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Original Article • Einstein (São Paulo) 16 (1) • 2018 • https://doi.org/10.1590/S1679-45082018AO4018 copy

Critical review of cancer mortality using hospital records and potential years of life lost

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To determine and discuss cancer mortality rates in southern Brazil between 1988 and 2012.

Methods

This was a critical review of literature based on analysis of data concerning incidence and mortality of prostate cancer, breast cancer, bronchial and lung cancer, and uterine and ovarian cancer. Data were collected from the online database of the Brazil Instituto Nacional de Câncer José Alencar Gomes da Silva.

Results

The southern Brazil is the leading region of cancer incidence and mortality. Data on the cancer profile of this population are scarce especially in the States of Santa Catarina and Paraná. We observed inconsistency between data from hospital registers and death recorded.

Conclusion

Both cancer incidence and the mortality are high in Brazil. In addition, Brazil has great numbers of registers and deaths for cancer compared to worldwide rates. Regional risk factors might explain the high cancer rates.

Keywords
Neoplasms/mortality; Hospital records; Potential years of life lost; Brazil

			2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
Prostate	PR	Registers	67	106	222	358	915	1,045	1,258	1,476	1,646	1,893	1,745	1,180
	PR	Deaths	595	588	650	687	691	737	759	726	799	834	905	892
	SC	Registers	182	212	248	223	378	589	731	913	1,020	1,120	1,254	650
	SC	Deaths	279	278	267	337	327	338	344	347	373	380	389	392
	RS	Registers	134	608	558	969	1,361	1,713	1,986	1,860	1,871	2,005	2,109	1,192
	RS	Deaths	792	760	791	825	881	932	949	974	972	1,090	1,032	1,007
Breast	PR	Registers	98	198	335	481	1,173	1,224	1,731	1,912	2,665	2,656	2,141	1,814
	PR	Deaths	538	584	541	569	619	630	642	684	722	729	803	821
	SC	Registers	465	445	465	400	648	973	1,231	1,681	1,823	1,733	1,768	964
	SC	Deaths	264	293	296	283	324	320	344	346	400	435	470	491
	RS	Registers	313	1,617	1,499	1,828	2,334	2,687	3,251	2,641	2,780	2,573	2,893	1,507
	RS	Deaths	872	893	952	980	945	1,022	1,029	1,020	1,045	1,136	1,147	1,104
Bronchioles and lung	PR	Registers	22	57	133	168	394	401	522	661	683	826	621	568
	PR	Deaths	1,070	1,097	1,133	1,198	1,204	1,266	1,353	1,412	1,439	1,513	1,533	1,530
	SC	Registers	201	196	215	196	293	414	519	578	657	733	623	366
	SC	Deaths	709	681	737	878	818	824	901	907	1,020	1,101	1,124	1,113
	RS	Registers	166	623	708	799	1,028	1,237	1,334	1,162	1,293	1,189	1,270	647
	RS	Deaths	2,187	2,242	2,389	2,478	2,616	2,623	2,782	2,848	2,843	2,964	2,986	3,090
Uterus	PR	Registers	57	103	304	455	1,346	1,387	1,281	1,499	1,561	1,738	1,536	1,210
	PR	Deaths	282	297	280	276	275	268	236	289	266	282	293	268
	SC	Registers	257	245	254	246	326	405	468	566	617	634	700	247
	SC	Deaths	126	110	114	113	131	108	146	130	142	129	161	175
	RS	Registers	107	635	623	665	826	931	918	576	590	525	757	313
	RS	Deaths	366	302	336	335	327	319	285	303	295	267	267	305
Ovary	PR	Registers	4	13	38	69	120	134	133	185	241	215	189	156
	PR	Deaths	124	151	132	141	144	174	170	173	191	202	191	210
	SC	Registers	55	47	62	49	66	89	118	149	167	150	135	69
	SC	Deaths	82	81	74	82	84	76	83	94	88	108	105	115
	RS	Registers	22	88	84	126	140	169	236	236	211	191	197	127
	RS	Deaths	179	229	207	249	228	229	221	257	257	283	259	261

			Age range							Total in the period	Crude rate per region	Word standardized rate	Brazilian standardized rate
			20-29	30-39	40-49	50-59	60-69	70-79	≥80	Total in the period	Crude rate per region	Word standardized rate	Brazilian standardized rate
Prostate
	Men	Number of deaths	13	22	244	1,838	7,508	14,968	13,361	37,980
		Specific rate	0.02	0.05	0.65	7.26	47.79	196.37	538.54
											12.35	15.37	18.42
Breast
	Women	Number of deaths	306	2,743	7,663	10,179	8,889	6,930	4,708	41,451
		Specific rate	0.56	5.61	19.76	37.85	49.94	70.70	116
											13.17	13.32	14.29
Bronchioles and lung
	Men	Number of deaths	175	674	4,384	14,205	24,131	20,141	6,991	70,812
		Specific rate	0.32	1.43	11.76	56.13	153.61	264.24	281.79
											23.02	28.20	29.46
	Women	Number of deaths	112	533	2,570	6,099	8,747	7,821	3,863	29,797
		Specific rate	0.21	1.09	6.63	22.68	49.14	79.8	95.18
											9.47	9.80	10.3
Uterus
	Women	Number of deaths	499	2,304	3,948	3,906	3,078	1,945	906	16,600
		Specific rate	0.92	4.71	10.18	14.52	17.29	19.84	22.32
											5.27	5.27	5.66
Ovary
	Women	Number of deaths	222	464	1,260	2,125	2,558	2,031	1,056	9,816
		Specific rate	0.41	0.95	3.25	7.90	14.37	20.72	26.02
											3.12	3.20	3.38

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