Patterns and trends in cancer mortality in Colombia 1984–2008

Piñeros, Marion; Gamboa, Óscar; Hernández-Suárez, Gustavo; Pardo, Constanza; Bray, Freddie

doi:10.1016/j.canep.2013.02.003

Cited by 61 publications

(50 citation statements)

References 27 publications

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“…Although age-standardized mortality rates for cancer as a whole decreased slightly, the total annual number of cancer deaths among males increased between 1984 and 1988 and between 2004 and 2008, from 8,791 to 15,417 (175% increase), and among females from 9,624 to 15,847 (165% increase) (1). This apparent discrepancy between stable or even decreasing mortality rates with increasing number of cancer deaths can be explained by to population growth and ageing.…”

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confidence: 97%

“…From 1984 to 2008, overall cancer mortality rates decreased slightly in both sexes in Colombia (1). Around this same period , substantial demographic changes occurred in the country, including population growth (from 30.8 million to 42.9 million inhabitants) and a rapidly increasing life expectancy: 4.3 years for men and 4.8 years for women (2).…”

mentioning

confidence: 99%

“…This combination of population growth and ageing of the population usually leads to a growing cancer burden, even with relatively stable or slightly decreasing cancer mortality rates (1,5). Although age-standardized mortality rates for cancer as a whole decreased slightly, the total annual number of cancer deaths among males increased between 1984 and 1988 and between 2004 and 2008, from 8,791 to 15,417 (175% increase), and among females from 9,624 to 15,847 (165% increase) (1).…”

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Years of life lost as a measure of cancer burden in Colombia, 1997-2012

2016

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Introduction:There is hardly any information regarding years of life lost due to cancer in Colombia. Objective: To quantify total and average years of life lost due to cancer in Colombia, and to investigate changes in this burden between 1997 and 2012. Materials and methods: We obtained sex-specific data on age distribution, remaining life expectancy, deaths due to specific cancers and total number of deaths from the Colombian Departamento Administrativo Nacional de Estadísticas. We calculated years of life lost based on each individual´s age at death and the remaining life expectancy at that age; as for average years of life, we divided these by the number of deaths due to specific cancers. Results: The total number of cancer deaths increased by 33% between 1997 and 2012, comprising 15% of male and 20% of female deaths in the period 2010-2012. Total years of life lost due to cancer increased by 25.1% for males and 31.1% for females over the study period. The highest increases (>40%) were observed for colorectal, pancreas and kidney cancers in both sexes, for melanomas and bladder cancer in men, and for breast and ovarian cancer in women. Trends in average years of life lost were stable. Almost half (48-50%) of the years of life lost due to childhood cancers were due to leukemia. Conclusion: Cancer is an increasing health burden in Colombia. The high average years of life lost illustrate the poor prognosis of the disease compared to other countries. Primary prevention, early detection, and adequate and timely treatments are needed to change this situation.

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Years of life lost as a measure of cancer burden in Colombia, 1997-2012

2016

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“…El cáncer gástrico ocupa el quinto lugar en incidencia y el tercero en mortalidad a nivel mundial (1). En Colombia constituye la principal causa de muerte por cáncer (2). La infección con Helicobacter pylori se considera el factor de riesgo más importante para cáncer gástrico (3).…”

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Genotipificación de los factores de virulencia vacA y cagA de Helicobacter pylori en individuos de dos regiones de Colombia con riesgo opuesto de cáncer gástrico

2014

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“…In Colombia, breast cancer was the most frequent cause of cancer‐related death among women between 1984 and 2008,8 and breast‐cancer mortality trends have increased steadily in recent years 9. In response, the National Cancer Institute of Colombia (NCIC) developed evidence‐based guidelines for breast‐cancer early detection commensurate with available resources, using stratified guidelines developed by the Breast Health Global Initiative 10.…”

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Increased breast cancer screening and downstaging in Colombian women: A randomized trial of opportunistic breast‐screening

Murillo

Díaz

Perry

et al. 2015

Intl Journal of Cancer

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The lack of breast cancer screening in low and middle‐income countries results in later stage diagnosis and worsened outcomes for women. A cluster randomized trial was performed in Bogotá, Colombia between 2008 and 2012 to evaluate effects of opportunistic breast cancer screening. Thirteen clinics were randomized to an intervention arm and 13 to a control arm. Physicians in intervention clinics were instructed to perform clinical breast examination on all women aged 50–69 years attending clinics for non‐breast health issues, and then refer them for mammographic screening. Physicians in control clinics were not explicitly instructed to perform breast screening or mammography referrals, but could do so if they thought it indicated (“usual care”). Women were followed for 2‐years postrandomization. 7,436 women were enrolled and 7,419 (99.8%) screened in intervention clinics, versus 8,419 enrolled and 1,108 (13.1%) screened in control clinics. Incidence ratios (IR) of early, advanced and all breast cancers were 2.9 (95% CI 1.1–9.2), 1.0 (0.3–3.5) and 1.9 (0.9–4.1) in the first (screening) year of the trial, and the cumulative IR for all breast cancers converged to 1.4 (0.7–2.8) by the end of follow‐up (Year 2). Eighteen (69.2%) of 26 women with early stage disease had breast conservation surgery (BCS) versus 6 (42.5%) of 14 women with late‐stage disease (p = 0.02). Fifteen (68.2%) of 22 women with breast cancer in the intervention group had BCS versus nine (50.0%) of 18 women in the control group (p = 0.34). Well‐designed opportunistic clinic‐based breast cancer screening programs may be useful for early breast cancer detection in LMICs.

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Patterns and trends in cancer mortality in Colombia 1984–2008

Cited by 61 publications

References 27 publications

Years of life lost as a measure of cancer burden in Colombia, 1997-2012

Years of life lost as a measure of cancer burden in Colombia, 1997-2012

Genotipificación de los factores de virulencia vacA y cagA de Helicobacter pylori en individuos de dos regiones de Colombia con riesgo opuesto de cáncer gástrico

Increased breast cancer screening and downstaging in Colombian women: A randomized trial of opportunistic breast‐screening

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