2014, Number 5
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salud publica mex 2014; 56 (5)
Colorectal cancer incidence, mortality and survival in Cali, Colombia, 1962-2012
Cortés A, Bravo LE, García LS, Collazos P
Language: Spanish
References: 29
Page: 457-464
PDF size: 243.77 Kb.
ABSTRACT
Objective. To study the colorectal cancer (CRC) behavior in
Cali, Colombia, during the 1963-2012 period using data from
the Population-based Cancer Registry of Cali and the Municipal
Health Secretariat of Cali.
Materials and methods. An
ecological time series analysis to study the CRC incidence
(1962-2007) and mortality (1984-2012) rate trends; and a
survival analysis of CRC cases registered in Cali between 1995
and 2004 were conducted. The age-standardized temporal
trend of incidence (I-ASR) and mortality (M-ASR) rates were
studied using an annual percent change (APC). The 5-year
relative survival was estimated and a multivariate analysis was
performed using the Cox proportional hazard regression
model.
Results. During the 1962-2007 period, CRC TTIR
increased in men and women living in Cali [APC= 2.6 (95%
CI 2.2-3.0) and APC= 2.2% (95% CI 1.8-2.7), respectively]. In
the 1984-2012 period, the TTMR remained stable in women
but increased in men in all age groups [APC= 1.8 (95% CI
0.8-2.8)]. The 5-year relative survival was independent of sex
and increased from 29.7% in 1995-1999 to 39.8% in 2000-
2004. The risk of dying from CRC was higher in people of
lower socio-economic status (SES) vs higher SES [HR= 2.1
(95% CI: 1.7-2.6)], among people older than 70 years of age
vs younger than 50 years [HR= 2.4 (95% CI: 1.9-2.9)], and
for the 1995-1999 period
vs 2000-2004 period [HR= 1.5
(95% CI 1.3-1.7)].
Conclusion. CRC is beginning to take a
prominent place among the most important cancers in Cali,
Colombia.
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