Análise epidemiológica dos cânceres de pulmão e da laringe em 30 anos
Carregando...
Data
2014-06-26
Autores
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Goiás
Resumo
Introduction: Studies have shown a relationship between smoking and
various cancers, especially in the respiratory tract, causing major impact on
public health. Lung cancer is the leading cause of cancer death in the world,
accounting for 20 %, while Laryngeal cancer represents 3 %. Objective: To
analyze trends in incidence and mortality from lung and larynx cancer in
Goiania in 20 years and to assess trends in mortality for these cancers, over
the past 30 years for the Brazilian regions. Methods: All incident cases of
lung cancer and larynx were obtained from the database registered in
Goiania RCBP/ACCG and deaths were extracted from the Mortality
Information System (SIM/MS) for both, Goiania as for other Brazilian regions.
Incidence rates and standardized mortality rates were calculated using the
world standard population and calculating the trend used the Poisson
regression model using Joinpoint Regression Program, Version 4.0.4.
Graphs and tables were made using the Excel 2013 software. Results: Two
points were analyzed: the first showed that the trend of incidence for lung
and larynx cancers in both sexes and age groups in Goiania, were in contrast
to trend mortality for lung cancer in women over 50 increased by 2.5% per
year, during the study period in Goiania. The second article assessed the
trends in national mortality for cancers of the lung and larynx showing that in
Brazil, the mortality rates for lung cancer ranged from 14.30 to 15.52/100,000
in men and 3.99 to 7.37/100,000 in women from 1980 to 2009. Laryngeal
cancer in this variation was from 3.76 to 3.59/100,000 for males and 0.47 to
0.38/100,000 in the female. The analysis of trends showed increased
mortality for lung cancer in both male and female genders respectively (APC
1.7 %; 95% CI 1.6 to 1.8, p < 0.001, and APC 4.1%; 95% CI 3.9, the 4.2, p <
0.000). Mortality rates for laryngeal cancer in men the increase was 1.4 %
(95% CI 1.2 to 1.5 p < 0.0001), the rate for women increased by 1.3 % (95 %
0.9 -1.6, p < 0.0001) during the study period, so there were similar for both
neoplasms. Conclusion: Incidence trends were stable for lung and larynx
cancer in both sexes and age groups, in contrast, for women aged over 50
years there has been increasing trends in mortality in Goiania. When
Abstract xviii
analyzing mortality at the national level, there was decline for lung cancer in
south and southeast whereas for cancer of the larynx, there was a decrease
only in southeastern Brazil.
Descrição
Palavras-chave
Citação
Martins, Edesio - Análise epidemiológica dos cânceres de pulmão e da laringe em 30 anos - 2014 - 106 f. - Tese - Programa de Pós-graduação em Ciências da Saúde (FM) - Universidade Federal de Goiás - Goiânia - Goiás - Brasil.