Boing Antonio Fernando, Vargas Silvia Angélica López, Boing Alexandra Crispim
Departamento de Saúde Pública, Universidade Federal de Santa Catarina.
Rev Assoc Med Bras (1992). 2007 Jul-Aug;53(4):317-22. doi: 10.1590/s0104-42302007000400016.
To describe mortality and the hospital morbidity by neoplasias in Brazil and regions according to gender.
Data of deaths were obtained from the Mortality Information System and of hospital morbidity from the Hospital Information System. Deaths were categorized according to primary tumor sites, selected in accordance with the tenth revision of the International Classification of Diseases. The population data were drawn from the inter census estimates of the IBGE (Brazilian Institute of Geography and Statistics). The period of analysis was the triennial 2002-2004, with the most recent mortality data in Brazil. The average of this period was calculated to ensure greater stability of the rates.
Between 2002 and 2004, 405,415 deaths from neoplasias occurred in Brazil. The highest rates of mortality were identified in the South and South-East regions. For men, cancer of the trachea, bronchi and lungs were the malignant neoplasias with the highest mortality rate while for women breast cancer was highest. Breast cancer and cancer of the uterine cervix are those requiring the largest number of in-hospital admissions. In internments, leukemia presented the highest average cost and total cost.
The burden of neoplasms is extremely high in Brazil and public policies focused on the population must be given priority for an effective control of mortality and morbidity.
按性别描述巴西及各地区肿瘤所致的死亡率和医院发病率。
死亡数据来自死亡信息系统，医院发病率数据来自医院信息系统。死亡病例按原发肿瘤部位分类，依据国际疾病分类第十版进行选择。人口数据取自巴西地理与统计研究所（IBGE）的两次人口普查期间的估计数。分析期为2002 - 2004年这三年期，采用巴西最新的死亡率数据。计算该时期的平均值以确保发病率更稳定。
2002年至2004年期间，巴西有405,415人死于肿瘤。死亡率最高的地区是南部和东南部。男性中，气管、支气管和肺癌是死亡率最高的恶性肿瘤，而女性中乳腺癌死亡率最高。乳腺癌和宫颈癌是住院人数最多的疾病。在住院治疗方面，白血病的平均费用和总费用最高。
巴西肿瘤负担极高，必须优先制定针对民众的公共政策，以有效控制死亡率和发病率。
