Graduate Program in Public Health, Universidade Federal do Espírito Santo (Ufes), Vitoria 29047-105, ES, Brazil.
Espírito Santo State Health Department, Special Center for Epidemiological Surveillance, Vitoria 29047-105, ES, Brazil.
Int J Environ Res Public Health. 2024 Feb 9;21(2):200. doi: 10.3390/ijerph21020200.
This ecological time series study aimed to examine the temporal trends in the completeness of epidemiological variables from a hospital-based cancer registry (HbCR) of a reference center for pediatric oncology in Brazil from 2010 to 2016. Completeness categories were based on the percentage of missing data, with the categories excellent (<5%), good (5-10%), regular (11-20%), poor (21-50%), and very poor (>50%). Descriptive and bivariate analyses were performed using R.4.1.0; a Mann-Kendall trend test was performed to examine the temporal trends. Variables with the highest incompleteness included race/color (17.24% in 2016), level of education (51.40% in 2015), TNM (56.88% in 2012), disease status at the end of the first treatment (12.09% in 2013), cancer family history (79.12% in 2013), history of alcoholic consumption (39.25% in 2015), history of tobacco consumption (38.32% in 2015), and type of admission clinic (10.28% in 2015). Nevertheless, most variables achieved 100% completeness and were classified as excellent across the time series. A significant trend was observed for race/color, TNM, and history of tobacco consumption. While most variables maintained excellent completeness, the increasing incompleteness trend in race/color and decreasing trend in TNM underscore the importance of reliable and complete HbCRs for personalized cancer care, for planning public policies, and for conducting research on cancer control.
这项生态时间序列研究旨在探讨巴西一家儿科肿瘤学参考中心基于医院的癌症登记处(HbCR)自 2010 年至 2016 年期间流行病学变量完整性的时间趋势。完整性类别基于缺失数据的百分比,类别包括优秀(<5%)、良好(5-10%)、一般(11-20%)、较差(21-50%)和极差(>50%)。使用 R.4.1.0 进行描述性和双变量分析;采用曼恩-肯德尔趋势检验来检验时间趋势。完整性最差的变量包括种族/肤色(2016 年为 17.24%)、教育程度(2015 年为 51.40%)、TNM(2012 年为 56.88%)、首次治疗结束时的疾病状态(2013 年为 12.09%)、癌症家族史(2013 年为 79.12%)、酒精消费史(2015 年为 39.25%)、烟草消费史(2015 年为 38.32%)和入院诊所类型(2015 年为 10.28%)。尽管如此,大多数变量在整个时间序列中都达到了 100%的完整性,被归类为优秀。种族/肤色、TNM 和烟草消费史的趋势具有显著意义。尽管大多数变量保持优秀的完整性,但种族/肤色的不完整性增加趋势和 TNM 的下降趋势突显了可靠和完整的 HbCR 对于个性化癌症护理、公共政策规划以及癌症控制研究的重要性。