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Leukemia mortality in children from Latin America: trends and predictions to 2030
BACKGROUND: Reports suggest that Latin American and Caribbean (LAC) countries have not reduced leukemia mortality compared to high-income countries. However, updated trends remain largely unknown in the region. Given that leukemia is the leading cause of cancer-related death in LAC children, we eval...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648388/ https://www.ncbi.nlm.nih.gov/pubmed/33160309 http://dx.doi.org/10.1186/s12887-020-02408-y |
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author | Torres-Roman, J. Smith Valcarcel, Bryan Guerra-Canchari, Pedro Santos, Camila Alves Dos Barbosa, Isabelle Ribeiro La Vecchia, Carlo McGlynn, Katherine A. de Souza, Dyego Leandro Bezerra |
author_facet | Torres-Roman, J. Smith Valcarcel, Bryan Guerra-Canchari, Pedro Santos, Camila Alves Dos Barbosa, Isabelle Ribeiro La Vecchia, Carlo McGlynn, Katherine A. de Souza, Dyego Leandro Bezerra |
author_sort | Torres-Roman, J. Smith |
collection | PubMed |
description | BACKGROUND: Reports suggest that Latin American and Caribbean (LAC) countries have not reduced leukemia mortality compared to high-income countries. However, updated trends remain largely unknown in the region. Given that leukemia is the leading cause of cancer-related death in LAC children, we evaluated mortality trends in children (0-14y) from 15 LAC countries for the period 2000–2017 and predicted mortality to 2030. METHODS: We retrieved cancer mortality data using the World Health Organization Mortality Database. Mortality rates (standardized to the world standard SEGI population) were analyzed for 15 LAC countries. We evaluated the average mortality rates for the last 5 years (2013–2017). Joinpoint regression analysis was used to evaluate leukemia mortality trends and provide an estimated annual percent change (EAPC). Nordpred was utilized for the calculation of predictions until 2030. RESULTS: Between 2013 and 2017, the highest mortality rates were reported in Venezuela, Ecuador, Nicaragua, Mexico, and Peru. Upward mortality trends were reported in Nicaragua (EAPC by 2.9% in boys, and EAPC by 2.0% in girls), and Peru (EAPC by 1.4% in both sexes). Puerto Rico experienced large declines in mortality among both boys (EAPC by − 9.7%), and girls (EAPC by − 6.0%). Leukemia mortality will increase in Argentina, Ecuador, Guatemala, Panama, Peru, and Uruguay by 2030. CONCLUSION: Leukemia mortality is predicted to increase in some LAC countries by 2030. Interventions to prevent this outcome should be tailor to reduce the socioeconomic inequalities and ensure universal healthcare coverage. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-020-02408-y. |
format | Online Article Text |
id | pubmed-7648388 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-76483882020-11-09 Leukemia mortality in children from Latin America: trends and predictions to 2030 Torres-Roman, J. Smith Valcarcel, Bryan Guerra-Canchari, Pedro Santos, Camila Alves Dos Barbosa, Isabelle Ribeiro La Vecchia, Carlo McGlynn, Katherine A. de Souza, Dyego Leandro Bezerra BMC Pediatr Research Article BACKGROUND: Reports suggest that Latin American and Caribbean (LAC) countries have not reduced leukemia mortality compared to high-income countries. However, updated trends remain largely unknown in the region. Given that leukemia is the leading cause of cancer-related death in LAC children, we evaluated mortality trends in children (0-14y) from 15 LAC countries for the period 2000–2017 and predicted mortality to 2030. METHODS: We retrieved cancer mortality data using the World Health Organization Mortality Database. Mortality rates (standardized to the world standard SEGI population) were analyzed for 15 LAC countries. We evaluated the average mortality rates for the last 5 years (2013–2017). Joinpoint regression analysis was used to evaluate leukemia mortality trends and provide an estimated annual percent change (EAPC). Nordpred was utilized for the calculation of predictions until 2030. RESULTS: Between 2013 and 2017, the highest mortality rates were reported in Venezuela, Ecuador, Nicaragua, Mexico, and Peru. Upward mortality trends were reported in Nicaragua (EAPC by 2.9% in boys, and EAPC by 2.0% in girls), and Peru (EAPC by 1.4% in both sexes). Puerto Rico experienced large declines in mortality among both boys (EAPC by − 9.7%), and girls (EAPC by − 6.0%). Leukemia mortality will increase in Argentina, Ecuador, Guatemala, Panama, Peru, and Uruguay by 2030. CONCLUSION: Leukemia mortality is predicted to increase in some LAC countries by 2030. Interventions to prevent this outcome should be tailor to reduce the socioeconomic inequalities and ensure universal healthcare coverage. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-020-02408-y. BioMed Central 2020-11-07 /pmc/articles/PMC7648388/ /pubmed/33160309 http://dx.doi.org/10.1186/s12887-020-02408-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Torres-Roman, J. Smith Valcarcel, Bryan Guerra-Canchari, Pedro Santos, Camila Alves Dos Barbosa, Isabelle Ribeiro La Vecchia, Carlo McGlynn, Katherine A. de Souza, Dyego Leandro Bezerra Leukemia mortality in children from Latin America: trends and predictions to 2030 |
title | Leukemia mortality in children from Latin America: trends and predictions to 2030 |
title_full | Leukemia mortality in children from Latin America: trends and predictions to 2030 |
title_fullStr | Leukemia mortality in children from Latin America: trends and predictions to 2030 |
title_full_unstemmed | Leukemia mortality in children from Latin America: trends and predictions to 2030 |
title_short | Leukemia mortality in children from Latin America: trends and predictions to 2030 |
title_sort | leukemia mortality in children from latin america: trends and predictions to 2030 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648388/ https://www.ncbi.nlm.nih.gov/pubmed/33160309 http://dx.doi.org/10.1186/s12887-020-02408-y |
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