0307/2024 - DISTRIBUIÇÃO ESPACIAL DA MORBIMORTALIDADE POR CÂNCER COLORRETAL NO BRASIL SPATIAL DISTRIBUTION OF MORBIMORTALITY FROM COLORECTAL CANCER IN BRAZIL
Analisar o padrão de distribuição espacial do diagnóstico em estádio avançado e da mortalidade por câncer colorretal (CCR) no Brasil e sua relação com indicadores populacionais socioeconômicos e de oferta de serviços de saúde. Estudo ecológico, realizado com casos de CCR, em indivíduos de ambos os sexos a partir das 133 Regiões Intermediárias de Articulação Urbana do território brasileiro no período de 2015 a 2019. Os dados de estadiamento, mortalidade, socioeconômico e oferta de serviços de saúde foram coletados em sistemas de informação. Foi realizada uma análise espacial utilizando o índice de Moran Global e Indicador Local de Associação Espacial. Na análise multivariada foram usados modelos com efeitos espaciais globais, o Spatial Error. A proporção de diagnóstico em estádio avançado de CCR para o sexo feminino foi de 64,7% e o masculino 65,9%. A taxa ajustada de mortalidade por CCR para o sexo feminino foi 11,25 e a masculina 14,29 por 100.00 habitantes. As taxas ajustadas de mortalidade por CCR foi associada ao índice de vulnerabilidade social, densidade de clínico geral, de coloproctologista e de serviços especializados em oncologia. As iniquidades sociais e na oferta dos serviços de saúde são preditores do padrão espacial para mortalidade por CCR.
Palavras-chave:
Mortalidade; Câncer de colón; Câncer de reto; Determinantes sociais da saúde; Análise Espacial.
Abstract:
To analyze the spatial distribution pattern of advanced-stage diagnosis and mortalitycolorectal cancer (CRC) in Brazil and its relationship with population socioeconomic and healthcare service indicators. Ecological study conducted with cases of colorectal cancer (CCR) in individuals of both sexesthe 133 Intermediate Regions of Urban Articulation in the Brazilian territory in the period2015 to 2019. Staging, mortality, socioeconomic, and healthcare service availability data were collectedinformation systems. A spatial analysis was performed using the Global Moran\'s Index and Local Indicator of Spatial Association. In the multivariate analysis, models with global spatial effects, the Spatial Error, were utilized. The proportion of advanced-stage diagnosis of colorectal cancer for females was 64.7%, and for males, it was 65.9%. The adjusted mortality rate for colorectal cancer was 11.25 for females and 14.29 for males per 100,000 inhabitants. The adjusted mortality rates for colorectal cancer were associated with the social vulnerability index, general practitioner density, colorectal specialist density, and specialized oncology services. Social inequities and disparities in healthcare service provision are predictors of the spatial pattern for colorectal cancer mortality.
Keywords:
Mortality; Colon cancer; Rectal cancer; Social determinants of health; Spatial analysis.
SPATIAL DISTRIBUTION OF MORBIMORTALITY FROM COLORECTAL CANCER IN BRAZIL
Resumo (abstract):
To analyze the spatial distribution pattern of advanced-stage diagnosis and mortalitycolorectal cancer (CRC) in Brazil and its relationship with population socioeconomic and healthcare service indicators. Ecological study conducted with cases of colorectal cancer (CCR) in individuals of both sexesthe 133 Intermediate Regions of Urban Articulation in the Brazilian territory in the period2015 to 2019. Staging, mortality, socioeconomic, and healthcare service availability data were collectedinformation systems. A spatial analysis was performed using the Global Moran\'s Index and Local Indicator of Spatial Association. In the multivariate analysis, models with global spatial effects, the Spatial Error, were utilized. The proportion of advanced-stage diagnosis of colorectal cancer for females was 64.7%, and for males, it was 65.9%. The adjusted mortality rate for colorectal cancer was 11.25 for females and 14.29 for males per 100,000 inhabitants. The adjusted mortality rates for colorectal cancer were associated with the social vulnerability index, general practitioner density, colorectal specialist density, and specialized oncology services. Social inequities and disparities in healthcare service provision are predictors of the spatial pattern for colorectal cancer mortality.
Palavras-chave (keywords):
Mortality; Colon cancer; Rectal cancer; Social determinants of health; Spatial analysis.
Dantas, A.A.G, Oliveira, N.P.D, Martins, L.F.L, Cancela, M.C, Souza, D.L.B. DISTRIBUIÇÃO ESPACIAL DA MORBIMORTALIDADE POR CÂNCER COLORRETAL NO BRASIL. Cien Saude Colet [periódico na internet] (2024/ago). [Citado em 05/12/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/distribuicao-espacial-da-morbimortalidade-por-cancer-colorretal-no-brasil/19355
