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. 2018 Mar 30;49(1):42-54.
doi: 10.25100/cm.v49i1.3616.

Trends on cancer incidence and mortality in Pasto, Colombia. 15 years experience

María Clara Yépez  1 , Daniel Marcelo Jurado  1 , Luisa Mercedes Bravo  1 , Luis Eduardo Bravo  2
Affiliations

Trends on cancer incidence and mortality in Pasto, Colombia. 15 years experience

María Clara Yépez et al. Colomb Med (Cali). .

Abstract
in English, Spanish

Introduction: In Colombia it is necessary to continue producing quality and continuously updated information on the magnitude of cancer, derived from population-based cancer registries to contribute to decision making, and implementation of strategies for health promotion, prevention and treatment of cancer in order to reduce the impact on the population.

Objective: To describe the incidence, mortality and cancer trends in Pasto-Colombia from 1998 to 2012.

Methods: Observational descriptive study of morbi - mortality due to malignant tumours in Pasto. The collection, processing and systematization of the data, was carried out according to international standards for population-based cancer registries. The incidence and mortality rates were calculated by period, sex, age and tumour site.

Results: During the period 1998-2012 there were 8,010 new cases of cancer, of them, 57.7% occurred in females. There were 4,214 deaths reported, 52.0% in females. The incidence (p men= 0.7, p females= 0.3) and mortality (p males= 1.0, p females= 0.0) did not present significant changes over 15 years of observation and the tumours that cause greater morbi-mortality affect the stomach, cervix uteri, breast and prostate.

Conclusions: Cancer in general, continues to be a serious health problem for the population of Pasto. The global behaviour of cancer incidence and mortality, identify the need to promote and strengthen promotion and prevention programs, especially focused on tumours of the stomach, prostate, breast and cervix uteri that produce greater morbidity and mortality in the population.

Introducción: En Colombia es necesario que se continúe produciendo información de calidad y actualizada sobre la magnitud del cáncer a partir de datos de los registros poblacionales de cáncer para contribuir a la toma de decisiones e implementación de estrategias de promoción de la salud, prevención y tratamiento del cáncer con el objetivo de disminuir el impacto en la población.

Objetivo: Describir la incidencia, mortalidad y tendencia del cáncer en Pasto-Colombia durante 1998-2012.

Métodos: Estudio observacional descriptivo de la morbi-mortalidad por tumores malignos en Pasto. La recolección, procesamiento y sistematización de los datos se realizó de acuerdo a parámetros estandarizados internacionalmente para registros poblacionales de cáncer. Las tasas de incidencia y mortalidad se calcularon por periodo, sexo, edad y localización del tumor.

Resultados: En el período 1998-2012 se registraron 8,010 casos nuevos de cáncer, de ellos, 57.7% se presentaron en mujeres. Se reportaron 4,214 muertes, 52.0% en mujeres. La incidencia (p hombres= 0.7; p mujeres= 0.3) y mortalidad (p hombres= 1.0; p mujeres= 0.0) no presentó cambios significativos durante 15 años de observación y los tumores que causan mayor morbi-mortalidad afectan al estómago, cuello uterino, mama y próstata.

Conclusiones: El cáncer en general continúa siendo un importante problema de salud para la población de Pasto. El comportamiento global de la incidencia y la mortalidad por cáncer, evidencian la necesidad de fomentar y fortalecer programas de promoción y prevención, enfocados especialmente hacia los tumores de estómago, próstata, mama y cuello uterino que producen mayor morbi-mortalidad en la población.

Keywords: Disease Prevention (DeCS); cancer; incidence; mortality; trends.

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Conflict of interest statement

Conflict of interest:None to declare

Figures

Figure 1
Figure 1. Average annual person-years by sex and age group. Colombia, Pasto 2005 Resource. General Census -2005. Colombian National Administrative Department of Statistics (DANE).
Figure 2
Figure 2. Trend of age- standardized global rates of cancer incidence. Males and females of Pasto, Colombia, 1998-2012. APC: Annual Percentage of change. ASR: Age-standardized rates (SEGI world population standard) x 100,000 males or females-year
Figure 3
Figure 3. Cases and specific rates by age per 100,000 males or females-year of incidence of cancer, Pasto, Colombia, 1998-2012. ASpR: Age-Specific rate x 100,000 males or females-year
Figure 4
Figure 4. Trend of age-standardized incidence rates for the most frequent tumours. Pasto, Colombia, males and females 1998-2012. APC = Annual percentage of change. ASR: Age-standardized rates (SEGI world population standard) x 100,000 males-year. * Statistically significant (p <0.005)
Figure 5
Figure 5. Trend of age-standardized global rates of cancer mortality. Males and females of Pasto, Colombia, 1998-2012. APC: Annual percentage of change. ASR: Age- standardized rates (SEGI world population standard) x 100,000 males-year. * Statistically significant (p <0.005)
Figure 6
Figure 6. Deaths and death age-specific rates due to cancer per 100,000 males or females-year of Pasto, Colombia, 1998-2012. ASR: Age-Specific rate x 100,000 Males or females-year
Figure 7
Figure 7. Trend of age-standardized mortality rates for the most frequent tumours. Pasto, Colombia, males and females 1998-2012. APC: Annual percentage of change. ASR: Age-standardized rates (SEGI world population standard) x 100,000 males-year. * Statistically significant (p-value <0.005).
Figura 1
Figura 1. Promedio anual persona-año por sexo y grupo de edad. Colombia, Pasto 2005 Fuente. Censo general -2005. Departamento Administrativo Nacional de Estadística de Colombia (DANE).
Figura 2
Figura 2. Tendencia de las tasas globales de incidencia de cáncer ajustadas por edad. Hombres y mujeres de Pasto, Colombia, 1998-2012. APC=Porcentaje de cambio anual. TAE: Tasa ajustada por edad (población mundial estándar Segi) x 100,000 hombres o mujeres-año.
Figura 3
Figura 3. Casos y tasas específicas por edad por 100,000 hombres o mujeres-año de incidencia de cáncer, Pasto, Colombia, 1998-2012.
Figura 4
Figura 4. Tendencia de las tasas de incidencia ajustadas por edad de los tumores más frecuentes. Pasto, Colombia, hombres y mujeres 1998-2012.
Figura 5
Figura 5. Tendencia de las tasas globales de mortalidad por cáncer ajustadas por edad. Hombres y mujeres. Pasto, Colombia, 1998-2012.
Figura 6
Figura 6. Muertes y tasas de mortalidad por cáncer específica por edad por 100,000 hombres o mujeres-año. Pasto, Colombia, 1998-2012. TEE: Tasa especifica por edad x 100,000 hombres o mujeres-año
Figura 7
Figura 7. Tendencia de las tasas de mortalidad ajustadas por edad por los tumores más frecuentes. Pasto, hombres y mujeres 1998-2012. TAE: Tasa ajustada por edad x 100,000 hombres o mujeres-año
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