ArticlePloS one2022
Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Lung cancer in the socioeconomic and environmental context of the Amazon region of Pará.Revista da Escola de Enfermagem da U S P · 2026Article
- Socioeconomic position and cancer stage at diagnosis in a fragmented Latin American health system.Scientific reports · 2025Article
- Physician distribution and income-inequality on lung cancer mortality in Brazil.BMC research notes · 2025Article
- Epidemiological profile of surgical treatment of lung cancer: retrospective analysis, Brazil, 2014-2023.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Spatiotemporal disparities in the diagnosis, treatment, and mortality of respiratory tract cancers in Brazil.PloS one · 2025Article
- Association of county level poverty with mortality from primary liver cancers.Cancer medicine · 2024Article
- Geographic variations in cancer incidence and mortality in the State of São Paulo, Brazil 2001-17.Cancer epidemiology · 2023Article
- "Frontiers in public health · 2023Article
- Classification of non-small cell lung cancer by histologic subtype using deep learning in public and private data sets of computed tomography images.Radiologia brasileiraArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The high incidence and mortality rates make lung cancer a global public health issue. Socioeconomic conditions and the provision of health services may be associated with this reality. This study investigates the spatial distribution of advanced-stage diagnosis and mortality due to lung cancer and its association with the healthcare services supply and demographic and socioeconomic indicators in Brazil. This is an ecological study with 161 Intermediate Regions of Urban Articulation. Mortality data were extracted from the Mortality Information System, and the cases of lung cancer were obtained from the Integrator of Hospital-Based Cancer Registries from 2011 to 2015. Analyses employed Moran's I, local indicators of spatial association, and the multivariable model. The proportion of advanced-stage diagnosis was 85.28% (95% CI 83.31-87.10) and was positively associated with the aging rate (Moran's I 0.11; p = 0.02), per capita income (Moran's I 0.05; p = 0.01) and negatively associated with Gini Index (Moran's I -0.16; p = 0.01). The mean age-adjusted mortality rates was 12.82 deaths/100,000 inhabitants (SD 5.12). The age-adjusted mortality rates for lung cancer presented a positive and statistically significant spatial association with all demographic, socioeconomic and healthcare services supply indicators, except for the "density of family health teams" (Moran's I -0.02 p = 0.28). The multivariable model for the mortality rates was constituted by the variables "Density of facilities licensed in oncology", "Per capita income", and "Health plan coverage". The per capita income presented positive association and health plan coverage negative association with age-adjusted mortality rates. Both associations were statistically significant. The variable density of facilities licensed in oncology showed no significant association with age-adjusted mortality rates. There is a high proportion of advanced-stage diagnosis across the Brazilian territory and inequalities in lung cancer mortality, which are correlated with the most developed areas of the country.
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