Piñeros Marion, Gamboa Oscar, Suárez Amaranto
Instituto Nacional de Cancerología, Bogotá, Colombia.
Rev Panam Salud Publica. 2011 Jul;30(1):15-21.
Determine the magnitude of child mortality from cancer in Colombia and evaluate the trends in its evolution from 1985 to 2008.
Mortality in the Colombian population aged 0-14 years from cancer in any site (e.g., leukemia, malignant tumors of the central nervous system (CNS), non-Hodgkin's lymphoma, Hodgkin's lymphoma, bone tumors, kidney tumors) during this period was analyzed. The mean change in the variations of cancer mortality trends in this age group was calculated.
Deaths from cancer accounted for 3.5% of mortality in children under 15 years of age. During the periods 1985-1989 and 2005-2008 there was a decrease in mortality from cancer in both sexes, with figures dropping from 54.4 deaths per million to 44.8 deaths per million in boys and from 40.9 deaths per million to 37.9 deaths per million in girls. There was a statistically significant decrease in leukemia- and lymphoma-related mortality, whereas mortality associated with cancers of the CNS increased significantly.
In spite of slight downward trends in mortality from leukemia and non-Hodgkin's lymphoma, childhood cancer mortality rates in Colombia remain high. Significant work on treatments for childhood cancer is required to obtain greater success.
确定哥伦比亚儿童癌症死亡率的规模，并评估1985年至2008年期间其演变趋势。
分析了该时期哥伦比亚0至14岁人群中任何部位癌症（如白血病、中枢神经系统恶性肿瘤、非霍奇金淋巴瘤、霍奇金淋巴瘤、骨肿瘤、肾肿瘤）的死亡率。计算了该年龄组癌症死亡率趋势变化的平均变化。
癌症死亡占15岁以下儿童死亡率的3.5%。在1985 - 1989年和2005 - 2008年期间，两性的癌症死亡率均有所下降，男孩从每百万54.4例死亡降至每百万44.8例死亡，女孩从每百万40.9例死亡降至每百万37.9例死亡。白血病和淋巴瘤相关死亡率有统计学显著下降，而中枢神经系统癌症相关死亡率显著上升。
尽管白血病和非霍奇金淋巴瘤死亡率略有下降趋势，但哥伦比亚儿童癌症死亡率仍然很高。需要在儿童癌症治疗方面开展大量工作以取得更大成功。
