National and state-level colorectal cancer mortality trends in Mexico, 1998-2018

Objective. To describe the burden of colorectal cancer (CRC) in Mexico and understand mortality patterns based on sex, geography, and insurance status. Materials and methods. Mortality data (1998-2018) from the Instituto Nacional de Estadística y Geografía was obtained. We included colon (C18.0, C18...

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Main Authors: Priscilla Espinosa-Tamez, Erick Suazo-Zepeda, Hugo Sánchez-Blas, Mónica Meneses-Medina, Fidel David Huitzil-Meléndez, Katherine Van Loon, Michael Potter, Martín Lajous
Format: Article
Language:English
Published: Instituto Nacional de Salud Pública 2021-08-01
Series:Salud Pública de México
Subjects:
Online Access:https://www.saludpublica.mx/index.php/spm/article/view/12522
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author Priscilla Espinosa-Tamez
Erick Suazo-Zepeda
Hugo Sánchez-Blas
Mónica Meneses-Medina
Fidel David Huitzil-Meléndez
Katherine Van Loon
Michael Potter
Martín Lajous
author_facet Priscilla Espinosa-Tamez
Erick Suazo-Zepeda
Hugo Sánchez-Blas
Mónica Meneses-Medina
Fidel David Huitzil-Meléndez
Katherine Van Loon
Michael Potter
Martín Lajous
author_sort Priscilla Espinosa-Tamez
collection DOAJ
description Objective. To describe the burden of colorectal cancer (CRC) in Mexico and understand mortality patterns based on sex, geography, and insurance status. Materials and methods. Mortality data (1998-2018) from the Instituto Nacional de Estadística y Geografía was obtained. We included colon (C18.0, C18.2-18.9) and rectal cancer ICD-10 codes (C19, C20), and estimated age-standardized national, state-level and health insurance mortality rates. We estimated the average annual percent change using joinpoint regression. Results. Between 1998 and 2018, the observed women and men mortality rate increased annually by 1.3 and 2.7%, respectively. Higher CRC mortality was observed in northern and more urbanized states and in groups with greater access to health insurance, which currently facilitates but does not routinely cover screening. Conclusion. CRC mortality in Mexico is increasing rapidly, with marked differences based on sex, geography, and insurance status. Our findings underscore potential benefits of increased investment in comprehensive screening, diagnosis, and treatment strategies for the general population.
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spelling doaj.art-64b2f2f8ec884dcead6b0afdc8fb34a82022-12-22T04:05:49ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36342021-08-0164151310.21149/1252211407National and state-level colorectal cancer mortality trends in Mexico, 1998-2018Priscilla Espinosa-Tamez0Erick Suazo-Zepeda1Hugo Sánchez-Blas2Mónica Meneses-Medina3Fidel David Huitzil-Meléndez4Katherine Van Loon5Michael Potter6Martín Lajous7Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Mexico City, Mexico / UCSF Helen Diller Family Comprehensive Cancer Center, University of California. San Francisco, CA, USACentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Mexico City, MexicoCentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Mexico City, MexicoDepartamento de Hematología y Oncología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Mexico City, MexicoDepartamento de Hematología y Oncología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Mexico City, MexicoUCSF Helen Diller Family Comprehensive Cancer Center, University of California. San Francisco, CA, USASan Francisco Bay Area Collaborative Research Network, University of California San Francisco Clinical and Translational Science Institute. San Francisco, CA, USACentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Mexico City, Mexico / Department of Global Health and Population, Harvard T.H. Chan School of Public Health. Boston, MA, USAObjective. To describe the burden of colorectal cancer (CRC) in Mexico and understand mortality patterns based on sex, geography, and insurance status. Materials and methods. Mortality data (1998-2018) from the Instituto Nacional de Estadística y Geografía was obtained. We included colon (C18.0, C18.2-18.9) and rectal cancer ICD-10 codes (C19, C20), and estimated age-standardized national, state-level and health insurance mortality rates. We estimated the average annual percent change using joinpoint regression. Results. Between 1998 and 2018, the observed women and men mortality rate increased annually by 1.3 and 2.7%, respectively. Higher CRC mortality was observed in northern and more urbanized states and in groups with greater access to health insurance, which currently facilitates but does not routinely cover screening. Conclusion. CRC mortality in Mexico is increasing rapidly, with marked differences based on sex, geography, and insurance status. Our findings underscore potential benefits of increased investment in comprehensive screening, diagnosis, and treatment strategies for the general population.https://www.saludpublica.mx/index.php/spm/article/view/12522mortalitycolorectal neoplasmscolonic neoplasmsrectal neoplasmsmexicohealth servicesinsurance, health
spellingShingle Priscilla Espinosa-Tamez
Erick Suazo-Zepeda
Hugo Sánchez-Blas
Mónica Meneses-Medina
Fidel David Huitzil-Meléndez
Katherine Van Loon
Michael Potter
Martín Lajous
National and state-level colorectal cancer mortality trends in Mexico, 1998-2018
Salud Pública de México
mortality
colorectal neoplasms
colonic neoplasms
rectal neoplasms
mexico
health services
insurance, health
title National and state-level colorectal cancer mortality trends in Mexico, 1998-2018
title_full National and state-level colorectal cancer mortality trends in Mexico, 1998-2018
title_fullStr National and state-level colorectal cancer mortality trends in Mexico, 1998-2018
title_full_unstemmed National and state-level colorectal cancer mortality trends in Mexico, 1998-2018
title_short National and state-level colorectal cancer mortality trends in Mexico, 1998-2018
title_sort national and state level colorectal cancer mortality trends in mexico 1998 2018
topic mortality
colorectal neoplasms
colonic neoplasms
rectal neoplasms
mexico
health services
insurance, health
url https://www.saludpublica.mx/index.php/spm/article/view/12522
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