Faculdade de Medicina da Universidade Federal de Goiás, Rua 235 c/1a avenida, s/n-S, Universitário, CEP 74605-020, Goiânia, Goiás, Brazil.
BMC Public Health. 2013 Jun 9;13:563. doi: 10.1186/1471-2458-13-563.
Medical records are frequently consulted to verify whether the treatment and guiding principles were correct. Determine incidence and mortality trends of in situ and invasive neoplasms of the uterine cervix, in the period 1988-2004 in Goiânia, Brazil.
The incident cases were identified through the Population-Based Cancer Registry of Goiânia. Population data were collected from census data of the Brazilian Institute of Geography and Statistics. For mortality analysis, data were extracted from the Mortality Information System. The Poisson Regression was utilized to determine the annual incidence and mortality rates.
A total of 4446 cases of in situ and invasive neoplasms of the uterine cervix were identified. No significant reductions were verified in invasive cervical cancer rates (p=0.386) during the study period, while in situ carcinomas presented an annual increasing trend of 13.08% (p<0.001). A decreasing trend was observed for mortality (3.02%, p=0.017).
No reduction was observed for the incidence of invasive cancer of the uterine cervix; however, increasing trends were verified for in situ lesions with a consequent reduction in mortality rates. These increasing trends may be the result of recently-implemented screening programs or due to improvements in the notification system.
医疗记录常被用于验证治疗方法和指导原则是否正确。本研究旨在分析 1988-2004 年巴西戈亚尼亚市原位和浸润性宫颈癌的发病率和死亡率趋势。
通过戈亚尼亚市基于人群的癌症登记处确定发病病例。人群数据来自巴西地理与统计研究所的人口普查数据。死亡率分析的数据从死亡率信息系统中提取。利用泊松回归确定年度发病率和死亡率。
共发现 4446 例原位和浸润性宫颈癌病例。研究期间，浸润性宫颈癌的发病率没有显著降低（p=0.386），而原位癌呈现出每年增加 13.08%的趋势（p<0.001）。死亡率呈下降趋势（3.02%，p=0.017）。
浸润性宫颈癌的发病率没有降低；然而，原位病变的发病率呈上升趋势，死亡率随之降低。这些上升趋势可能是最近实施的筛查计划的结果，也可能是由于通报系统的改进。
