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Original Article • Rev. bras. Epidemiol. 25 (Supl 1) • 2022 • https://doi.org/10.1590/1980-549720220005.supl.1 copy

Cancer mortality in the State of Mato Grosso from 2000 to 2015: temporal trend and regional differences

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT:

Objective:

To analyze the trend of standardized cancer mortality rate in the state of Mato Grosso according to health regions, from 2000 to 2015.

Methods:

Ecological time series study with data on deaths by cancer from the Mortality Information System. The rates were standardized using direct method and calculated by year and health regions. The annual percentage changes (APC) and respective confidence interval (95%CI) were obtained through simple linear regression. Thematic maps were built to show the spatial distribution of rates.

Results:

There were 28,525 deaths by cancer registered in Mato Grosso, with the main types being lung, prostate, stomach, breast and liver cancer. The highest mortality rates were found in regions Médio Norte, Baixada Cuiabana and Sul Mato-Grossense. From 2000 to 2015, an upward trend was seen in the mortality rate by cancer in Mato Grosso (APC=0.81%; 95%CI 0.38–1.26), and in four health regions, Garças Araguaia (APC=2.27%; 95%CI 1.46–3.08), Sul Mato-Grossense (APC=1.12%; 95%CI 0.28–1.97), Teles Pires (APC=1.93%; 95%CI 0,11–3,74) and Vale dos Arinos (APC=2.61%; 95%CI 1.10–4.70), while the other regions remained stable.

Conclusion:

In the state of Mato Grosso and in the four health regions, cancer mortality rate showed a growing trend. The results point to the need to consider regional differences when thinking about actions for cancer prevention, control and assistance.

Keywords:
Neoplasms; Mortality; Spatial analysis; Information systems; Time series studies

Variables		n	%
Sex
	Female	11,973	42
	Male	16,546	58
Age range (years)
	<40	2,596	9.1
	40-59	8,811	30.9
	60-69	6,746	23.7
	70 and older	10,362	36.3
Leading causes of cancer mortality
	Lung	3,512	12.3
	Prostate	2,472	8.7
	Stomach	2,229	7.8
	Breast	1,709	6
	Liver	1,344	4.7
	Brain	1,269	4.5
	Esophagus	1,183	4.2
	Cervix	1,163	4.1
	Pancreas	1,008	3.5
	Colon	918	3.2
Health region
	Alto Tapajós	852	3
	Araguaia Xingu	335	1.2
	Baixada Cuiabana	10,632	37.3
	Centro Norte	882	3.1
	Garças Araguaia	979	3.4
	Médio Araguaia	438	1.5
	Médio Norte Mato-Grossense	1,666	5.8
	Noroeste Mato-Grossense	846	3
	Norte Araguaia Karajá	77	0.3
	Norte Mato-Grossense	666	2.3
	Oeste Mato-Grossense	1,922	6.7
	Sudoeste Mato-Grossense	766	2.7
	Sul-Mato-Grossense	4,868	17.1
	Teles Pires	2,441	8.6
	Vale do Peixoto	718	2.5
	Vale dos Arinos	432	1.5

