Mortality Trend of Hematological Cancers in Sergipe and its Geospatial Distribution from 1980 to 2021
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n3.4699Keywords:
Hematologic Neoplasms, Mortality/trends, Spatio-Temporal AnalysisAbstract
Introduction: Cancer is the leading cause of non-metabolic death worldwide. Blood cancers originate in the hematopoietic system and are classified as lymphomas, leukemias, plasma cell neoplasms, and myelodysplastic syndromes. Objective: To describe the mortality trend of the main hematologic neoplasms in the State of Sergipe between 1980 and 2021 and their spatial distribution. Method: The mortality rates from the State’s Mortality Information System were investigated through longitudinal and geospatial analysis software and analyzed by age group, sex, type of neoplasm, and municipality. Time trend graphs were constructed and their annual and average percentage variations analyzed, and geodistribution maps of the rates were created, with areas of contiguity, and statistical significance analysis by the Moran and LISA methods. Results: The mortality rates were continuously increasing in the period for all statistically significant neoplasms and groups. The highest number of deaths occurred in males, with annual increase of 3% (95% CI 2.5-3.5). Leukemias accounted for 48.78% of total deaths. The descending order of mortality was leukemia, non-Hodgkin lymphoma and multiple myeloma. The age group of 65+ represented 35.76% of total deaths. The risk areas were the East and Agreste Mesoregions and the Great Aracaju Region. Conclusion: The trend of mortality due to hematologic cancers in Sergipe is a topic little analyzed. Mortality rates have increased in the State, with emphasis on leukemias, males, older adults, and municipalities with great inequality and agricultural production.
Downloads
References
Organização Panamericana da Saúde [Internet]. Brasília, DF: OPAS; 2020. Câncer, 2020 out. [acesso 2022 dez 7]. Disponível em: https://www.paho.org/pt/topicos/cancer
Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-63. doi: https://doi.org/10.3322/caac.21834 DOI: https://doi.org/10.3322/caac.21834
Observatório de Oncologia [Internet]. São Paulo: Observatório de Oncologia; 2019. Trajetória de incidência e mortalidade das neoplasias hematológicas no Brasil, 2019 set 19. [acesso 2022 nov 21]. Disponível em: http://https://observatoriodeoncologia.com.br/trajetoria-da-incidencia-e-mortalidade-das-neoplasias-hematologicas-no-brasil
Longo DL. Harrison’s Hematology and Oncology. In: Kasper DL, Hauser SL, organizadores. Polycythemia vera and other myeloproliferative neoplasms. myeloproliferative disorders. New York: McGraw Hill; 2016. p. 158-66
Rosko A, Giralt S, Mateos MV, et al. Myeloma in elderly patients: when less is more and more is more. Am Soc Clin Oncol Educ Book. 2017;37:575-85. doi: https://doi.org/10.1200/edbk_175171 DOI: https://doi.org/10.14694/EDBK_175171
Cidades e Estados [Internet]. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; c2017. Sergipe;[acessado 2023 jan 23]. Disponível em: http://www.ibge. gov.br/cidades-e-estados/se.html
SIM: Sistema de Informação sobre Mortalidade [Internet]. Versão 3.2.1.2. Brasília (DF): DATASUS.[data desconhecida] - [acesso 2024 fev 12]. Disponível em: http://sim.saude.gov.br/default.asp
Organização Mundial da Saúde. CID-10: Classificação Estatística Internacional de Doenças e problemas relacionados à saúde. São Paulo: Edusp; 2008.
