Evidence map›Paper›PMID 25886146›Full record

ArticleBMC public health2015

Temporal trends in female breast cancer mortality in Brazil and correlations with social inequalities: ecological time-series study.

Carolina Maciel Reis Gonzaga, Ruffo Freitas-Junior, Maria-Paula Curado, Ana-Luiza Lima Sousa, José-Augusto Souza-Neto, Marta Rovery Souza

Abstract read
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carolina Maciel Reis GonzagaHealth Sciences, Federal University of Goiás (UFG), Goiânia, Brazil. cmrgonzaga@gmail.com.
Ruffo Freitas-JuniorDepartment of Obstetrics and Gynecology, Federal University of Goiás (UFG), Goiânia, Brazil. ruffojr@terra.com.br.
Maria-Paula CuradoHealth Sciences, Federal University of Goiás (UFG), Goiânia, Brazil. maria-paula.curado@i-pri.org.
Ana-Luiza Lima SousaHealth Sciences, Federal University of Goiás (UFG), Goiânia, Brazil. demmilima@gmail.com.
José-Augusto Souza-NetoFederal University of Goiás (UFG), Goiânia, Brazil. augustonetojs@hotmail.com.
Marta Rovery SouzaInstitute of Tropical Pathology and Public Health, Federal University of Goiás (UFG), Goiânia, Brazil. martary@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is the most common cause of death from cancer in women in less developed regions. Therefore, the objective of this study was to provide data on the temporal trends in female breast cancer mortality between 1990 and 2011 and to evaluate its association with the social inequalities present in Brazil.

methodsBreast cancer mortality data and estimates for the resident population were obtained from the Brazilian National Health Service database for the 1990-2011 period. Age-standardized mortality rates were calculated (20-39, 40-49, 50-69 and ≥70 years) by direct standardization using the 1960 standard world population. Trends were modeled using joinpoint regression model and linear regression. The Social Exclusion Index and the Human Development Index were used to classify the 27 Brazilian states. Pearson's correlation was used to describe the association between the Social Exclusion Index and the Human DeveIopment and the variations in mortality rates in each state.

resultsAge-standardized mortality rates in Brazil were found to be stable (annual percent change [APC] = 0.3; 95% CI: -0.1 - 0.7) between 1994 and 2011. Considering the Brazilian states, significant decreases in mortality rates were found in Rio Grande do Sul, Rio de Janeiro and São Paulo. Increases in mortality rates were most notable in the states of Maranhão (APC = 11.2; 95 %CI: 5.8 - 16.9), Piauí (APC = 9.8; 95% CI: 7.6 - 12.1) and Paraíba (APC = 9.3; 95% CI: 6.0 - 12.8). There was a statistically significant correlation between Social Exclusion Index and a change in female breast cancer mortality rates in the Brazilian states between 1990 and 2011 and between Human Development Index and mortality between 2001 and 2011.

conclusionsFemale breast cancer mortality rates are stable in Brazil. Reductions in these rates were found in the more developed states, possibly reflecting better healthcare.

Indexed as

Social EnvironmentAdultAgedAge FactorsBrazilBreast NeoplasmsFemaleHealthcare DisparitiesHumansLinear ModelsMiddle AgedSocioeconomic FactorsYoung Adult

Identifiers

PMID25886146
PMCPMC4331144

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.