Stomach cancer incidence and mortality in Greater Cuiabá, Mato Grosso, Brazil, 2000-2016

Abstract

ABSTRACT: Objective: To analyze the incidence and mortality trend of stomach cancer in the Greater Cuiabá, in the state of Mato Grosso, Brazil, from 2000 to 2016. Methods: The incidence information was obtained from the Population-Based Cancer Registry, and the mortality information from the Mortality Information System. Crude and standardized rates were calculated using the direct method, with the world population as reference. The trends were estimated using the Joinpoint regression method, according to sex and age group, and evaluated through the Annual Percent Change (APC) and the Average Annual Percent Change (AAPC). The Joinpoint Regression Program software, version 4.9.0.0, was used. Results: There was a decreasing incidence trend of stomach cancer in males (AAPC=-5.2; 95% confidence interval — 95%CI −7.7–-2.6), in men aged 60 to 69 years (AAPC=-3.7; 95%CI −5.6–-1.8) and in 70-79 years (AAPC=-3.7; 95%CI −5.6–-1.8), as well as in women aged 50 to 59 years (AAPC=-5.2; 95%CI −7.8–-2.6) and 80 years or older (AAPC=-5.2; 95%IC −7.8–-2.6). The mortality initially increased in women aged 60-69 years (AAPC=28.4; 95%CI 9.7–50.4), decreased for 80 years or older (AAPC=-26.4; 95%CI −38.0–-12.6) and stable for the other age groups and males. Conclusion: A decreasing incidence trend of stomach cancer was found among men and, when analyzed by age, among elderly males and adults and elderly females, as well as a stability in the mortality, with an initial variation in elderly women. The production of regional information supports the planning of local policies aimed at reducing the burden of disease and deaths, considering unequal risk conditions and access to health services.