Información fiable para el control del cáncer en Cali, Colombia

Abstract

Background: The Cali Population Cancer Registry (RPCC) has been in continuous operation since 1962 with the objective of producing valid statistics on the incidence of cancer, its patterns, trends and survival rates.Methods: During the period 2008-2012, 23,046 new cases were registered and during 2011-2015 there were 12,761 cancer deaths. The trend of the rates was described with the APC average annual change rate and with the Joinpoint analysis. We analyzed the individual data of 38,671 adults (15-99 years) diagnosed with cancer between 1995-2009, and we calculated the standardized net survival by age for the 14 most common cancer body sites, using the Pohar-Perme method.Results: Prostate and breast cancer were the first cause of cancer morbidity. The incidence rates in these were susceptible to early detection, tumors stabilized after decades of growth, while an increase in the incidence of colon cancer and papillary thyroid carcinoma was observed. The incidence rates of cervical and stomach cancer and conditions related to infectious agents decreased, although the number of absolute cases increased, due to the growth and aging of the population. Gastric cancer was responsible for the highest number of cancer related deaths. The types of cancer related to tobacco consumption (lung, oral cavity, esophagus, pancreas, urinary bladder) showed low numbers and a tendency to decrease. During the period 2000-2004, the 5-year net survival improved for cancers of the breast, cervix, prostate, melanoma and thyroid, although in the period 2005-2009 a stagnation was observed. In stomach, liver and lung cancer, the 5-year net survival was less than 15%. The 5-year overall survival in children was 51.0% (95% CI: 47.5, 54.3) and in adolescents 44.6% (95% CI: 36.0, 52.8).Comment: RPCC has been an advisor to the Colombian government in the evaluation of CPRs in the country and its data has contributed significantly to different aspects of cancer control in Colombia.

Incidencia y mortalidad por cáncer en Medellín, Colombia. 2010-2014

“…Table 2 shows the comparison of the ASIR for all cancer localizations in Medellin with four other Colombian registries situated in Cali 32 , Bucaramanga 33 , Manizales 34 and Pasto 35 . The average annual ASR was 144 per 100,000 men and 145 per 100,000 women during 2010-2014.…”

“…La Tabla 2 muestra la comparación de las TIEE para todas las localizaciones de cáncer en Medellín, con otros cuatro registros colombianos ubicados en Cali 32 , Bucaramanga 33 , Manizales 34 y Pasto 34 . La TIEE promedio anual fue de 144 por cada 100,000 hombres y de 145 por cada 100,000 mujeres en el periodo 2010-2014.…”

“… Localizaciones RPC. Tasas de Incidencia 2008-2012¶ Medellín (RPC-A) 2010-2014 Cali 30 Bucaramanga ( 31 ) Manizales 34 Pasto 32 Hombres Mujeres Hombres Mujeres Hombres Mujeres Hombres Mujeres Hombres Mujeres Estómago 20.3 10.8 17.3 10.3 20.3 9.7 26.5 11.9 12.3 8.1 Próstata 60.1 41.1 44.1 27.1 38.6 Colon 10.5 9.7 9.5 9.9 8.4 …”

Presentación clínico-patológica del adenocarcinoma prostático en un Hospital de tercer nivel en Colombia

“…el periodo 2008-2012, con cifras de incidencia reportadas de 59,7/100,000 persona-años, y la principal causa de muerte por cáncer en el mismo sexo en el periodo 2011-2015, con una tasa de 17,4/100,000 persona-años. 2,3 En la costa atlántica colombiana, según datos del estudio poblacional de cáncer de Barranquilla, el cáncer de próstata ocupó el primer lugar en las cifras de incidencia y mortalidad por cáncer en hombres en el período comprendido del 2008 al 2012, con una tasa de 43/100,000 persona-años 4 Se ha reportado un aumento en la incidencia mundial de cáncer prostático debido a una mayor expectativa de vida y al uso de las pruebas de tamizaje. Aunque las cifras de incidencia y mortalidad varían dependiendo de la región, el cáncer prostático se ha convertido en un problema de salud pública.…”

Epidemiology of cancer in Colombia

“…The PBCR-Cali 7 , PBC-Manizales 10 and the hospital-based cancer registry (HBC-Registry) of the NCI-Colombia 13 , the only HBC-Registry in the country, present survival data for the types of cancer with the highest morbidity in Colombia: prostate, breast, cervix, colon and stomach.…”