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High Gastric Cancer Mortality and Years of Life Lost in Nicaragua: A Population-Based Study 1997 - 2012.
Peña-Galo, Edgar M; Palacios-Navarro, Guillermo; Pastora-Membreño, Javier; Torres-Herman, Tatiana; Norwood, Dalton A; Montalvan-Sanchez, Eleazar E; Beasley, Timothy; Bravo, Luis Eduardo; Morgan, Douglas R.
Afiliação
  • Peña-Galo EM; Instituto Aragonés de Ciencias de la Salud, Zaragoza, Zaragoza, Spain.
  • Palacios-Navarro G; Universidad de Zaragoza, Teruel, Teruel, Spain.
  • Pastora-Membreño J; Universidad Nacional Autónoma de Nicaragua-León, Leon, Leon, Nicaragua.
  • Torres-Herman T; University of Alabama School of Medicine, Birmingham, Alabama, United States.
  • Norwood DA; University of Alabama at Birmingham, Birmingham, Alabama, United States.
  • Montalvan-Sanchez EE; Indiana University Hospital, Indianapolis, Indiana, United States.
  • Beasley T; University of Alabama at Birmingham, Birmingham, AL, United States.
  • Bravo LE; Universidad del Valle, Cali, Colombia.
  • Morgan DR; University of Alabama School of Medicine, Birmingham, Alabama, United States.
Article em En | MEDLINE | ID: mdl-38884563
ABSTRACT

BACKGROUND:

Gastric adenocarcinoma (GC) is the fourth leading cause of cancer-related mortality, and leading infection-associated cancer. GC has striking geographic variability, with high incidence in East Asia and mountainous Latin America. Reliable cancer data and population-based cancer registries (PBCRs) are lacking for the majority of LMICs, including the Central American Four region (CA-4, Nicaragua, El Salvador, Honduras, and Guatemala).

METHODS:

Mortality data for Nicaragua were obtained from the highly-rated Ministry of Health death registry. All the patients were diagnosed with gastric cancer between 1997 and 2012 (ICD-10 codes C16.0-C16.9) and death due to any cause were included in the study. Data on variables such as sex, age (stratified by 5-year age groups), municipality, urban/rural, altitude, and year of death were analyzed.

RESULTS:

A total of 3,886 stomach cancer deaths were reported in Nicaragua between 1997 and 2012, of which 2,214 (56.9%) were male. The ASMR were 13.1 and 8.7 per 100,000 habitants for males and females, respectively, and without significant change during the study period (APC= -0.7, P=0.2). An average of 17.9 years were lost per death (AYLL), accounting for 67,964 years of life lost (YYL).

CONCLUSIONS:

The burden of gastric cancer mortality is high in Nicaragua with significantly elevated ASMR, YYL, and AYLL. IMPACT The projected increase in mortality portends the double cancer burden in northern Central America, with persistent infection-associated cancers and growing transition cancers (e.g., breast and colon cancers), which has implications for cancer control in Mesoamerica and U.S. Latino populations.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: America central / Nicaragua Idioma: En Revista: Cancer Epidemiol Biomarkers Prev Assunto da revista: BIOQUIMICA / EPIDEMIOLOGIA / NEOPLASIAS Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: America central / Nicaragua Idioma: En Revista: Cancer Epidemiol Biomarkers Prev Assunto da revista: BIOQUIMICA / EPIDEMIOLOGIA / NEOPLASIAS Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha País de publicação: Estados Unidos