Trends in cancer incidence and mortality in Manizales, Colombia, 2008-2017
Abstract
Background:
The cancer burden is projected to continue to grow in the coming years.
Objective
To describe the trends in cancer incidence and mortality in Manizales, Colombia, between 2008-2017.
Methods
All incident cancer cases in Manizales captured by the RPCM between January 1, 2008 and December 31, 2017, as well as all deaths caused by cancer in the same period, were included. The population at risk was obtained from DANE statistics. Age-adjusted incidence and mortality rates were calculated according to sex and cancer location. Changes in trends were evaluated using a Joinpoint regression.
Results
11,188 incident cases were registered, 56.7% in women. There were 4,996 cancer deaths, 52.6% in women. Breast, prostate, stomach, thyroid, lung, and colon cancers accounted for 50% of all incident cases. During this period, the incidence in women decreased and equaled that of men, based on a significant decrease in cancers of the cervix, stomach, lung, among others; Likewise, mortality in women decreased slightly, due to the reduction in deaths from cancer of the cervix, stomach, esophagus and soft tissues. In contrast, incidence and overall mortality in men did not vary.
Conclusions
Population aging has contributed to a higher cancer burden. In terms of incidence and mortality, progress in the fight against this disease is still modest. It is a priority to reinforce strategies for cancer control with a differential approach by sex.
Authors
Downloads
Keywords
- Cancer
- Incidence
- Mortality
- Trends
- Colombia
- Nervous System Neoplasms
- Uterine Cervical Neoplasms
- Breast Neoplasms
References
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;0(0):1-41. https://doi.org/10.3322/caac.21660
Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, Abdel-Rahman O, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-Adjusted life-years for 29 cancer groups, 1990 to 2017: A systematic analysis for the global burden of disease study. JAMA Oncol. 2019;5(12):1749-68. https://doi.org/10.1001/jamaoncol.2019.2996
World Bank. Disease Control Priorities, Third Edition (Volume 3): Cancer. In: Gelband H, Jha P, Sankaranarayanan R, Horton S, editors. 3rd ed. Washington; 2015. p. 363. https://doi.org/10.1596/978-1-4648-0349-9
Bray F, Piñeros M. Cancer patterns, trends and projections in latin america and the caribbean: A global context. Salud Publica Mex. 2016;58(2):104-17. https://doi.org/10.21149/spm.v58i2.7779
Curado MP, De Souza DLB. Cancer burden in Latin America and the Caribbean. Ann Glob Heal [Internet]. 2014;80(5):370-7. https://doi.org/10.1016/j.aogh.2014.09.009
Piñeros M, Abriata MG, Mery L, Bray F. Cancer registration for cancer control in Latin America: a status and progress report. Rev Panam Salud Publica. 2017;41(5):e2. https://doi.org/10.26633/RPSP.2017.2
Arias O N. Registros poblacionales de cáncer: avances en Colombia, Chile y Brasil. Rev la Fac Nac Salud Pública. 2013;31(1):127-35.
International Agency for Research on Cancer. Cancer Incidence in Five Continents, Vol. XI [Internet]. Bray F, Colombet M, Mery L, Piñeros M, Znaor A, Zanetti R, et al., editors. Lyon: World Health Organization; 2021. 1558 p. https://doi.org/10.1016/0959-8049(93)90227-7
Pardo C, Cendales R. Cancer incidence estimates and mortality for the top five cancer in Colombia, 2007-2011. Colomb Med. 2018;49(1):16-22. https://doi.org/10.25100/cm.v49i1.3596
Arias-Ortiz NE, López-Guarnizo GA. Evaluación de calidad de los datos del Registro Poblacional de Cáncer de Manizales, Colombia. Rev Colomb Cancerol. 2013;17(4):132-41. https://doi.org/10.1016/S0123-9015(13)70160-4
López-Guarnizo G, Arias-Ortiz N, Arboleda-Ruiz W. Cancer incidence and mortality in Manizales 2003-2007. Colomb Med. 2012;43(4):281-9. https://doi.org/10.25100/cm.v43i4.1197
Kim H, Fay MP, Feuer EJ, Midthune DN. Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 2000;19(3):335-51. https://doi.org/10.1002/(SICI)1097-0258(20000215)19:3<335::AID-SIM336>3.3.CO;2-Q
DANE. Población ajustada por cobertura censal. Censo General de Población y Vivienda. 2018.
DANE. Resultados Censo Nacional de Población y Vivienda 2018. Manizales, Caldas. 2019.
World Health Organization. International Classification of Diseases for Oncology, Third Edition. 3rd ed. Fritz A, Percy C, Jack A, Shanmugaratnam K, Sobin L, Parkin DM, et al., editors. Geneva; 2013. 242 p. https://doi.org/10.32388/5XG1QE
García LS, Bravo LE, Collazos P, Ramírez O, Carrascal E, Nuñez M, et al. Métodos del Registro de Cáncer en Cali, Colombia. Colomb Med. 2018;49(1):109-20. https://doi.org/10.25100/cm.v49i1.3853
Cendales R, Pardo C. Quality of death certification in Colombia. Colomb Med. 2018;49(1):121-7. https://doi.org/10.25100/cm.v49i1.3155
Departamento Administrativo Nacional de Estadísticas. Microdatos anonimizados de estadísticas vitales. Colecciones. Estadísticas Vitales. 2021.
