Prostate cancer mortality rates in Peru and its geographical regions

Abstract

ObjectiveTo evaluate the mortality rates for prostate cancer according to geographical areas in Peru between 2005 and 2014. Materials and MethodsInformation was extracted from the Deceased Registry of the Peruvian Ministry of Health. We analysed age-standardised mortality rates (world population) per 100 000 men. Spatial autocorrelation was determined according to the Moran Index. In addition, we used Cluster Map to explore relations between regions. ResultsMortality rates increased from ) per 100 000 men, an increase of 15.2%. According to regions, during the period 2010-2014, the coast had the highest mortality rate (28.9 per 100 000), whilst the rainforest had the lowest (7.43 per 100 000). In addition, there was an increase in mortality in the coast and a decline in the rainforest over the period 2005-2014. The provinces with the highest mortality were Piura, Lambayeque, La Libertad, Callao, Lima, Ica, and Arequipa. Moreover, these provinces (except Arequipa) showed increasing trends during the years under study. The provinces with the lowest observed prostate cancer mortality rates were Loreto, Ucayali, and Madre de Dios. This study showed positive spatial autocorrelation (Moran's I: 0.30, P = 0.01). ConclusionMortality rates from prostate cancer in Peru continue to increase. These rates are higher in the coastal region compared to those in the highlands or rainforest. Epidemiology ANCASHAPURIMAC AREQUIPA AYACUCHO Fig. 4 Trends in ASMRs (world population) per 100 000 men from prostate cancer in all provinces of Peru.

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“…Apart from an overall increase of 15% in mortality rates, substantial variation was observed by geographical region. Mortality rates increased by 16% in the coastal region and highlands, whereas in the rainforest region the rates decreased by 19% . One potential explanation for these observed differences could be the difference in ethnic and racial characteristics.…”

“…Torres‐Roman et al. deserve to be congratulated for their efforts to monitor mortality rates for prostate cancer at both a regional and national level in Peru. The CONCORD initiative from the WHO previously reported prostate cancer statistics for Peru, but data were limited to the capital area of Lima .…”

“…Torres‐Raman et al. report prostate cancer mortality rates between 2005 and 2014 based on data from the Peruvian Ministry of Health, which covers ~70% of all healthcare providers in Peru. Apart from an overall increase of 15% in mortality rates, substantial variation was observed by geographical region.…”

“…Studies like the one from Torres‐Roman et al. show that there is a need for improvement and standardisation of (prostate) cancer care in LMICs, but also a need for improvement in data capturing, so that objective measurements can be put in place. The years of healthy life lost due to prostate cancer, as well as other urological cancers, in LMICs is increasing substantially.…”

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“…We present an excellent epidemiological paper on erectile dysfunction, a worldwide problem, which is a must read for every practising urologist . We also focus on prostate cancer in Peru , where it is an increasing problem especially in the coastal regions . As an international journal, we continue to engage with our wider audience for maximum impact.…”