Cancer epidemiology in Cali, 60 years of experience
Abstract
Background: The population-based Cancer Registry of Cali Colombia operates continuously since 1962, disseminating incidence information in the XI volumes of Cancer Incidence in Five Continents. Aim: To describe the incidence and mortality rates for the period 2011-2020 and the changes in the trend of incidence rates (1962-2017) and mortality rates from cancer (1986-2020). Methods: The Joinpoint model and the annual percentage change (APC) were used as summary measures of the changes in the trends of incidence rates (ASR-I) and mortality (ASR-M) standardized by age with the direct method. Results: Trough 1988-2017 the ASR-I for all locations increased 0.4% annually (95% CI: 0.2, 0.6) in men and decreased annually 0.2% (95% CI: -0.3; -0.1) in women. The ASR-Is of cancers related to opportunity screening activities (prostate and breast) increased until the early 21st century and then decreased. The ASR-I of cancers related to infectious agents continues to decrease (cervix, vulva, and stomach). There is evidence of control of cancer-related to tobacco consumption (lung, oral cavity, bladder). In both sexes, the ASR-I of thyroid, colorectal and lymphoma cancers increased and those of ovarian cancer decreased. Between 1984-2020 the ASR-M for all locations decreased annually 0.7% (95% CI: -0.9, -0.5) in men and 1.1% (95% CI: -1.3, -0.9) in women. For both sexes, ASR-M decreased for cancers of the esophagus, stomach, lung, bladder, lymphomas, and leukemias; and increased in colorectal cancer. The ASR-M for cervical and prostate cancer decreased annually by 3.5% (95% CI: -3.9, -3.2) and 0.1% (95% CI: -0.5, -0.3), respectively. Comment: This information allows the construction of some indicators to monitor the City Cancer Challenge initiative and the current 10-year plan for cancer control in Colombia, 2011-2021.Authors
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Keywords
- Incidence
- Colombia
- Developing Countries
- Mortality, Premature
- Sustainable Development
- Age Distribution
- Censuses
- Cervix Uteri
- Prostate
- Survival Rate
- Information Systems
Author Biographies
, 1. Registro Poblacional de Cáncer de Cali. Cali, Colombia. 2 Departamento de Patología, Facultad de Salud, Universidad del Valle, Cali, Colombia. 3 Hospital Universitario del Valle “Evaristo García” E.S.E., Cali, Colombia.
https://orcid.org/0000-0002-9708-0312
, 1 Registro Poblacional de Cáncer de Cali. Cali, Colombia. 4 Maestría en Salud Pública, Universidad del Valle, Cali, Colombia
https://orcid.org/0000-0002-8108-1855
, Registro Poblacional de Cáncer de Cali. Cali, Colombia.
https://orcid.org/0000-0002-4570-2087
, 1 Registro Poblacional de Cáncer de Cali. Cali, Colombia. 2 Departamento de Patología, Facultad de Salud, Universidad del Valle, Cali, Colombia. 3 Hospital Universitario del Valle “Evaristo García” E.S.E., Cali, Colombia.
https://orcid.org/0000-0003-3047-3741
, 1 Registro Poblacional de Cáncer de Cali. Cali, Colombia. 5 Doctorado en Salud, Universidad del Valle, Cali, Colombia. 6 Maestría en Epidemiología, Universidad del Valle, Cali, Colombia.
https://orcid.org/0000-0001-9504-5153
, Secretaria de Salud Pública Municipal de Cali, Cali, Colombia.
https://orcid.org/0000-0003-1880-6451
, 7 Secretaria de Salud Pública Municipal de Cali, Cali, Colombia. 8 Departamento de Otorrinolaringología, Facultad de Salud, Universidad del Valle, Cali, Colombia.
https://orcid.org/0000-0001-7361-6672
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