Cancer Incidence among Older Adults Aged 60 and Over in Phitsanulok Province, Thailand: Current Situation in Buddhachinaraj Phitsanulok Hospital between 2017 and 2023

Authors

  • Kodchakorn Thipsanthiah Faculty of Public Health, Naresuan University
  • Supot Kamsa-ard คณะสาธารณสุขศาสตร์ มหาวิทยาลัยขอนแก่น
  • Siriporn Kamsa-ard Faculty of Public Health, Khon Kaen University
  • Monthon Wattanaploy Department of Surgery, Buddhachinaraj Hospital
  • Kodchamonnakorn Champangoen Faculty of Public Health, Sukhothai Thammathirat Open University
  • Sandar Tin Tin School of Population Health, University of Auckland

Keywords:

Incidence, neoplasms, epidemiology, older adults

Abstract

Cancer manifests across all age groups, but the risk increases with age. We conducted a descriptive retrospective study on the incidence of common cancers among adults aged 60 and over, who were diagnosed at Buddhachinaraj Hospital, Phitsanulok Province, between January 1, 2017, and December 31, 2023. We used the medical records to identify eligible patients (n=5,282). Crude Incidence Rates (CIR) and Age-Standardized incidence Rates (ASR) were calculated, with ASR values presented alongside 95% confidence intervals (95% CI). The top three common cancers

 

diagnosed between 2017 and 2023 were colon cancer (ASR=11.3 per 100,000 person-years ; 95% CI: 10.48, 12.16), prostate cancer(ASR=9.1 per 100,000 person-years ; 95% CI: 8.28, 9.96), and liver and bile duct cancer (ASR=8.5 per 100,000 person-years ; 95% CI: 4.11, 5.79) cancers in males, and Breast cancer (ASR=27.2 per 100,000 person-years ; 95% CI: 26.40, 28.08), colon cancer (ASR=8.6 per 100,000  person-years ; 95% CI: 7.74, 9.42), and cervical cancer (ASR=7.7 per 100,000 person-years ; 95% CI: 6.87, 8.55) cancers in females. These findings may serve as baseline evidence to guide public health planning for cancer prevention and control among older adults.

Cancer manifests across all age groups, but the risk increases with age. We conducted a descriptive retrospective study on the incidence of common cancers among adults aged 60 and over, who were diagnosed at Buddhachinaraj Hospital, Phitsanulok Province, between January 1, 2017, and December 31, 2023. We used the medical records to identify eligible patients (n=5,282). Crude Incidence Rates (CIR) and Age-Standardized incidence Rates (ASR) were calculated, with ASR values presented alongside 95% confidence intervals (95% CI). The top three common cancers

 

diagnosed between 2017 and 2023 were colon cancer (ASR=11.3 per 100,000 person-years ; 95% CI: 10.48, 12.16), prostate cancer(ASR=9.1 per 100,000 person-years ; 95% CI: 8.28, 9.96), and liver and bile duct cancer (ASR=8.5 per 100,000 person-years ; 95% CI: 4.11, 5.79) cancers in males, and Breast cancer (ASR=27.2 per 100,000 person-years ; 95% CI: 26.40, 28.08), colon cancer (ASR=8.6 per 100,000  person-years ; 95% CI: 7.74, 9.42), and cervical cancer (ASR=7.7 per 100,000 person-years ; 95% CI: 6.87, 8.55) cancers in females. These findings may serve as baseline evidence to guide public health planning for cancer prevention and control among older adults.

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Author Biographies

Kodchakorn Thipsanthiah, Faculty of Public Health, Naresuan University

Lecturer, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand

Supot Kamsa-ard, คณะสาธารณสุขศาสตร์ มหาวิทยาลัยขอนแก่น

Assoc. Prof., Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

Siriporn Kamsa-ard, Faculty of Public Health, Khon Kaen University

Assoc. Prof., Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

Monthon Wattanaploy, Department of Surgery, Buddhachinaraj Hospital

M.D., Department of Surgery, Buddhachinaraj Hospital, Phitsanulok, Thailand

Kodchamonnakorn Champangoen, Faculty of Public Health, Sukhothai Thammathirat Open University

Lecturer, School of Health Science Sukhothai Thammathirat Open University, Nonthaburi, Thailand 

