Cuenta de Alto Costo, Fondo Colombiano de Enfermedades de Alto Costo, Avenue career 45 number 103-34, Building Logic 2, Office 802, 110111, Bogotá, Colombia.
Asociación Colombiana de Hematología y Oncología, Bogotá, Colombia.
BMC Cancer. 2020 Nov 11;20(1):1097. doi: 10.1186/s12885-020-07611-9.
Cancer is widely recognized as a global public health problem. Breast, prostate, and cervical cancer are among the most frequent types in developing countries. Assessing their incidence and mortality by regions and municipalities is important to guide evidence-based health policy. Our aim was to describe the incidence and mortality trends for breast, cervical, and prostate cancer across regions and municipalities in Colombia during 2018.
We performed a cross-sectional analysis with data from people with breast, prostate, or cervical cancer, reported to the National Administrative Cancer Registry during 2018. A descriptive analysis was performed. Age-standardized incidence and mortality rates were estimated at national, regional, and municipal levels. Finally, we identify the regions and municipalities with significantly higher or lower incidence and mortality rates compared to national estimations.
Breast cancer was the most frequent type among all new cases and deaths in Colombia. Breast, prostate and cervical cancer incidence and mortality rates per 100,000 were: 18.69 (CI 95%: 18.15-19.25) and 10.48 (CI 95%: 10.07-10.91); 11.34 (CI 95%: 10.90-11.78) and 7.58 (CI 95%: 7.22-7.96); 5.93 (CI 95%: 5.62-6.25) and 4.31 (CI 95%: 4.05-4.58), respectively. Eastern region had both, incidence and mortality rates, significantly lower than national for all types of cancer. By municipalities, there was a heterogeneous pattern. Nonetheless, Agua de Dios (Cundinamarca), had one of the highest incidence rates for all types.
We observed clear differences in cancer incidence and mortality across regions and municipalities, depending on each type of cancer. Our findings are important to improve screening coverage, early detection, and treatment in the country.
癌症被广泛认为是一个全球性的公共卫生问题。在发展中国家，乳腺癌、前列腺癌和宫颈癌是最常见的癌症类型。评估这些癌症在各地区和城市的发病率和死亡率对于指导基于证据的卫生政策非常重要。我们的目的是描述 2018 年哥伦比亚各地区和城市乳腺癌、宫颈癌和前列腺癌的发病率和死亡率趋势。
我们对 2018 年国家癌症管理登记处报告的乳腺癌、前列腺癌或宫颈癌患者的数据进行了横断面分析。进行了描述性分析。在国家、地区和城市各级估计了年龄标准化的发病率和死亡率。最后，我们确定了与国家估计相比发病率和死亡率明显较高或较低的地区和城市。
乳腺癌是哥伦比亚所有新发病例和死亡病例中最常见的类型。乳腺癌、前列腺癌和宫颈癌的发病率和死亡率（每 10 万人）分别为：18.69（95%置信区间：18.15-19.25）和 10.48（95%置信区间：10.07-10.91）；11.34（95%置信区间：10.90-11.78）和 7.58（95%置信区间：7.22-7.96）；5.93（95%置信区间：5.62-6.25）和 4.31（95%置信区间：4.05-4.58）。东部地区所有类型的癌症的发病率和死亡率均明显低于全国水平。就城市而言，情况各不相同。然而，Agua de Dios（昆迪纳马卡）的所有类型癌症的发病率都很高。
我们观察到癌症发病率和死亡率在各地区和城市之间存在明显差异，这取决于每种癌症的类型。我们的发现对于提高该国的筛查覆盖率、早期发现和治疗非常重要。
