Trends in cancer incidence and mortality in Manizales, Colombia, 2008-2017
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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.
Nelson Enrique Arias-Ortiz, 1 Universidad de Caldas, Departamento de Salud Pública, Manizales, Colombia, 2 Universidad de Caldas, Grupo de Investigación Promoción de la Salud y Prevención de la Enfermedad, Manizales, Colombia, 3 Registro Poblacional de Cáncer de Manizales, Manizales, Colombia,
https://orcid.org/0000-0001-5093-3384
Juan David Rodríguez-Betancourt, Registro Poblacional de Cáncer de Manizales, Manizales, Colombia
https://orcid.org/0000-0003-2192-458X
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- Nelson Enrique Arias-Ortiz, Esther De Vries, Health inequities and cancer survival in Manizales, Colombia: a population-based study , Colombia Medica: Vol. 49 No. 1 (2018): Colombia Cancer Epidemiology
- Nelson Enrique Arias-Ortiz, Guillermo Antonio López-Guarnizo, Walter Antonio Arboleda-Ruiz, Cancer incidence and mortality in Manizales 2003-2007 , Colombia Medica: Vol. 43 No. 4 (2012): Numbers in cancer: 50-year of The Population-based Cancer Registry of Cali
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