortality. Age standardized rates of incidence in Split-Dalmatia County and Republic of Croatia were calculated by direct standardization (DSS). Results: From 2000 to 2011 in Split-Dalmatia County there were 1340 new cases of cervical cancer, 331 (24,7%) of those were cervical cancer (C53) and 1009 (75,2%) cervical carcinoma in situ (D06). The highest incidence rate of cervical cancer (C53+D06) in Split-Dalmatia County was in 2008 with the value of 56,8/100 000 and the lowest incidence rate was in the 2010 with the value of 39,2/100 000 residents. During that period the highest number of new cases of cervical cancer (C53 + D06) was in the age group of 30-34. During the period between 2001 and 2011 most women in Split-Dalmatia County who died of cervical cancer (C53) were in the age group of 75 and over. The largest number of deaths (14) was recorded in 2010. None of the women died of cervical carcinoma in situ during the study period. Comparing the cervical cancer incidence rates in Split-Dalmatia County with the incidence rates in Republic of Croatia showed that the incidence of cervical cancer (C53) in Split-Dalmatia County was lower than the incidence in Republic of Croatia, but incidence of cervical carcinoma in situ in Split-Dalmatia County was higher than the incidence in Republic of Croatia. Conclusion: The results of this study showed that the age group of the most risk for the disease of cervical cancer (C53) in Split-Dalmatia County in the period from 2000 to 2011 includes women between 45 and 49 years. In Split-Dalmatia County during the study period 76 women died of cervical cancer (C53), although no woman should die of cervical cancer because it is one of the most preventable cancers. It is necessary to work on the largest possible response of women to the National program for early detection of cervical cancer, to discover cancers at an early stage, and thereby reduce the incidence and mortality from this cancer.