OneHealth Research Group, Faculty of Medicine, Universidad de las Americas, Calle de los Colimes y Avenida De los Granados, 170137, Quito, Ecuador.
Endocrinology Department, Hospital Eugenio Espejo, Quito, Ecuador.
BMC Cancer. 2019 Apr 2;19(1):294. doi: 10.1186/s12885-019-5485-8.
Thyroid cancer is the most frequent endocrine neoplasia worldwide. Information from Andean countries is scarce. In Ecuador there is no reports available of the epidemiology of this type of cancer. The aim of this study is to present the epidemiology and the burden of disease of thyroid cancer.
This is a cross-sectional population-based analysis of thyroid cancer epidemiology in Ecuador from 2001 to 2016. The variables studied were the overall mortality rate, socio-demographics characteristics of the hospitalized patients, geographical trends and the burden of thyroid cancer in Ecuador. All the data was obtained from the official records reported by the Ministry of Public Health's and retrieved from the public databases of the Vital Statistics Deaths and Births Databases and the National Institute of Census and Statistics (INEC).
In Ecuador, over a period of 16 years from 2001 to 2016 a total of 23,632 hospital admissions were reported, which caused 1539 deaths due thyroid cancer. Data demonstrated an annual mean of 1477 cases, which caused 96 deaths per year in average. The annual incidence fluctuated from 3 in 2001 to 22 in 2016 per 100,000 inhabitants. Women were 5 times more likely than men to have thyroid cancer. The average length of stay for both sexes were 4 days. The mortality attributable to thyroid cancer represent less than 0.3% of all cancer deaths.
Ecuador has one of the highest rates of thyroid cancer in Latin America, ranking first among women in Latin America. Although this cancer is frequent, mortality rate is relatively low. As this is the first national report of thyroid cancer in the country, a further analysis of the pathological variants and the grading of this neoplasia is needed.
甲状腺癌是全球最常见的内分泌肿瘤。安第斯国家的信息较为匮乏。在厄瓜多尔，尚无此类癌症的流行病学报告。本研究旨在介绍甲状腺癌的流行病学和疾病负担。
这是一项对 2001 年至 2016 年厄瓜多尔甲状腺癌流行病学的横断面人群分析。研究的变量包括总体死亡率、住院患者的社会人口统计学特征、地理趋势以及厄瓜多尔甲状腺癌的疾病负担。所有数据均来自公共卫生部报告的官方记录，并从 Vital Statistics Deaths and Births Databases 和国家人口和统计局（INEC）的公共数据库中检索获得。
在厄瓜多尔，2001 年至 2016 年的 16 年间，共报告了 23632 例住院病例，其中 1539 例死于甲状腺癌。数据显示，平均每年有 1477 例病例，平均每年有 96 例死亡。每年的发病率从 2001 年的 3 例波动至 2016 年的 22 例/10 万居民。女性患甲状腺癌的可能性是男性的 5 倍。男女平均住院时间均为 4 天。甲状腺癌的死亡率不到所有癌症死亡人数的 0.3%。
厄瓜多尔是拉丁美洲甲状腺癌发病率最高的国家之一，在拉丁美洲女性中排名第一。尽管这种癌症很常见，但死亡率相对较低。由于这是该国首例关于甲状腺癌的全国性报告，需要进一步分析这种肿瘤的病理变体和分级。