Departamento Administrativo Nacional de Estadísticas. Proyecciones de población. Estadísticas por tema. Demografía y población. 2020.
Instituto Nacional de Cancerología . Análisis de Situación del Cáncer en Colombia 2015. Primera edición [Internet]. Bogotá: Instituto Nacional de Cancerología; 2017. 135 p.
Bravo LE, Collazos T, Collazos P, García LS, Correa P. Trends of cancer incidence and mortality in Cali, Colombia. 50 years experience. Colomb Med. 2012;43(4):246-55. https://doi.org/10.25100/cm.v43i4.1266
Yépez MC, Jurado DM, Bravo LM, Bravo LE. Trends in cancer incidence, and mortality in pasto, Colombia. 15 years experience. Colomb Med. 2018;49(1):42-54. https://doi.org/10.25100/cm.v49i1.3616
Wiesner-Ceballos C, Puerto D, Diaz-Casas S, Sánchez O, Hernando-Murillo R, Bravo LE. Políticas basadas en la evidencia científica: el caso del control del cáncer de mama en Colombia. Rev Colomb Cancerol [Internet]. 2020 Jul 3 [cited 2021 Jun 5];24(3):98-107. https://doi.org/10.35509/01239015.261
Restrepo JA, Bravo LE, García-Perdomo HA, García LS, Collazos P, Carbonell J. Incidencia, mortalidad y supervivencia al cáncer de próstata en Cali, Colombia, 1962-2011. Salud Publica Mex. 2014;56(5):440-7. https://doi.org/10.21149/spm.v56i5.7369
Balakrishnan M, George R, Sharma A, Graham DY. Changing Trends in Stomach Cancer Throughout the World. Curr Gastroenterol Rep. 2017;19(8). https://doi.org/10.1007/s11894-017-0575-8
Suh YS, Yang HK. Screening and Early Detection of Gastric Cancer: East Versus West. Surg Clin North Am [Internet]. 2015;95(5):1053-66. https://doi.org/10.1016/j.suc.2015.05.012
Allemani C, Matsuda T, Di Carlo V, Harewood R, Matz M, Nikšić M, et al. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37.513.025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 2018;391(10125):1023-75. https://doi.org/10.1016/S0140-6736(17)33326-3
Pilleron S, Cabasag CJ, Ferlay J, Bray F, Luciani S, Almonte M, et al. Cervical cancer burden in Latin America and the Caribbean: Where are we? Int J Cancer. 2020;147(6):1638-48. https://doi.org/10.1002/ijc.32956
World Cancer Research Fund/American Institute for Cancer Research. Diet, nutrition, physical activity and colorectal cancer [Internet]. 2017 [cited 2021 Jun 3].
Peña-Torres E, Osorio D, Gamboa Ó, Caporale J, Augustovski F, Alcaraz A, et al. Carga de enfermedad atribuible al uso del tabaco en Colombia y portenciales beneficios sanitarios y económicos del aumento del precio del cigarrillo mediante impuestos. Rev Colomb Cancerol. 2019;23(4):135-43. https://doi.org/10.35509/01239015.31
Ministerio de de Salud y Protección Social. Encuesta Nacional de Salud Mental, 2015. Bogotá: Ministerio de Salud y Proteción Social; 2016. https://doi.org/10.1016/j.rcp.2016.09.006
Organización Mundial de la Salud . MPOWER un plan de medidas para hacer retroceder la epidemia de tabaquismo [Internet]. Ginebra; 2008. p. 1-41.
Arias-Ortiz NE, Guzmán-Gallego EA. Clinical characteristics of thyroid cancer in manizales, Colombia, 2008-2015. Rev Peru Med Exp Salud Publica [Internet]. 2020 Aug 28 [cited 2021 Jun 3];37(2):287-91. https://doi.org/10.17843/rpmesp.2020.372.4892
Udelsman R, Zhang Y. The epidemic of thyroid cancer in the united states: The role of endocrinologists and ultrasounds. Thyroid [Internet]. 2014 Mar 1 [cited 2021 Jun 3];24(3):472-9. https://doi.org/10.1089/thy.2013.0257
Arias-Ortiz NE, Ruiz-Rudolph P. Potential thyroid carcinogens in atmospheric emissions from industrial facilities in Manizales, a midsize Andean city in Colombia. Atmos Pollut Res. 2017 Nov 1;8(6):1058-68. https://doi.org/10.1016/j.apr.2017.03.012
Arias-Ortiz NE, Icaza-Noguera G, Ruiz-Rudolph P. Thyroid cancer incidence in women and proximity to industrial air pollution sources: A spatial analysis in a middle size city in Colombia. Atmos Pollut Res. 2018 May 1;9(3):464-75. https://doi.org/10.1016/j.apr.2017.11.003
Holleczek B, Brenner H. Reduction of population-based cancer survival estimates by trace back of death certificate notifications: An empirical illustration. Eur J Cancer. 2012 Apr 1;48(6):797-804. https://doi.org/10.1016/j.ejca.2011.05.028
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