Sandar Tin Tin, School of Population Health, University of Auckland

 Department of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Auckland, New Zealand; Cancer Epidemiology Unit, Oxford Population Health, University of Oxford, Oxford, United Kingdom

References

Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, et al. Global cancer observatory: cancer today [internet] 2024 [cited 2025 Mar 20]. Available from: https://gco.iarc.who.int/today

Thanasitthichai S, Ingsirorat R, Chairat C, Chiawiriyabunya I, Wongsena M, Sripratak K, et al. Cancer in Thailand. Vol. XI, 2019-2021. Bangkok: National Cancer Institute, Ministry of Public Health; 2025. (in Thai)

Daoprasert K, Pongnikorn D, Sangkam S, Parditkay M, Khamkhod K, Suwannamuang P. Cancer epidemiology of an aging population in Upper-Northern Thailand from 2013 to 2017. J Med Health Sci [internet]. 2021 [cited 2025 Mar 20];28(2):66-79. Available from: https://he01.tci-thaijo.org/index.php/jmhs/article/view/251555 (in Thai)

Ditsiri T, Sripan P, Dulyarat S, Daoprasert K, Pongnikorn D. Incidence and mortality rates of cancer in Mae Hong Son province. Srinagarind Med J. 2023;38(1):87-94. (in Thai)

Pongnikorn D, Daoprasert K, Waisri N, Laversanne M, Bray F. Cancer incidence in northern Thailand: results from six population-based cancer registries 1993-2012. Int J Cancer. 2018;142(9):1767-75. doi:10.1002/ijc.31203.

Phitsanulok Provincial Public Health Office. Annual report [internet]. 2023 [cited 2025 Mar 20]. Available from: https://www.nesdc.go.th/main.php?filename=intro (in Thai)

National Cancer Institute. Cancer in Thailand [internet]. [cited 2026 May 13]. Available from: https://www.nci.go.th/NCI_Old/th/cancer_record/ect2 (in Thai)

Fritz A, Percy C, Jack A, Shanmugaratnum K, Sorbin L, Parkin DM et al. International Classification of Diseases for Oncology (ICD-O). 3rd ed. Geneva: World Health Organization; 2000.

National Center for Health Statistics. ICD-10-CM: International classification of diseases, tenth revision, clinical modification. [internet]. 2015. Available from: https://www.cdc.gov/nchs/icd/icd10cm.htm

Office of the National Economic and Social Development Council. Population projections for Thailand 2010-2040. Bangkok: Office of the National Economic and Social Development Board; 2013. (in Thai)

Segi M, Fujisaku S, Kurihara M, Narai Y, Sasajima K. The age-adjusted death rates for malignant neoplasms in some selected sites in 23 countries in 1954-1955 and their geographical correlation. Tohoku J Exp Med. 1960;72:91-103. doi:10.1620/tjem.72.91.

Doll R. Comparison between Registries. Age- Standardized Rates, in: Waterhouse JAH, Muir CS, Correa P, Powell J (eds.), Cancer Incidence in Five Continents, Vol. III (IARC Scientific Publications No. 15), Lyon, France: International Agency for Research on Cancer. 1976;453-9.

Bray F, Znaor A, Cueva P, Korir A, Swaminathan R, Ullrich A, et al. Planning and developing population-based cancer registration in low- or middle-income settings. Lyon (FR): International Agency for Research on Cancer; 2014.

Boyle P, Parkin DM. Statistical methods for registries. In: Jensen OM, Parkin DM, MacLennan R, Muir CS, Skeet RG, editors. Cancer registration: principles and methods. Lyon: International Agency for Research on Cancer; 1991. p.126-58.

Tanabodee J. The cancer burden in elderly, Chonburi, 1998-2017. Chonburi Hospital J. 2023;48(1):21-30. (in Thai)

Li L, Shan T, Zhang D, Ma F. Nowcasting and forecasting global aging and cancer burden: analysis of data from the GLOBOCAN and Global Burden of Disease Study. J Natl Cancer Cent. 2024;4(3):223-32. doi:10.1016/j.jncc.2024.05.002.

