Piñeros Marion, Ferlay Jacques, Murillo Raúl
Subdirección de Investigaciones, Instituto Nacional de Cancerología, Bogotá, DC, Colombia.
Salud Publica Mex. 2006 Nov-Dec;48(6):455-65. doi: 10.1590/s0036-36342006000600003.
To estimate national and district cancer incidence for 18 major cancer sites in Colombia.
National and district incidence was estimated by applying a set of age, sex and site-specific incidence/mortality ratios, obtained from a population-based cancer registry, to national and regional mortality. The work was done in Bogotá (Colombia) and Lyon (France) between May 2003 and August 2004.
The annual total number of cases expected (all cancers but skin) was 17 819 in men and 18 772 in women. Among males the most frequent cancers were those of the prostate (45.8 per 100 000), stomach (36.0), and lung (20.0). In females the most frequent were those of the cervix uteri (36.8 per 100 000), breast (30.0), and stomach (20.7). Districts with the lowest death certification coverage yielded the highest incidence rates.
In the absence of national population-based cancer registry data, estimates of incidence provide valuable information at national and regional levels. As mortality data are an important source for the estimation,the quality of death certification should be considered as a possible cause of bias.
估算哥伦比亚18个主要癌症部位的全国及各地区癌症发病率。
通过将一组从基于人群的癌症登记处获得的年龄、性别和部位特异性发病率/死亡率比值应用于全国及地区死亡率，来估算全国及各地区的发病率。这项工作于2003年5月至2004年8月在哥伦比亚波哥大和法国里昂开展。
预计每年男性（所有癌症，不包括皮肤癌）病例总数为17819例，女性为18772例。男性中最常见的癌症是前列腺癌（每10万人中45.8例）、胃癌（36.0例）和肺癌（20.0例）。女性中最常见的是子宫颈癌（每10万人中36.8例）、乳腺癌（30.0例）和胃癌（20.7例）。死亡证明覆盖率最低的地区发病率最高。
在缺乏基于全国人口的癌症登记数据的情况下，发病率估算为国家和地区层面提供了有价值的信息。由于死亡率数据是估算的重要来源，死亡证明的质量应被视为可能导致偏差的一个原因。