TABNET [Internet]. Brasília (DF): DATASUS. c2008. População residente. [acesso 2024 maio 28]. Disponível em: https://datasus.saude.gov.br/informacoes-de-saude-tabnet/
Doll R, Cook P. Summarizing indices for comparison of cancer incidence data. Int J Cancer. 1967;2(3):269-79. doi: https://doi.org/10.1002/ijc.2910020310 DOI: https://doi.org/10.1002/ijc.2910020310
Joinpoint Regression Program [Internet]. Version 5.0.2. 2024. Hoboken: John Wiley & Sons, Ltd; c2000. [acessado 2024 abr 22]. Disponível em: https://surveillance.cancer.gov/joinpoint/
TerraView [Internet]. Versão 4.2.2. São José dos Campos: INPE; 2013. [acesso 2024 abr 22]. Disponível em: https://www.dpi.inpe.br/terralib5/wiki/doku. php?id=wiki:downloads
QGIS [Internet]. Versão 3.10.7. Grüt: QGIS.org; 2016. [acesso 2022 out 20]. Disponível em: https://qgis.org/download/
Marques AJ. Aplicações de técnicas de autocorrelação espacial para espacial para avaliação da organização das habitações nas mesorregiões do estado do Paraná. Observatorium: Rev Eletr Geo. 2009;1(3):89-105.
Conselho Nacional de Saúde (BR). Resolução n° 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção I:59.
Santos HLP, Machado JS, Brito AS, et al. Série histórica de mortalidade por neoplasias no Estado da Bahia entre os anos de 2008 e 2018. Rev Bras Cancerol. 2022;68(1):e-081376. doi: https://doi.org/10.32635/2176-9745. RBC.2022v68n1.1376 DOI: https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1376
Barbosa IR, Souza DLB, Bernal MM, et al. Cancer mortality in Brazil: temporal trends and predictions for the year 2030. Medicine (Baltimore). 2015;94(16):e746. doi: https://doi.org/10.1097/md.0000000000000746 DOI: https://doi.org/10.1097/MD.0000000000000746
Zhang N, Wu J, Wang Q, et al. Global burden of hematologic malignancies and evolution patterns over the past 30 years. Blood Cancer J. 2023;13(1):82. doi: https://doi.org/10.1038/s41408-023-00853-3 DOI: https://doi.org/10.1038/s41408-023-00853-3
Siegel RL, Miller KD, Wagle NS, et al. Cancer statistics, 2023. CA Cancer J Clin. 2023;73(1):17-48. Doi: https://doi.org/10.3322/caac.21763 DOI: https://doi.org/10.3322/caac.21763
Sasaki K, Strom SS, O’Brien S, et al. Relative survival in patients with chronic‐phase chronic myeloid leukaemia in the tyrosine‐kinase inhibitor era: analysis of patient data from six prospective clinical trials. Lancet Haematol. 2015;2(5):e186-93. Doi: https://doi.org/10.1016/s2352-3026(15)00048-4 DOI: https://doi.org/10.1016/S2352-3026(15)00048-4
Akinyemiju TF, Soliman AS, Copeland G, et al. Trends in breast cancer stage and mortality in Michigan (1992–2009) by race, socioeconomic status, and area healthcare resources. Plos One. 2013;8(4):e61879. doi: https://doi. org/10.1371/journal.pone.0061879 DOI: https://doi.org/10.1371/journal.pone.0061879
Luz LL, Mattos IE. Tendência das taxas de mortalidade por linfoma não-Hodgkin na Região Sudeste do Brasil, 1980-2007. Cad Saude Publica. 2011;27(7):1340-8. doi: https://doi.org/10.1590/S0102-311X2011000700009 DOI: https://doi.org/10.1590/S0102-311X2011000700009
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2017. CA Cancer J Clin. 2017;67(1):7-30. doi: https://doi.org/10.3322/caac.21387 DOI: https://doi.org/10.3322/caac.21387
