ArticleBMC cancer2019
Describing mortality trends for major cancer sites in 133 intermediate regions of Brazil and an ecological study of its causes.
Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Barriers and facilitators of the implementation of mammography screening in the Brazilian public health system: scoping review.BMC public health · 2025Article
- Data quality in Brazilian population-based cancer registries for gastrointestinal cancers.BMC cancer · 2024Article
- Ethnic disparities in cancer mortality in the capital and northeast of the State of São Paulo, Brazil 2001-17.Cancer causes & control : CCC · 2024Article
- Cancer mortality in childhood and adolescence: analysis of trends and spatial distribution in the 133 intermediate Brazilian regions grouped by macroregions.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
- Cancer inequalities in incidence and mortality in the State of São Paulo, Brazil 2001-17.Cancer medicine · 2023Article
- The impact of the COVID-19 pandemic on oral biopsies in the Brazilian National Health System.Oral diseases · 2022Article
- Incidence and mortality rates of lip, oral cavity, and pharynx cancers in Brazil: time-trend and age-period-cohort analysis from the last 30 years, Global Burden of Disease Study.Revista da Sociedade Brasileira de Medicina Tropical · 2022Article
- Successes and Challenges in the Management of Cardiovascular Disease in Brazil: Living Longer and Better.Arquivos brasileiros de cardiologia · 2021Article
- The impact of inequalities and health expenditure on mortality due to oral and oropharyngeal cancer in Brazil.Scientific reports · 2021Article
- Susceptibility loci for pancreatic cancer in the Brazilian population.BMC medical genomics · 2021Article
- Cancer mortality in the Capitals and in the interior of Brazil: a four-decade analysis.Revista de saude publica · 2020Article
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Authors and funding
4 authors.
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Abstract
backgroundIn Brazil, 211 thousand (16.14%) of all death certificates in 2016 identified cancer as the underlying cause of death, and it is expected that around 320 thousand will receive a cancer diagnosis in 2019. We aimed to describe trends of cancer mortality from 1996 to 2016, in 133 intermediate regions of Brazil, and to discuss macro-regional differences of trends by human development and healthcare provision.
methodsThis ecological study assessed georeferenced official data on population and mortality, health spending, and healthcare provision from Brazilian governmental agencies. The regional office of the United Nations Development Program provided data on the Human Development Index in Brazil. Deaths by misclassified or unspecified causes (garbage codes) were redistributed proportionally to known causes. Age-standardized mortality rates used the world population as reference. Prais-Winsten autoregression allowed calculating trends for each region, sex and cancer type.
resultsTrends were predominantly on the increase in the North and Northeast, whereas they were mainly decreasing or stationary in the South, Southeast, and Center-West. Also, the variation of trends within intermediate regions was more pronounced in the North and Northeast. Intermediate regions with higher human development, government health spending, and hospital beds had more favorable trends for all cancers and many specific cancer types.
conclusionsPatterns of cancer trends in the country reflect differences in human development and the provision of health resources across the regions. Increasing trends of cancer mortality in low-income Brazilian regions can overburden their already fragile health infrastructure. Improving the healthcare provision and reducing socioeconomic disparities can prevent increasing trends of mortality by all cancers and specific cancer types in Brazilian more impoverished regions.
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