Temporal trends and spatial clusters of gastric cancer mortality in Brazil
Objective. To identify nationwide temporal trends and spatial patterns of gastric cancer–related mortality in Brazil. Methods. An ecological study was performed using death certificates registered from 2000 to 2019 in which gastric cancer was recorded as any cause of death (an underlying or associat...
Published in: | Revista Panamericana de Salud Pública |
---|---|
Main Authors: | , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English Spanish Portuguese |
Published: |
Pan American Health Organization
2022
|
Subjects: | |
Online Access: | https://doi.org/10.26633/RPSP.2022.101 https://doaj.org/article/092fab31406e42b68f97338378bb5468 |
id |
ftdoajarticles:oai:doaj.org/article:092fab31406e42b68f97338378bb5468 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:092fab31406e42b68f97338378bb5468 2023-05-15T15:13:36+02:00 Temporal trends and spatial clusters of gastric cancer mortality in Brazil Lucia Libanez Bessa Campelo Braga Anderson Fuentes Ferreira Fernando Antônio Siqueira Pinheiro Tiago Gomes da Silva Benigno Jorg Heukelbach Daniel Barros de Castro Dulciene Maria Magalhães Queiroz Fábio Miyajima Alberto Novaes Ramos Jr. 2022-08-01T00:00:00Z https://doi.org/10.26633/RPSP.2022.101 https://doaj.org/article/092fab31406e42b68f97338378bb5468 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/56248 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.101 https://doaj.org/article/092fab31406e42b68f97338378bb5468 Revista Panamericana de Salud Pública, Vol 46, Iss 101, Pp 1-11 (2022) stomach neoplasms time series studies spatial analysis epidemiology mortality Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.26633/RPSP.2022.101 2022-12-31T00:50:32Z Objective. To identify nationwide temporal trends and spatial patterns of gastric cancer–related mortality in Brazil. Methods. An ecological study was performed using death certificates registered from 2000 to 2019 in which gastric cancer was recorded as any cause of death (an underlying or associated cause). Trends over time were assessed using joinpoint regression models. Spatial and spatiotemporal clusters were identified by Kulldorff’s space–time scan statistics to identify high-risk areas. Results. In 276 897/22 663 091 (1.22%) death certificates gastric cancer was recorded as any cause of death. Age-adjusted gastric cancer–related mortality increased significantly over time (annual percentage change [APC]: 0.7, 95% confidence interval [CI]: 0.5 to 0.8). The increase in mortality was more pronounced in the less-developed North and Northeast Regions (North Region, APC: 3.1, 95% CI: 2.7 to 3.5; Northeast Region, APC: 3.1, 95% CI: 2.5 to 3.7). Eight spatiotemporally associated high-risk clusters of gastric cancer–related mortality were identified in the North, South, Northeast and Central–West Regions, as well as a major cluster covering a wide geographical range in the South and Southeast Regions of Brazil during the first years of the study period (2000 to 2009). Conclusions. More recently, during 2010 to 2019, clusters of gastric cancer have been identified in the Northeast Region. The nationwide increase in mortality in this analysis of 20 years of data highlights the persistently high burden of gastric cancer in Brazil, especially in socioeconomically disadvantaged regions. The identification of these areas where the population is at high risk for gastric cancer–related mortality emphasizes the need to develop effective and intersectoral control measures. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 46 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
stomach neoplasms time series studies spatial analysis epidemiology mortality Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
stomach neoplasms time series studies spatial analysis epidemiology mortality Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Lucia Libanez Bessa Campelo Braga Anderson Fuentes Ferreira Fernando Antônio Siqueira Pinheiro Tiago Gomes da Silva Benigno Jorg Heukelbach Daniel Barros de Castro Dulciene Maria Magalhães Queiroz Fábio Miyajima Alberto Novaes Ramos Jr. Temporal trends and spatial clusters of gastric cancer mortality in Brazil |
topic_facet |
stomach neoplasms time series studies spatial analysis epidemiology mortality Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To identify nationwide temporal trends and spatial patterns of gastric cancer–related mortality in Brazil. Methods. An ecological study was performed using death certificates registered from 2000 to 2019 in which gastric cancer was recorded as any cause of death (an underlying or associated cause). Trends over time were assessed using joinpoint regression models. Spatial and spatiotemporal clusters were identified by Kulldorff’s space–time scan statistics to identify high-risk areas. Results. In 276 897/22 663 091 (1.22%) death certificates gastric cancer was recorded as any cause of death. Age-adjusted gastric cancer–related mortality increased significantly over time (annual percentage change [APC]: 0.7, 95% confidence interval [CI]: 0.5 to 0.8). The increase in mortality was more pronounced in the less-developed North and Northeast Regions (North Region, APC: 3.1, 95% CI: 2.7 to 3.5; Northeast Region, APC: 3.1, 95% CI: 2.5 to 3.7). Eight spatiotemporally associated high-risk clusters of gastric cancer–related mortality were identified in the North, South, Northeast and Central–West Regions, as well as a major cluster covering a wide geographical range in the South and Southeast Regions of Brazil during the first years of the study period (2000 to 2009). Conclusions. More recently, during 2010 to 2019, clusters of gastric cancer have been identified in the Northeast Region. The nationwide increase in mortality in this analysis of 20 years of data highlights the persistently high burden of gastric cancer in Brazil, especially in socioeconomically disadvantaged regions. The identification of these areas where the population is at high risk for gastric cancer–related mortality emphasizes the need to develop effective and intersectoral control measures. |
format |
Article in Journal/Newspaper |
author |
Lucia Libanez Bessa Campelo Braga Anderson Fuentes Ferreira Fernando Antônio Siqueira Pinheiro Tiago Gomes da Silva Benigno Jorg Heukelbach Daniel Barros de Castro Dulciene Maria Magalhães Queiroz Fábio Miyajima Alberto Novaes Ramos Jr. |
author_facet |
Lucia Libanez Bessa Campelo Braga Anderson Fuentes Ferreira Fernando Antônio Siqueira Pinheiro Tiago Gomes da Silva Benigno Jorg Heukelbach Daniel Barros de Castro Dulciene Maria Magalhães Queiroz Fábio Miyajima Alberto Novaes Ramos Jr. |
author_sort |
Lucia Libanez Bessa Campelo Braga |
title |
Temporal trends and spatial clusters of gastric cancer mortality in Brazil |
title_short |
Temporal trends and spatial clusters of gastric cancer mortality in Brazil |
title_full |
Temporal trends and spatial clusters of gastric cancer mortality in Brazil |
title_fullStr |
Temporal trends and spatial clusters of gastric cancer mortality in Brazil |
title_full_unstemmed |
Temporal trends and spatial clusters of gastric cancer mortality in Brazil |
title_sort |
temporal trends and spatial clusters of gastric cancer mortality in brazil |
publisher |
Pan American Health Organization |
publishDate |
2022 |
url |
https://doi.org/10.26633/RPSP.2022.101 https://doaj.org/article/092fab31406e42b68f97338378bb5468 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 46, Iss 101, Pp 1-11 (2022) |
op_relation |
https://iris.paho.org/handle/10665.2/56248 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.101 https://doaj.org/article/092fab31406e42b68f97338378bb5468 |
op_doi |
https://doi.org/10.26633/RPSP.2022.101 |
container_title |
Revista Panamericana de Salud Pública |
container_volume |
46 |
container_start_page |
1 |
_version_ |
1766344140071632896 |