Bertuccio P, Bosetti C, Malvezzi M, et al. Trends in mortality from leukemia in Europe: an update to 2009 and a projection to 2012. Int J Cancer. 2013;132(2):427-36. doi: https://doi.org/10.1002/ijc.27624 DOI: https://doi.org/10.1002/ijc.27624
Islami F, Chen W, Yu XQ, et al. Cancer deaths and cases attributable to lifestyle factors and infections in China, 2013. Ann Oncol. 2017;28(10):2567-74. doi: https://doi.org/10.1093/annonc/mdx342 DOI: https://doi.org/10.1093/annonc/mdx342
Eastmond DA, Keshava N, Sonawane B. Lymphohematopoietic cancers induced by chemicals and other agents and their implications for risk evaluation: an overview. Mutat Res Rev Mutat Res. 2014;761:40-64. doi: https://doi.org/10.1016/j.mrrev.2014.04.001 DOI: https://doi.org/10.1016/j.mrrev.2014.04.001
Chiu BC, Dave BJ, Blair A, et al. Agricultural pesticide use and risk of t(14; 18)-defined subtypes of non-Hodgkin lymphoma. Blood. 2018;108(4):1363-9. doi: https://doi.org/10.1182/blood-2005-12-008755 DOI: https://doi.org/10.1182/blood-2005-12-008755
Wang Q, Berger NA, Xu R. When hematologic malignancies meet COVID-19 in the United States: infections, death and disparities. Blood Rev. 2020;47:100775. doi: https://doi.org/10.1016/j.blre.2020.100775 DOI: https://doi.org/10.1016/j.blre.2020.100775
Fundação Oswaldo Cruz [Internet]. Rio de Janeiro; Fiocruz; 2021. Estudo revela como a pandemia afetou os atendimentos no SUS, 2021 nov 12. [acesso 2023 jun 28]. Disponível em: https://portal.fiocruz.br/noticia/estudo-revela-como-pandemia-afetou-os-atendimentos-no-sus
Boccolini PMM, Boccolini CS, Meyer A. Tendência de mortalidade por linfomas não Hodgkin no Brasil, 1980 a 2012. Cad Saúde Colet. 2015;23(2):188-97. doi: https://doi.org/10.1590/1414-462X201500020014 DOI: https://doi.org/10.1590/1414-462X201500020014
Bacchi CE, Bacchi MM, Rabenhorst SH, et al. AIDS-related lymphoma in Brazil: histopathology, immunophenotype, and association with Epstein-Barr virus. Am J Clin Pathol. 1996;105(2):230-7. doi: https://doi.org/10.1093/ajcp/105.2.230 DOI: https://doi.org/10.1093/ajcp/105.2.230
Howlader N, Noone AM, Krapcho M, et al. SEER cancer statistics review, 1975-2013 [Internet]. 2016 [acesso 2022 dez 22]: [cerca de 1 p.]. Disponível: https://seer.cancer.gov/archive/csr/1975_2013/index.html
Gouveia MS, Batista JKM, Passos TS, et al. Comparison of factors associated with leukemia and lymphoma mortality in Brazil. Cad Saude Publica. 2020;36(8):e00077119. doi: https://doi.org/10.1590/0102-311X00077119 DOI: https://doi.org/10.1590/0102-311x00077119
Benderra MA, Serrano AG, Paillaud E, et al. Prognostic value of comorbidities in older patients with cancer: the ELCAPA cohort study. ESMO Open. 2023;8(5):101831. doi: https://doi.org/10.1016/j.esmoop.2023.101831 DOI: https://doi.org/10.1016/j.esmoop.2023.101831
Schmidt MI, Duncan BB, Azevedo e Silva G, et al. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet. 2011;377(9781):1949-61. doi: https://doi.org/10.1016/s0140-6736(11)60135-9 DOI: https://doi.org/10.1016/S0140-6736(11)60135-9
Lamb BW, Sevdalis N, Benn J, et al. Multidisciplinary cancer team meeting structure and treatment decisions: a prospective correlational study. Ann Surg oncol. 2013;20(3):715-22. doi: https://doi.org/10.1245/s10434-012-2691-x DOI: https://doi.org/10.1245/s10434-012-2691-x
