Hernández-Vásquez Akram, Bendezú-Quispe Guido, Azañedo Diego, Huarez Bertha, Rodríguez-Lema Belén
Universidad de Buenos Aires. Buenos Aires, Argentina.
Facultad de Salud Pública y Administración. Universidad Peruana Cayetano Heredia. Lima, Peru.
Rev Gastroenterol Peru. 2016 Oct-Dec;36(4):320-329.
To estimate and analyze the evolution of mortality rates of gastrointestinal (GI) cancer in Peru and its regions between 2005-2014.
We performed a nationwide secondary analysis of Peru's Health Ministry registry of deaths during the period 2005-2014, with a focus on regional differences. Deaths registered with codes C15 to C25 (malignant neoplasms of digestive organs) from the ICD-10 were included. Calculation of age-standarized mortality rates and years of life lost (YLL) due to GI cancer per 100,000 habitants were also performed.
Data of 67,527 deaths from GI cancers was analyzed, 35,055 (51.91%) were women. In 2005, the number of GI cancer deaths was 6,484, for 2014, 7,532 cases were recorded. The GI cancer age-standarized mortality rates at the country level showed a decrease of 12.70% between 2005-2014. Stomach cancer presented the highest age-standarized mortality rate despite showing a downward trend in the last years, equal for gallbladder, liver and biliary tract, and esophagus cancer. Colorectal, small intestine and anus cancer show a progressive increase. In 2014, Callao (48.8), Huancavelica (48.5), La Libertad (39.6), Lambayeque (40.5) and Huanuco (38.9) had the highest rates. The three types of GI cancers with the highest rates of YLL in 2014 were stomach cancer (118.51), followed by liver and biliary tract cancer (58.68) and colorectal (44.86).
GI cancer mortality in Peru is high and a priority issue in regions like Huancavelica, Huanuco, Callao, La Libertad and Lambayeque. Stomach cancer remains the most frequent GI cancer, but with a downward trend in the study period.
评估并分析2005年至2014年间秘鲁及其各地区胃肠道（GI）癌症死亡率的演变情况。
我们对秘鲁卫生部2005年至2014年期间的死亡登记进行了全国范围的二次分析，重点关注地区差异。纳入了国际疾病分类第十版（ICD - 10）中编码为C15至C25（消化器官恶性肿瘤）的死亡病例。还计算了每10万居民中因胃肠道癌症导致的年龄标准化死亡率和寿命损失年数（YLL）。
分析了67527例胃肠道癌症死亡数据，其中35055例（51.91%）为女性。2005年，胃肠道癌症死亡人数为6484例，2014年记录了7532例。2005年至2014年期间，全国层面的胃肠道癌症年龄标准化死亡率下降了12.70%。尽管胃癌在过去几年呈下降趋势，但仍呈现出最高的年龄标准化死亡率，胆囊癌、肝癌、胆管癌和食管癌的年龄标准化死亡率相同。结直肠癌、小肠癌和肛门癌呈逐渐上升趋势。2014年，卡亚俄（48.8）、万卡韦利卡（48.5）、拉利伯塔德（39.6）、兰巴耶克（40.5）和瓦努科（38.9）的死亡率最高。2014年寿命损失年数率最高的三种胃肠道癌症类型依次为胃癌（118.51），其次是肝癌和胆管癌（58.68）以及结直肠癌（44.86）。
秘鲁的胃肠道癌症死亡率较高，在万卡韦利卡、瓦努科、卡亚俄、拉利伯塔德和兰巴耶克等地区是一个优先问题。胃癌仍然是最常见的胃肠道癌症，但在研究期间呈下降趋势。
