Cancer mortality in the elderly in Costa Rica
DOI:
https://doi.org/10.51481/amc.v47i1.173Keywords:
Mortalidad, cáncer, adulto mayorAbstract
Objective:Cancer mortality analysis in elderlys is still animportant tool to identify associated risk factors. The goalof the present study is the analysis of mortality due to can-cer in older adults during the year 2002 in Costa Rica.
Methods:This was a descriptive, cross-sectional study.The source of information was the database kept by theCPP-INEC. It was made available to us by the referencecenters of the same institutions.
The variables studied were:age, sex and place of resi-dence of each deceased person. Besides, the anatomicallocation of the tumors was based on the InternationalClassification of Diseases (I.C.D.-10). Through a directadjustment of rates, we analyzed the mortality by region.
Results:During the year 2002, 3,167 cancer deaths wereregistered in Costa Rica. Of these, 1,960 (61.8%) happenedin people older than age 65. 58.2% (n= 1,141) were amongmales and 41.8% (n=819) among females.
Prostate cancer showed the highest mortality rate. By calcu-lating the province-adjusted mortality rates, the province ofCartago showed the highest rates.
Discussion:61.8% of all the deaths due to cancer in CostaRica occurred in the elderly adult population. This result isimportant if we consider the cost which the attention of thistype of patient represents for the health services.
The risk of death due to cancer is considerably greater after65 years of age. Therefore, the reduction of mortality mustbe achieved by means of preventive programs of lower costand which must be developed at younger ages.
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References
Organización Panamericana de la Salud. La salud de las personasadultas mayores: un cambio de paradigma. Resolución CSP25.R12de la 25° Conferencia Sanitaria Panamericana. Washington: OPS;1998. pp. 4-7.
Organización Panamericana de la Salud. La salud y el envejecimien-to. Resolución CE130.R15 de la 130° Sesión del Comité Ejecutivode la OPS. Washington: OPS; 2002. pp. 3-4
Puig J, Adell M, Prat A, Oromí J. Envejecimiento de la poblacióncomo problema sanitario. Med Integral 2000; 36: 190-198.
Regidor E, Domínguez V, Calle M, Navarro P. Circunstancias socioe-conómicas y mortalidad prematura por enfermedades crónicas. MedClin 2003; 120: 201-206.
Mazza A, Casiglia E, Scarpa R, Tikhonoff V, Pizziol A, Sica E. et al.Predictors of cáncer mortality in elderly subjects. Eur J Epidemiol1999, 15: 421-427.
Levi F, Lucchini F, La Vecchia C, Negri E. Trends in mortality fromcáncer in tha European Union. Lancet 1999; 354:508-509.
Fernández E, Borrás J, Levi F, Schiaffino A, García M, La Vecchia C.Mortalidad por cáncer en España, 1995-1994. Med Clin 2000;114:449-451.
Yancik R. Cancer burden in the aged. Cancer 1997; 80: 1273-1283.
Alcántara A, Amancio O, González A, Hernández M, Carrillo H.Mortalidad en pacientes geriátricos del Hospital General de México.Rev Salud Pública Mex 1993; 35:368-375.
Balducci L. Geriatric oncology: challenges for the new century. EurJ Cancer 2000; 36:1741-1754.
Repetto L, Venturino A, Fratino L, Serraino D, Troisi G, Gianni W. etal. Geriatric oncology: a clinical approach to the older patient withcancer. Eur J Cancer 2003; 39:870-880.
Yancik R, Ganz P, Varricchio C, Conley B. Perspectives on comorbid-ity and cancer in older patients: Approaches to expand the knowledgebase. J Clin Oncol 2001; 19: 1147-1151.
Ministerio de Salud. Memoria Anual 2002. San José: Ministerio deSalud; 2003. pp. 3-14
Organización Panamericana de la Salud. La salud de las personasadultas mayores en Costa Rica. San José: OPS, 2004. pp. 23-26.
Yancik R, Ries L. Cancer in older persons. Cancer 1994; 74: 1995-2003.
Extermenn M. Measuring comorbidity in older cancer patients. EurJ Cancer 2000; 36: 453-471.
Yancik R, Kessler L, Yates J. The elderly population. Opportunitiesfor cancer prevention and detection. Cancer 1988; 62:1823-1828.
Byrne A, Carney D. Cancer in the elderly. Curr Probl Cancer 1993;17: 149-156.
Departamento de Naciones Unidas sobre el Envejecimiento,Asociación Internacional de Gerontología. Programa de investi-gación sobre el envejecimiento para el siglo XXI. Rev Esp GeriatrGerontol 2002; 37: 57-64.
Organización Panamericana de la Salud. Clasificación estadísticainternacional de enfermedades y problemas relacionados con la salud,10ª revisión. Washington, DC: OPS, 1995. pp. 171-210.
Halbert R, Zaher C, Wade S, Malin J, Lawless G, Dubois R.Outpatients cancer drug costs. Changes, drivers and the future.Cancer 2002; 94:1142-1150.
Cullinane C, Borneman T, Smith D, Chu D, Ferrell B, Wagman L.The surgical treatment of cancer. A comparison of resource utiliza-tion following procedures performed with curative and palliativeintent. Cancer 2003; 98: 2266-2273.
Ripoll M. Mortalidad evitable por cáncer en España. ¿Podemos evi-tarla? SEMERGEN 2001; 27:337-338.
Levi F, La Vecchia C, Lucchini F, Negri E. Woldwide trends incáncer mortality in the elderly, 1955-1992. Eur J Cancer 1996; 32:652-672.
Rijke J, Schouten L, Hilen H, Kiemeney L. Cancer in the very eld-erly Dutch population. Cancer 2000; 89: 1121-1233.
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