Variation of cervical cancer incidence in Latin America and the Caribbean Variación de la incidencia del cáncer cervicouterino en América Latina y el Caribe

• Main Authors: Christine M. Pierce Campbell, Maria Paula Curado, Siobán D. Harlow, Amr S. Soliman
• Format: Article in Journal/Newspaper
• Language: English; Spanish; Portuguese
• Published: Pan American Health Organization 2012
• Subjects: Neoplasias del cuello uterino; incidencia; América Latina; región del Caribe; Uterine cervical neoplasms; incidence rate; Latin America; Caribbean region; Medicine; R; Arctic medicine. Tropical medicine; RC955-962; Public aspects of medicine; RA1-1270; Arctic
• Online Access: https://doaj.org/article/6c2225863cd64d4cb340b952fe2aac28

OBJECTIVE: To provide a comprehensive analysis of the descriptive epidemiology of invasive cervical cancer in Latin America and the Caribbean by analyzing quality data from the area's cancer registries, including data that were excluded from the International Agency for Research on Cancer (IARC) publication, Cancer Incidence in Five Continents, Vol. IX (CI5-IX). METHODS: This was a descriptive epidemiologic study that involved 20 cancer registries, 9 of which were included by IARC in CI5-IX, and 11 of which were not. Data on invasive cervical cancers diagnosed from 1998-2002 were obtained from IARC. A cervical cancerspecific quality assessment was performed on all registries whether or not they were included in CI5-IX. Data from 14 registries met quality criteria and were analyzed. Incidence rates were calculated and compared across registries. RESULTS: A substantial variation in incidence rates existed among the registries; agestandardized rates ranged from 14.6-44.0 per 100 000 women per year. Mean cervical cancer incidence rates were 10.4% higher for registries included in CI5-IX than for those excluded; however, this difference was not significant (P = 0.541). CONCLUSIONS: This study compared cervical cancer rates from a more diverse group of Latin American and Caribbean countries than that of the CI5-IX. The heterogeneity found among registries highlights the importance of examining data from as many registries as possible when characterizing risk across a geographic area. Data from developing countries can be used to better understand cancer distribution and enable Region-specific recommendations on cancer control and prevention once data quality has been established OBJETIVO: Efectuar un análisis integral de las características epidemiológicas descriptivas del cáncer de cervicouterino invasor en América Latina y el Caribe mediante el análisis de datos de calidad de los registros de cáncer de la región, incluso datos que fueron excluidos de la publicación del Centro Internacional de Investigaciones sobre ...