Health region	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015
Alto Tapajós	70.9	84.2	84.7	75.9	69.8	48.4	86.1	84.3	65.1	67.7	70.1	63.6	64.9	62	62.1	81.2
Araguaia Xingu	29.4	34	46.4	41.2	27	34.3	42.9	39.5	52.2	21.3	74.3	41.2	46.9	41.1	57.6	37.5
Baixada Cuiabana	90.1	88	80.6	88.5	98.3	95.8	95.5	90.6	102.8	91.3	87.5	100.5	98.3	95.5	92.6	94.7
Centro Norte	77	56.5	78.5	70.5	81.9	74	51	58.4	68.4	81	72.9	64.4	72.8	58.6	77.2	67.2
Garças Araguaia	49.2	45	55.3	52.6	59.5	56.4	55.1	57.8	61.5	56.8	54.8	59.8	63.7	64	70.4	64.6
Médio Araguaia	57.4	21.7	26.4	56.2	57.2	30.7	57	62.3	59.8	54.9	68.4	40.9	55.1	47.7	62.6	52.9
Médio Norte Mato-Grossense	84.6	68.5	67.5	83.1	68.6	92.3	72.6	72.7	82.4	74.7	69.7	91.8	67.9	76.1	99.2	84.6
Noroeste Mato-Grossense	43.4	94.1	81	61	66.8	88.2	77.4	65.3	58.9	74.4	83.7	74.3	71.9	62.3	56	68.5
Norte Araguaia Karajá	17.9	39.2	64.6	55.2	6.1	15	65.2	56	25.1	21	23.7	23.6	16.4	28.7	13.4	13.7
Norte Mato-Grossense	39.5	70.4	79	63.3	83	56.4	69	84.2	88.9	85.5	78.9	78.2	76.7	74.7	63	63.9
Oeste Mato-Grossense	71.7	72.3	58.9	74.4	74.4	69.5	81	77	78.7	62	88.8	67.9	71.9	71.1	79	72.6
Sudoeste Mato-Grossense	42.2	67.4	56.5	82.3	41.7	58.5	71.9	73.1	59	56.5	75.4	54.4	61.9	61.3	71.4	57.8
Sul-Mato-Grossense	83	68.5	81	69.9	92	86.2	90.7	84	86.7	86.8	84.9	90.5	96.7	92.3	87.2	87.3
Teles Pires	74.4	74.1	102.5	109.2	92	97.7	88.2	87.4	106.8	84.4	88.2	118.6	102.9	103.1	114.5	97.8
Vale do Peixoto	58.7	54.4	51.5	81.9	71.1	54.4	64.3	61.2	62.2	55.9	69.5	67	57.7	84.1	64.6	74.7
Vale dos Arinos	54	64.5	43.1	60.7	72.5	65.4	82.7	62.4	88.8	65.2	66.9	71.3	75.6	73.4	83.1	87.8
Mato Grosso	74.3	73.1	73.4	78.2	82.1	79.7	82.7	79.3	85.2	77.6	80.2	85.1	83.9	81.9	84.1	81.7

Health region	B	p	APC (%)	IC95%	Trend
Alto Tapajós	-0.72	0.21	-1.05	(-2.73–0.70)	Stable
Araguaia Xingu	0.98	0.16	3.36	(-1.47–8.16)	Stable
Baixada Cuiabana	0.52	0.11	0.57	(-0.10–1.26)	Stable
Centro Norte	-0.16	0.78	-0.19	(-1.66–1.26)	Stable
Garças Araguaia	1.11	<0.01	2.27	(1.46–3.08)	Growing
Médio Araguaia	1.11	0.13	1.98	(-0.72–4.58)	Stable
Médio Norte Mato-Grossense	0.62	0.25	0.77	(-0.63–2.10)	Stable
Noroeste Mato-Grossense	-0.31	0.68	-0.69	(-4.29–2.86)	Stable
Norte Araguaia Karajá	-1.67	0.12	-9.36	(-21.30–2.59)	Stable
Norte Mato-Grossense	0.70	0.35	1.63	(-1.91–5.35)	Stable
Oeste Mato-Grossense	0.30	0.49	0.39	(-0.74–1.59)	Stable
Sudoeste Mato-Grossense	0.40	0.54	0.94	(-2.22–4.10)	Stable
Sul-Mato-Grossense	0.95	0.01	1.12	(0.28–1.97)	Growing
Teles Pires	1.43	0.04	1.93	(0.11–3.74)	Growing
Vale do Peixoto	0.79	0.14	1.34	(-0.49–3.17)	Stable
Vale dos Arinos	1.75	0.01	2.61	(1.10–4.70)	Growing
Mato Grosso	0.61	<0.01	0.81	(0.38–1.26)	Growing

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