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Trends and geographic pattern of stomach cancer mortality in Peru

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dc.contributor.author Ruiz, Eloy F.
dc.contributor.author Torres-Roman, J. Smith
dc.contributor.author Servan, Sebastian A.
dc.contributor.author Martinez-Herrera, Jose F.
dc.contributor.author Arce-Huamani, Miguel A.
dc.contributor.author Carioli, Greta
dc.contributor.author La Vecchia, Carlo
dc.date.accessioned 2019-03-05T15:23:26Z
dc.date.available 2019-03-05T15:23:26Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/5872
dc.description.abstract Background: Stomach cancer mortality rates in South America are among the highest in the world. In Peru, stomach cancer has the highest absolute number of cancer deaths in both sexes combined. We estimated mortality rates for stomach cancer in Peru by sex and geographical region between 2008 and 2015. Methods: We obtained death data for stomach cancer from the Peruvian Ministry of Health database. We estimated the age-standardized mortality rate (ASMR) per 100,000 persons using the direct method and the world standard population. Results: A total of 25,020 deaths from stomach cancer were identified in the study period. At national level, stomach cancer mortality rates (per 100,000 population) for men ranged from 9.8 in 2008 to 8.8 in 2015 with a percent change of −16%, and for women from 8.8 in 2008 to 7.7 in 2015 with a percent change of −16.8%. The highlands had the highest mortality rates overall, mainly in Huancavelica and Huánuco. The rainforest had the lowest rates and the highest decline in stomach cancer ASMRs. The coast displayed intermediate rates overall. Conclusions: Within the study period, mortality rates from stomach cancer in Peru declined by 16%. The highlands had the highest mortality rates as compared to those from the coast or rainforest region. These geographical differences in mortality could reflect a different distribution in stomach cancer risk factors as the prevalence of H. pylori, poor dietary habits, low socioeconomic background of the Andean population and the lack of a decentralized health system. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Cancer Epidemiology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Article en_US
dc.subject cancer incidence en_US
dc.subject cancer mortality en_US
dc.subject cancer registry en_US
dc.subject controlled study en_US
dc.subject female en_US
dc.subject geographic distribution en_US
dc.subject groups by age en_US
dc.subject human en_US
dc.subject major clinical study en_US
dc.subject male en_US
dc.subject Mortality en_US
dc.subject mortality rate en_US
dc.subject Peru en_US
dc.subject prevalence en_US
dc.subject priority journal en_US
dc.subject rain forest en_US
dc.subject risk factor en_US
dc.subject sex difference en_US
dc.subject stomach cancer en_US
dc.subject Stomach neoplasm en_US
dc.title Trends and geographic pattern of stomach cancer mortality in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.canep.2018.10.018
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.09
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.21
dc.relation.issn 1877-783X

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