Wirasorn K, Suwanrungruang K, Sookprasert A, Limpawattana P, Sirithanaphol W, Chindaprasirt J. Hospital-based population of elderly cancer cases in Northeastern Thailand. Asian Pac J Cancer Prev. 2016;17(2):767-70. (in Thai)

Möller L, Wellmann I, Stang A, Kajüter H. The epidemiology of colorectal cancer in younger and older patients. Dtsch Arztebl Int. 2023;120(16):277-83. doi:10.3238/arztebl.m2023.0041.

American Cancer Society. Colorectal cancer facts & figures 2023-2025. Atlanta: American Cancer Society; 2023.

Weir HK, Sherman R, Yu M, Gershman S, Hofer BM, Wu M, et al. Cancer incidence in older adults in the United States: characteristics, specificity, and completeness of the data. J Registry Manag. 2020;47(3):150-60.

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49. doi:10.3322/caac.21660.

Yeesoonsang S, McNeil E, Virani S, Bilheem S, Pittayawonganon C, Jiraphongsa C, et al. Trends in incidence of two major subtypes of liver and bile duct cancer: hepatocellular carcinoma and cholangiocarcinoma in Songkhla, Southern Thailand, 1989-2030. J Cancer Epidemiol. 2018;2018:8267059. doi:10.1155/2018/8267059.

Lemij AA, Bastiaannet E, de Glas NA, van den Bos F, Portielje JEA, Liefers GJ, et al. Breast cancer in the older population: a global challenge—an epidemiological perspective. Ann Breast Surg. 2023;7:17. doi: 10.21037/abs-21-89.

Globocan. Cancer today [internet]. 2020 [cited 2025 Mar 20]. Available from: https://gco.iarc.fr/today/en

Sripan P, Sriplung H, Pongnikorn D, Virani SH, Bilheem S, Chaisaengkhaum U, et al. Trends in female breast cancer by age group in the Chiang Mai population. Asian Pac J Cancer Prev. 2017;18(5):1411-6. doi:10.22034/APJCP.2017.18.5.1411.

Lalitwongsa S, Pongnikorn D, Daoprasert K, Sriplung H, Bilheem S. Breast cancer in Lampang, a province in Northern Thailand: analysis of 1993-2012 incidence data and future trends. Asian Pac J Cancer Prev. 2015;16(18):8327-33. doi:10.7314/APJCP.2015.16.18.8327.

Cinar D, Tas D. Cancer in the elderly. North Clin Istanb. 2015 Apr 24;2(1):73-80. doi: 10.14744/nci.2015.72691.

National Cancer Institute. Guidelines for cervical cancer screening using the HPV DNA test [internet] 2023 [cited 2025 Mar 20]. Available from: https://www.nci.go.th/th/File_download/-D_index/ptu/update_66 (in Thai)

Champangoen K, Kamsa-ard K, Thipsanthia K, Srisukhumchai N, Seehawong S, Srimachan S, et al. Incidence of cervical cancer Loei province. 2017-2022. KKU J Public Health Res. 2024;17(1):1–14. (in Thai).

Neumeyer S, Tanaka LF, Liang LA, Klug SJ. Epidemiology of cervical cancer in elderly women: Analysis of incidence, treatment, and survival using German registry data. Cancer Med. 2023;12(16):17284-95. doi: 10.1002/cam4.6318.

Somi MH, Farhang S, Mirinezhad SK, Naghashi S, Seif-Farshad M, Golzari M. Cancer in East Azerbaijan, Iran: results of a population-based cancer registry. Asian Pac J Cancer Prev. 2008;9(2):327-30.

National Cancer Institute. Department of Medical Services. Guidelines for implementation and data recording: Colorectal cancer screening project using the FIT test. Nonthaburi: Department of Medical Services; 2023. (in Thai)

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Published

2026-06-16

How to Cite

1.
Thipsanthiah K, Kamsa-ard S, Kamsa-ard S, Wattanaploy M, Champangoen K, Tin Tin S. Cancer Incidence among Older Adults Aged 60 and Over in Phitsanulok Province, Thailand: Current Situation in Buddhachinaraj Phitsanulok Hospital between 2017 and 2023. Journal of Health Sciences and Wellness [internet]. 2026 Jun. 16 [cited 2026 Jun. 27];30(1):103-18. available from: https://he01.tci-thaijo.org/index.php/HCUJOURNAL/article/view/281593

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Research article