Prepared by: Tatjana Kofol Bric, Jona Bambič 
Date of last change: March 2018

Purpose and justification of the indicator

Lung cancer is the fourth most common cancer (4th in men and women in the period 2010-2014) and together accounts for almost 10% of all new cancer cases.
Lung cancer is about twice as common in men, but the incidence is decreasing in men and increasing in women. The highest incidence is in the 60-64 age group. The probability of an individual born in 2014 getting cancer by the age of 75 is 3.9%.
In the period 2010-2014, an average of 1,279 people fell ill with lung cancer annually in Slovenia, and 1,130 died. The relative five-year survival rate of lung cancer patients in the period 2010-2014 was 13% for men and 19.1% for women of all ages .
Lung cancer is linked to tobacco smoking in 89% of cases. Smoking is one of the most preventable risk factors for cancer. It causes many diseases that reduce the quality of life and lifespan and is the main risk factor for the development of cardiovascular disease, chronic obstructive pulmonary disease, lung cancer and others.
Smoking habits develop early, so prevention of smoking initiation through measures at the individual and system level is crucial. Proven effective measures are also financial measures in the area of taxation and the creation of environments that will limit the accessibility of tobacco products and their advertising.
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Definition of indicator

The incidence rate of lung cancer shows the average annual incidence of lung cancer per 100,000 inhabitants during the observed five-year period. An age-standardized rate is calculated, which enables mutual comparison of populations with different age structures.

Unit of measure

Age-standardized rate per 100,000 inhabitants.

Calculation of the indicator

The incidence rate of lung cancer is the ratio between the number of new cases of lung cancer in the observed population in one calendar year and the number of inhabitants in the observed population at the middle of the same calendar year, multiplied by 100,000.
The disease categories according to the ICD-10 classification, which are included in the calculation, are C33 and C34.
New cases of lung cancer
<math xmlns="http://www.w3.org/1998/Math/MathML"><mo>=</mo><mfrac><mrow><mi>T</mi><mi>h</mi><mi>e</mi><mo>&#160;</mo><mi>n</mi><mi>u</mi><mi>m</mi><mi>b</mi><mi>e</mi><mi>r</mi><mo>&#160;</mo><mi>o</mi><mi>f</mi><mo>&#160;</mo><mi>n</mi><mi>e</mi><mi>w</mi><mo>&#160;</mo><mi>c</mi><mi>a</mi><mi>s</mi><mi>e</mi><mi>s</mi><mo>&#160;</mo><mi>o</mi><mi>f</mi><mo>&#160;</mo><mi>l</mi><mi>u</mi><mi>n</mi><mi>g</mi><mo>&#160;</mo><mi>c</mi><mi>a</mi><mi>n</mi><mi>c</mi><mi>e</mi><mi>r</mi></mrow><mrow><mi>T</mi><mi>h</mi><mi>e</mi><mo>&#160;</mo><mi>n</mi><mi>u</mi><mi>m</mi><mi>b</mi><mi>e</mi><mi>r</mi><mo>&#160;</mo><mi>o</mi><mi>f</mi><mo>&#160;</mo><mi>i</mi><mi>n</mi><mi>h</mi><mi>a</mi><mi>b</mi><mi>i</mi><mi>tan</mi><mi>t</mi><mi>s</mi><mo>&#160;</mo><mi>i</mi><mi>n</mi><mo>&#160;</mo><mi>t</mi><mi>h</mi><mi>e</mi><mo>&#160;</mo><mi>o</mi><mi>b</mi><mi>s</mi><mi>e</mi><mi>r</mi><mi>v</mi><mi>e</mi><mi>d</mi><mo>&#160;</mo><mi>p</mi><mi>o</mi><mi>p</mi><mi>u</mi><mi>l</mi><mi>a</mi><mi>t</mi><mi>i</mi><mi>o</mi><mi>n</mi></mrow></mfrac><mo>&#215;</mo><mn>100</mn><mo>.</mo><mn>000</mn></math>
The direct standardization method is used to calculate the age-standardized rate, where the Slovenian population from 2014 is used as the standard population. The incidence rate of lung cancer is shown as an average of five consecutive years.

Data sources for Slovenia

Cancer Registry of the Republic of Slovenia, Institute of Oncology
Population, Statistical Office of the Republic of Slovenia.

Time availability

Lung cancer incidence data are published annually.

Men in literature

<ol>
<li>Zadnik V, Primic Žakelj M. SLORA: Slovenia and cancer. Cancer Epidemiology and Registry. Oncology Institute Ljubljana. <a href="http://www.slora.si" target="_blank" rel="noopener">www.slora.si</a> (February 20, 2018).</li>
<li>Cancer in Slovenia 2014. Ljubljana: Oncological Institute of Ljubljana, Cancer Epidemiology and Registry, Cancer Registry of the Republic of Slovenia, 2017.</li>
<li>National Institute of Public Health ( <a href="http://www.nijz.si/" target="_blank" rel="noopener">http://www.nijz.si/</a> )</li>
<li>Health for All Database ( <a href="http://data.euro.who.int/hfadb/" target="_blank" rel="noopener">http://data.euro.who.int/hfadb/</a> )</li>
</ol>

Health status

Prepared by: Metka Zaletel 
Date of last modification: September 2016

Residents and community

Prepared by: Mojca Simončič and Metka Zaletel 
Date of last change: January 2018

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Date of last change: September 2016

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Date of last change: March 2017

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Health risk factors

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Date of last change: March 2021

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Date of last change: March 2017

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Date of last modification: March 2019

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Date of last change: March 2021

Prepared by: Martin Ranfl, Jona Bambič 
Date of last change: November 2017

Prepared by: Victoria Zakrajšek, Tatjana Kofol Bric 
Date of last change: March 2019

Prepared by: Jasmina Staroveški Anderlič 
Date of last change: March 2020

Prepared by: Victoria Zakrajšek 
Date of last change: November 2021

Prepared by: Victoria Zakrajšek 
Date of last change: March 2023

Prepared by: Tatjana Kofol Bric 
Date of last modification: September 2016

Preventive

Prepared by: Victoria Zakrajšek and Sonja Tomšič 
Date of last change: March 2017

Prepared by: Bonia Miljavac 
Date of last change: March 2017

Prepared by: Sonja Tomšič 
Date of last change: November 2019

Prepared by: Sonja Tomšič 
Date of last change: March 2021

Prepared by: Victoria Zakrajšek 
Date of last change: March 2017

Prepared by: Aleš Korošec 
Date of last change: September 2016

Prepared by: Aleš Korošec
Date of last change: September 2016

Prepared by: Tatjana Kofol Bric 
Date of last change: March 2019

Prepared by: Aleš Korošec and Sonja Tomšič 
Date of last change: September 2016

Prepared by: Mojca Simončič and Metka Zaletel 
Date of last change: October 2019

Prepared by: Kristina Orožen 
Date of last change: March 2019

Prepared by: Victoria Zakrajšek, Tatjana Kofol Bric 
Date of last change: February 2020

Prepared by: Ema Ahačič 
Date of last change: April 2023

Prepared by: Ema Ahačič 
Date of last change: March 2023

Mortality

Prepared by: Sonja Tomšič, Tatjana Kofol Bric 
Date of last change: March 2019

Prepared by: Sonja Tomšič 
Date of last change: March 2019

Prepared by: Tina Lesnik 
Date of last change: March 2019

Prepared by: Tina Lesnik 
Date of last change: March 2020