Cutaneous melanoma in the State of São Paulo: a spatial approach

BACKGROUND:Cutaneous melanoma is a skin cancer with low incidence but high mortality rates. Several factors are associated with increased risk of melanoma, such as excessive sun exposure, fair skin, and family history, among others. Little is known about the spatial distribution of this cancer in Br...

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Main Authors: Camila Trolez Amancio, Luiz Fernando Costa Nascimento
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2014-06-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962014000300442&tlng=en
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author Camila Trolez Amancio
Luiz Fernando Costa Nascimento
author_facet Camila Trolez Amancio
Luiz Fernando Costa Nascimento
author_sort Camila Trolez Amancio
collection DOAJ
description BACKGROUND:Cutaneous melanoma is a skin cancer with low incidence but high mortality rates. Several factors are associated with increased risk of melanoma, such as excessive sun exposure, fair skin, and family history, among others. Little is known about the spatial distribution of this cancer in Brazil.OBJECTIVE:To identify, through the use of geostatistical tools, spatial clusters of municipalities in the state of São Paulo based on their incidence of cutaneous melanoma.METHODS:This was an ecological and exploratory study of data on new cases obtained from Fundação Oncocentro for the period 1 January 2006-31 December 2011. Cases were separated by gender and rates per 100,000 inhabitants were calculated and used to compile thematic maps, Moran maps and kernel maps, using TerraView software.RESULTS:There were 3,172 new cases of cutaneous melanoma in the study period. High rates were identified in the North, Northwest, Southwest, and Southeast regions of São Paulo state. Global Moran's I values were statistically significant (p<0.05) at 0.12, 0.08, and 0.16, respectively, for males, females, and all cases. Areas such as the Southeast, North, and Northwest of São Paulo were identified as being of high priority for intervention.CONCLUSION: Spatial clusters of municipalities with high incidence rates of cutaneous melanoma in the state of São Paulo were identified. These data can serve as an important input for public health agencies.
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spelling doaj.art-9fe8fdc0cf4d4fa2adee98b3c2927b312022-12-22T04:13:30ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962014-06-0189344244610.1590/abd1806-4841.20142722Cutaneous melanoma in the State of São Paulo: a spatial approachCamila Trolez AmancioLuiz Fernando Costa NascimentoBACKGROUND:Cutaneous melanoma is a skin cancer with low incidence but high mortality rates. Several factors are associated with increased risk of melanoma, such as excessive sun exposure, fair skin, and family history, among others. Little is known about the spatial distribution of this cancer in Brazil.OBJECTIVE:To identify, through the use of geostatistical tools, spatial clusters of municipalities in the state of São Paulo based on their incidence of cutaneous melanoma.METHODS:This was an ecological and exploratory study of data on new cases obtained from Fundação Oncocentro for the period 1 January 2006-31 December 2011. Cases were separated by gender and rates per 100,000 inhabitants were calculated and used to compile thematic maps, Moran maps and kernel maps, using TerraView software.RESULTS:There were 3,172 new cases of cutaneous melanoma in the study period. High rates were identified in the North, Northwest, Southwest, and Southeast regions of São Paulo state. Global Moran's I values were statistically significant (p<0.05) at 0.12, 0.08, and 0.16, respectively, for males, females, and all cases. Areas such as the Southeast, North, and Northwest of São Paulo were identified as being of high priority for intervention.CONCLUSION: Spatial clusters of municipalities with high incidence rates of cutaneous melanoma in the state of São Paulo were identified. These data can serve as an important input for public health agencies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962014000300442&tlng=enGeographic information systemsMelanomaMortality
spellingShingle Camila Trolez Amancio
Luiz Fernando Costa Nascimento
Cutaneous melanoma in the State of São Paulo: a spatial approach
Anais Brasileiros de Dermatologia
Geographic information systems
Melanoma
Mortality
title Cutaneous melanoma in the State of São Paulo: a spatial approach
title_full Cutaneous melanoma in the State of São Paulo: a spatial approach
title_fullStr Cutaneous melanoma in the State of São Paulo: a spatial approach
title_full_unstemmed Cutaneous melanoma in the State of São Paulo: a spatial approach
title_short Cutaneous melanoma in the State of São Paulo: a spatial approach
title_sort cutaneous melanoma in the state of sao paulo a spatial approach
topic Geographic information systems
Melanoma
Mortality
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962014000300442&tlng=en
work_keys_str_mv AT camilatrolezamancio cutaneousmelanomainthestateofsaopauloaspatialapproach
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