Evidence map›Paper›PMID 33499858›Full record

ArticleBMC public health2021

Cervical cancer mortality in Peru: regional trend analysis from 2008-2017.

J Smith Torres-Roman, Luz Ronceros-Cardenas, Bryan Valcarcel, Miguel A Arce-Huamani, Janina Bazalar-Palacios, Jorge Ybaseta-Medina, Carlo La Vecchia, Christian S Alvarez

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  4. Observational
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  6. Geographical inequities in cervical cancer screening coverage in Bolivia: a spatial nationwide ecological study.Revista panamericana de salud publica = Pan American journal of public health · 2025
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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

8 authors at 4 institutions in 3 countries.

J Smith Torres-RomanUniversidad Científica del Sur, Lima, Peru. jstorresroman@gmail.com.ORCID 0000-0001-5310-6077
Luz Ronceros-CardenasLatin American Network for Cancer Research (LAN-CANCER), Lima, Peru.
Bryan ValcarcelLatin American Network for Cancer Research (LAN-CANCER), Lima, Peru.
Miguel A Arce-HuamaniUniversidad Científica del Sur, Lima, Peru.
Janina Bazalar-PalaciosLatin American Network for Cancer Research (LAN-CANCER), Lima, Peru.
Jorge Ybaseta-MedinaLatin American Network for Cancer Research (LAN-CANCER), Lima, Peru.
Carlo La VecchiaDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, 20133, Milan, Italy.
Christian S AlvarezDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA.
Liga Contra el Cancer · PEUniversidad Científica del Sur · PENational Cancer Institute · USUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical cancer is the third leading cause of cancer-related death among Latin American women. Peru has the sixth highest mortality rate for cervical cancer in the region with regional variations. We aimed to determine overall and regional cervical cancer mortality rates and trends in Peru between 2008 and 2017.

methodsWe performed an ecological study on the number of deaths by cervical cancer in Peru. Deaths were extracted from the Peruvian Ministry of Health mortality database. Age-standardized mortality rates (ASMR) were estimated per 100,000 women-years using the world standard Segi population. We computed mortality trends using the Joinpoint regression program, estimating the annual percent change (APC). For spatial analysis, GeoDA software was used.

resultsPeru showed downward trends in the last decade (from 11.62 in 2008 to 9.69 in 2017 (APC = - 2.2, 95% CI: - 4.3, - 0.1, p < 0.05). According to regional-specific analysis, the highest ASMR was in the rainforest region, although this declined from 34.16 in 2008 to 17.98 in 2017 (APC = - 4.3, 95% CI: - 7.2, - 1.3, p < 0.01). Concerning spatial analysis and clustering, the mortality rates from 2008 to 2017 showed a positive spatial autocorrelation and significant clustering (Moran's I: 0.35, p < 0.001) predominantly in the neighboring North-East departments (Loreto, Ucayali, and San Martin).

conclusionsAlthough mortality trends in the entire population are decreasing, mortality rates remain very high, mainly in the rainforest region. Our results encourage a need for further development and improvement of the current health care delivery system in Peru.

Indexed as

Uterine Cervical NeoplasmsAged, 80 and overCluster AnalysisDatabases, FactualFemaleHumansMortalityPeruSpatial AnalysisCervical cancerEpidemiologyIndigenous populationMortalityPeruTrends

Identifiers

PMID33499858
PMCPMC7836503
OpenAlexW3125573002

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Registered trials

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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.