Cidades@ [Internet]. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; c2017. IDH Sergipe. [acesso 2022 nov 23]. Disponível em: https://cidades.ibge.gov. br/brasil/se/pesquisa/37/30255
Garofolo A, Avesani CM, Camargo KG, et al. Dieta e câncer: um enfoque epidemiológico. Rev Nutr. 2004;17(4):491-505. doi: http://dx.doi.org/10.1590/S1415-52732004000400009 DOI: https://doi.org/10.1590/S1415-52732004000400009
TABNET [Internet]. Brasília (DF): DATASUS. c2008. Índice de Gini da renda familiar per capita – Sergipe, 2010. [acesso 2023 ago 18]. Disponível em: http://tabnet.datasus.gov.br/cgi/ibge/censo/cnv/ginise.def
TABNET [Internet]. Brasília (DF): DATASUS. c2008. Proporção de pessoas com baixa renda - Sergipe. 2010 [acesso 2023 set 22]. Disponível em: http://tabnet. datasus.gov.br/cgi/tabcgi.exe?ibge/censo/cnv/pobrezase
Thun MJ, Delancey JO, Center MM, et al. The global burden of cancer: priorities for prevention. Carcinogenesis. 2009;31(1):100-10. doi: https://doi. org/10.1093/carcin/bgp263 DOI: https://doi.org/10.1093/carcin/bgp263
Veras R. Envelhecimento populacional contemporâneo: demandas, desafios e inovações. Rev Saude Publica. 2009;43(3):548-54. doi: https://doi.org/10.1590/S0034-89102009005000025 DOI: https://doi.org/10.1590/S0034-89102009005000025
Curado MP, Souza DL. The burden of cancer in Latin America and the Carribean. Ann Glob Health. 2014;80(5):370-7. doi: https://doi.org/10.1590/S0034-89102009005000025 DOI: https://doi.org/10.1016/j.aogh.2014.09.009
Wünsch FV, Antunes JLF, Boing AF, et al. Perspectivas da investigação sobre determinantes sociais em câncer. Physis. 2008;18(3):427-50. doi: https://doi.org/10.1590/S0103-73312008000300004 DOI: https://doi.org/10.1590/S0103-73312008000300004
Ribeiro AA, Nardocci AC. Desigualdades socioeconômicas na incidência e mortalidade por câncer: revisão de estudos ecológicos, 1998-2008. Saude Soc. 2013;22(3):878-91. doi: https://doi.org/10.1590/S0104-12902013000300020 DOI: https://doi.org/10.1590/S0104-12902013000300020
Carneiro FF, Augusto LGS, Rigotto RM, et al, organizadores. Dossiê ABRASCO: um alerta sobre os impactos dos agrotóxicos na saúde. Rio de Janeiro; São Paulo: EPSJV; Expressão Popular; 2015.
Empresa de Desenvolvimento Agropecuário de Sergipe. Áreas de concentrações das principais culturas agrícolas do Estado de Sergipe. Nossa Sra. do Socorro: EMDAGRO; 2009
Frias PG, Szwarcwald CL, Lira PI. Avaliação dos sistemas de informações sobre nascidos vivos e óbitos no Brasil na década de 2000. Cad Saúde Pública. 2014;30(10):2068-80. doi: https://doi.org/10.1590/0102-311x00196113 DOI: https://doi.org/10.1590/0102-311X00196113
Barbosa SFC, Costa CA, Ferreira LSC, et al. Aspectos epidemiológicos dos casos de leucemia e linfomas em jovens e adultos atendidos em hospital de referência para câncer em Belém, Estado do Pará, Amazônia, Brasil. Rev Panamazonica Saude. 2015;6(3):43-50. doi: http://dx.doi.org/10.5123/s2176-62232015000300006 DOI: https://doi.org/10.5123/S2176-62232015000300006
Downloads
Published
How to Cite
Issue
Section
License
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
This work is licensed under a Creative Commons Attribution 4.0 International License.