Burden of breast cancer in Cali, Colombia: 1962-2012
Objective. To describe the behavior of breast cancer (BC) during the 1962-2012 period from information provided by the Cali Cancer Registry and the Municipal Health Secretariat of Cali. Materials and methods. The incidence trend (1962-2007) and mortality trend (1984-2012) for breast cancer was studi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud Pública
2014-09-01
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| Series: | Salud Pública de México |
| Subjects: | |
| Online Access: | http://www.saludpublica.mx/index.php/spm/article/view/7370 |
| _version_ | 1819011328157679616 |
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| author | Luis Eduardo Bravo Luz Stella García Edwin Carrascal Jaime Rubiano |
| author_facet | Luis Eduardo Bravo Luz Stella García Edwin Carrascal Jaime Rubiano |
| author_sort | Luis Eduardo Bravo |
| collection | DOAJ |
| description | Objective. To describe the behavior of breast cancer (BC) during the 1962-2012 period from information provided by the Cali Cancer Registry and the Municipal Health Secretariat of Cali. Materials and methods. The incidence trend (1962-2007) and mortality trend (1984-2012) for breast cancer was studied and relative survival (RS)(1995-2004) was estimated. Age-standardized incidence and mortality rates to the world population (ASIR(w)/ASMR(w)) were expressed per 100 000 persons-year. Their temporal trend was examined with the annual percent of change (APC), and the Cox model was used to analyze the variables that influenced the survival of women with breast cancer. Results. The risk of breast cancer significantly increased in Cali through the 1962-2007 period, with an APC =1.7(95%CI:1.4-2.0). The ASIR(w) of BC increased from 27.1 in 1962 to 48.0 in 2007 and currently there are more than 500 cases reported annually. The mortality for BC has remained stable since 1984; in the 2009-2012 period, the ASMR(w) was 14.2. The 5-year RS was 69% (95%CI:66-71) from 2000-2004 and 62% (95%CI:59-65) from 1995-1999. The risk of death (HR) from BC was greater in persons from lower socioeconomic strata (SES) than from higher SES, HR=1.9(95%CI:1.3-2.9) and in those older than 70 years vs. menor que 50, HR=1.6(95%CI:1.1-2.2). Conclusion. Mortality remained stable while incidence increased and survival improved, which may be associated with better detection and advances in treatment. |
| first_indexed | 2024-12-21T01:26:24Z |
| format | Article |
| id | doaj.art-772f05861e3e4b778caabd9f06bdabbf |
| institution | Directory Open Access Journal |
| issn | 0036-3634 1606-7916 |
| language | English |
| last_indexed | 2024-12-21T01:26:24Z |
| publishDate | 2014-09-01 |
| publisher | Instituto Nacional de Salud Pública |
| record_format | Article |
| series | Salud Pública de México |
| spelling | doaj.art-772f05861e3e4b778caabd9f06bdabbf2022-12-21T19:20:30ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36341606-79162014-09-0156544845610.21149/spm.v56i5.737015829Burden of breast cancer in Cali, Colombia: 1962-2012Luis Eduardo Bravo0Luz Stella García1Edwin Carrascal2Jaime Rubiano3Population-based Cancer Registry of Cali, Colombia; Departamento de Patología, Universidad del Valle. Cali, ColombiaPopulation-based Cancer Registry of Cali, ColombiaPopulation-based Cancer Registry of Cali, Colombia; Departamento de Patología, Universidad del Valle. Cali, ColombiaDepartamento de Cirugía, Universidad del Valle. Cali, Colombia.Objective. To describe the behavior of breast cancer (BC) during the 1962-2012 period from information provided by the Cali Cancer Registry and the Municipal Health Secretariat of Cali. Materials and methods. The incidence trend (1962-2007) and mortality trend (1984-2012) for breast cancer was studied and relative survival (RS)(1995-2004) was estimated. Age-standardized incidence and mortality rates to the world population (ASIR(w)/ASMR(w)) were expressed per 100 000 persons-year. Their temporal trend was examined with the annual percent of change (APC), and the Cox model was used to analyze the variables that influenced the survival of women with breast cancer. Results. The risk of breast cancer significantly increased in Cali through the 1962-2007 period, with an APC =1.7(95%CI:1.4-2.0). The ASIR(w) of BC increased from 27.1 in 1962 to 48.0 in 2007 and currently there are more than 500 cases reported annually. The mortality for BC has remained stable since 1984; in the 2009-2012 period, the ASMR(w) was 14.2. The 5-year RS was 69% (95%CI:66-71) from 2000-2004 and 62% (95%CI:59-65) from 1995-1999. The risk of death (HR) from BC was greater in persons from lower socioeconomic strata (SES) than from higher SES, HR=1.9(95%CI:1.3-2.9) and in those older than 70 years vs. menor que 50, HR=1.6(95%CI:1.1-2.2). Conclusion. Mortality remained stable while incidence increased and survival improved, which may be associated with better detection and advances in treatment.http://www.saludpublica.mx/index.php/spm/article/view/7370diseases registriesbreast cancersurvival analysistrend studiesincidence ratemortalityColombia |
| spellingShingle | Luis Eduardo Bravo Luz Stella García Edwin Carrascal Jaime Rubiano Burden of breast cancer in Cali, Colombia: 1962-2012 Salud Pública de México diseases registries breast cancer survival analysis trend studies incidence rate mortality Colombia |
| title | Burden of breast cancer in Cali, Colombia: 1962-2012 |
| title_full | Burden of breast cancer in Cali, Colombia: 1962-2012 |
| title_fullStr | Burden of breast cancer in Cali, Colombia: 1962-2012 |
| title_full_unstemmed | Burden of breast cancer in Cali, Colombia: 1962-2012 |
| title_short | Burden of breast cancer in Cali, Colombia: 1962-2012 |
| title_sort | burden of breast cancer in cali colombia 1962 2012 |
| topic | diseases registries breast cancer survival analysis trend studies incidence rate mortality Colombia |
| url | http://www.saludpublica.mx/index.php/spm/article/view/7370 |
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