Bibliographic Details
| Title: |
National and state-level colorectal cancer mortality trends in Mexico, 1998-2018. |
| Authors: |
Espinosa-Tamez, Priscilla1,2, Suazo-Zepeda, Erick1, Sánchez-Blas, Hugo1, Meneses-Medina, Mónica3, Huitzil-Meléndez, Fidel David3, Van Loon, Katherine2, Potter, Michael B.4, Lajous, Martín1,5 mlajous@insp.mx |
| Source: |
Salud Pública de México. Jan/Feb2022, Vol. 64 Issue 1, p5-13. 9p. |
| Subjects: |
CANCER-related mortality, COLORECTAL cancer, HEALTH insurance rates, WOMEN'S mortality, RECTAL cancer |
| Geographic Terms: |
MEXICO |
| Abstract (English): |
Objective. To describe the burden of colorectal cancer (CRC) in Mexico and understand mortality patterns based on sex, geography, and insurance status. Materials and methods. Mortality data (1998-2018) from the Instituto Nacional de Estadística y Geografía was obtained. We included colon (C18.0, C18.2-18.9) and rectal cancer ICD-10 codes (C19, C20), and estimated age-standardized national, statelevel and health insurance mortality rates. We estimated the average annual percent change using joinpoint regression. Results. Between 1998 and 2018, the observed women and men mortality rate increased annually by 1.3 and 2.7%, respectively. Higher CRC mortality was observed in northern and more urbanized states and in groups with greater access to health insurance, which currently facilitates but does not routinely cover screening. Conclusion. CRC mortality in Mexico is increasing rapidly, with marked differences based on sex, geography, and insurance status. Our findings underscore potential benefits of increased investment in comprehensive screening, diagnosis, and treatment strategies for the general population. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Objetivo. Describir la carga del cáncer colorrectal (CCR) en México y patrones de mortalidad según sexo, geografía y servicios de salud. Material y métodos. Se obtuvieron datos de mortalidad (1998-2018) del Instituto Nacional de Estadística y Geografía. Se incluyeron códigos CIE-10 de cáncer de colon (C18.0,C18.2-18.9) y recto (C19,C20). Se estimaron tasas de mortalidad nacionales, estatales y por servicio de salud, estandarizadas por edad. Se estimó el cambio porcentual anual promedio usando regresión joinpoint. Resultados. Entre 1998-2018, la tasa de mortalidad aumentó anualmente 1.3% en mujeres y 2.7% en hombres. Se observó mayor mortalidad por CCR en estados del norte, más urbanizados y con afiliación a servicios de salud que actualmente facilitan pero no cubren rutinariamente la detección. Conclusión. La mortalidad por CCR en México está aumentando rápidamente, con diferencias por sexo, geografía y afiliación. Los presentes hallazgos destacan los beneficios potenciales de mayor inversión en estrategias integrales de detección, diagnóstico y tratamiento para la población. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
