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National and state-level colorectal cancer mortality trends in Mexico, 1998-2018.

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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]
Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: National and state-level colorectal cancer mortality trends in Mexico, 1998-2018.
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  Data: <searchLink fieldCode="AR" term="%22Espinosa-Tamez%2C+Priscilla%22">Espinosa-Tamez, Priscilla</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Suazo-Zepeda%2C+Erick%22">Suazo-Zepeda, Erick</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Sánchez-Blas%2C+Hugo%22">Sánchez-Blas, Hugo</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Meneses-Medina%2C+Mónica%22">Meneses-Medina, Mónica</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Huitzil-Meléndez%2C+Fidel+David%22">Huitzil-Meléndez, Fidel David</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Van+Loon%2C+Katherine%22">Van Loon, Katherine</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Potter%2C+Michael+B%2E%22">Potter, Michael B.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Lajous%2C+Martín%22">Lajous, Martín</searchLink><relatesTo>1,5</relatesTo><i> mlajous@insp.mx</i>
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  Data: <searchLink fieldCode="JN" term="%22Salud+Pública+de+México%22">Salud Pública de México</searchLink>. Jan/Feb2022, Vol. 64 Issue 1, p5-13. 9p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22CANCER-related+mortality%22">CANCER-related mortality</searchLink><br /><searchLink fieldCode="DE" term="%22COLORECTAL+cancer%22">COLORECTAL cancer</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+insurance+rates%22">HEALTH insurance rates</searchLink><br /><searchLink fieldCode="DE" term="%22WOMEN'S+mortality%22">WOMEN'S mortality</searchLink><br /><searchLink fieldCode="DE" term="%22RECTAL+cancer%22">RECTAL cancer</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22MEXICO%22">MEXICO</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: 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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.21149/12522
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        Text: English
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