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Epidemiologia descriptiva de cancer infantil en Cali, Colombia 1977-2011.(articulo en ingles)

Bravo, Luis Eduardo ; Garcia, Luz Stella ; Collazos, Paola ; Aristizabal, Paula ; Ramirez, Oscar

Colombia Medica, 2013, Vol.44(3), p.155(10) [Tạp chí có phản biện]

ISSN: 1657-9534

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  • Nhan đề:
    Epidemiologia descriptiva de cancer infantil en Cali, Colombia 1977-2011.(articulo en ingles)
  • Tác giả: Bravo, Luis Eduardo ; Garcia, Luz Stella ; Collazos, Paola ; Aristizabal, Paula ; Ramirez, Oscar
  • Chủ đề: Child; neoplams; epidemiology; incidence; leukemia; lymphoma; mortality; survival; Cáncer infantil; supervivencia; incidencia; mortalidad; epidemiologia
  • Là 1 phần của: Colombia Medica, 2013, Vol.44(3), p.155(10)
  • Mô tả: Objetivo: Describir los patrones de ocurrencia y supervivencia por cancer infantil en los ultimos 40 anos en Cali, Colombia. Metodos: La informacion fue obtenida del Registro Poblacional de Cancer de Cali y el estado vital de las bases de datos de mortalidad de la Secretaria de Salud Publica Municipal (SSPM) y de los egresos hospitalarios. Se utilizo la clasificacion internacional de cancer infantil version-3. El seguimiento se hizo hasta el 31/12/2011. Se estimaron las tasas de incidencia (TI), mortalidad (TM), se ajustaron por edad y se realizo un analisis de periodo para la sobrevida global (SG). Resultados: Se identificaron 2,311 casos en < 15 anos entre 1977-2011. Las TI y TM fueron de 141.2 y 55.6 por millon de personas-ano. Leucemias, linfomas, tumores del SNC y sarcomas de tejidos blandos mostraron TI de 60.1, 20.5, 25.7 y 9.4 por millon de personas-ano, respectivamente. La SG a 5 anos fue 48%, al discriminar por quinquenio mostro una mejoria de 24.9% [+ o -] 4.3 al 51.8% [+ o -] 4.6, al comparar los periodos 1992-96 vs 2002-2006. Conclusion: La TI encontrada es comparable con las descritas en EEUU y Europa, sin embargo, la supervivencia es menor. Como el cancer infantil es curable en alrededor del 75-80% de los casos, se plantea un gran reto para el sistema de salud Colombiano, mejorar los resultados actuales. Palabras Clave: Cancer infantil, supervivencia, incidencia, mortalidad, epidemiologia Objective: To describe the occurrence and survival patterns of childhood cancer patients over the last 20 years in Cali. Methods: Information was obtained from the Cancer Population Registry in Cali and the Municipal Department of Health. The International Classification for childhood Cancer (ICCC) was used. Vital status data was obtained from MDH death certificates and hospital databases. Additionally, clinical records were reviewed and, in some cases, telephone contact was made to gather data. Follow-up was completed until December 31, 2011. Incident (IR) and mortality rates (MR) were estimated and adjusted for age. Life-tables were made to estimate overall survival. Results: Between 1977-2011 there were 2,311 cases of cancer identified in children less than 15 years of age. The IR and MR for Cali were found to be 141.2 and 55.6 per million of people per year. Leukemias, lymphomas, Central nervous system (CNS) tumors and soft tissue sarcomas showed IR's of 60.1, 20.5, 25.7 and 9.4, respectively. 5-years OS was 48%, and showed an improvement from 24.9% [+ or -] 4.3 to 51.8% [+ or -] 4.6, compared 1992-96 vs 2002-06 periods. Conclusion: The IR found is comparable with those from affluent countries. Taking into account that pediatric cancer is curable in about 75-80% of the cases, an enormous challenge is presented to the Colombian health system: to improve current clinical results. Keywords: Child; neoplams; epidemiology; incidence; leukemia; lymphoma; mortality; survival;
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 1657-9534

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