Correction for reported cervical cancer mortality data in Brazil, 1996-2005
Correction for reported cervical cancer mortality data in Brazil, 1996-2005
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DOI：
10.1590/s0034-89102010000400006
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发表时间：
2010-08-01
期刊：
影响因子：
--
通讯作者：
Silva, Gulnar Azevedo e
中科院分区：
文献类型：
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作者：
Gamarra, Carmen Justina;Valente, Joaquim Gonçalves;Silva, Gulnar Azevedo e
目的：开发一种方法，用于纠正报告的宫颈癌deaths in the Brazils.METHODS：9,607,177癌症死亡的数据，从巴西国家死亡率数据库在1996年至2005年期间。为纠正死亡漏报，采用了巴西全球疾病负担研究-1998年-得出的因素。比例分布用于校正未知、不完整或定义不清的死亡诊断类别。对巴西各州进行了校正，并以校正前后宫颈死亡率变化百分比的形式列出了巴西全国、大区域和地理区域（首都、大都市区的其他城市和内陆城市）的结果。结果：经校正后，全国宫颈癌死亡率上升了103%，上升幅度在35%（南方地区首府）和339%（东北地区内陆城市）之间。未另行说明的宫颈癌死亡的重新分配导致死亡率增加更大。按年死亡的百分比校正显示全国范围内的稳定趋势。结论：研究结果表明，所提出的方法是适当的宫颈癌死亡率在巴西的校正。这表明，宫颈癌死亡率甚至高于报告的死亡率。
OBJECTIVE: To develop a methodology for correction of reported cervical cancer deaths in Brazil.METHODS: Data on 9,607,177 cancer deaths were obtained from the Brazilian National Mortality Database for the period between 1996 and 2005. For correction of underreporting of deaths, factors generated by the Global Burden of Disease Study in Brazil-1998 were used. Proportional distribution was used in order to correct the categories of unknown, incomplete or ill-defined death diagnosis. The corrections were applied to each Brazilian state and the results were presented for Brazil nationwide, macroregions, and geographical areas (capital, other cities of metropolitan areas and interior cities) as percent variability of cervical mortality rates before and after correction. Corrections were analyzed by multivariate linear regression with interaction terms between macroregion and geographical area.RESULTS: After correction, cervical cancer mortality rates showed an increment of 103% nationwide, ranging between 35% (Southern region capitals) and 339% (Northeastern region interior cities). The reallocation of cervical cancer deaths not otherwise specified resulted in greater mortality rate increments. The percent correction by year of death revealed steady trends nationwide.CONCLUSIONS: The study results showed that the proposed methodology was appropriate for the correction of cervical cancer mortality rates in Brazil. It evidenced that cervical cancer mortality is even higher than that reported.