Trend of Cervical Cancer Mortality in Colombia From 1998 to 2022
Author(s)
MARIA CARRASQUILLA SOTOMAYOR, BEc, MSc1, Josefina Zakzuk, DrPH2, Nelson Rafael Alvis Zakzuk, Jr., MBA1, Nelson Alvis-Guzman, MPH, PhD, MD3.
1ALZAK FOUNDATION, Cartagena, Colombia, 2Universidad de Cartagena, Cartagena, Colombia, 3Professor, Universidad de Cartagena - Universidad de la Costa, Cartagena, Colombia.
1ALZAK FOUNDATION, Cartagena, Colombia, 2Universidad de Cartagena, Cartagena, Colombia, 3Professor, Universidad de Cartagena - Universidad de la Costa, Cartagena, Colombia.
OBJECTIVES: to estimate trends of Cervical Cancer (CC) mortality in Colombia from 1998 to 2022.
METHODS: Data of CC deaths (codes: C53, C530, C531, C538, C539, and C55) and population projections were obtained from the National Administrative Department of Statistics. Crude mortality rates (CMR) per 100,000 people were estimated by sex and year. Trends of CMR were analyzed by Joinpoint regression (JPR) to determine inflection points for temporal analysis. Annual Percent Change (APC).
RESULTS: 49,628 CC deaths were recorded from 1998 to 2022. The annual mean number of deaths during this period was 1,985 (SD±128; 95%CI 307 - 432). The annual mean of CMR for all ages was 8.84 (SD±0.80; 95%CI 8.52 - 9.15) per 100,000 persons. For those aged 20 to 49 years, the CMR was 6.16 (SD±0.94; 95%CI 5.79 - 6.52) and for those aged 50 years and older, 31.02 (SD±7.82; 95%CI 27.96 - 34.08). CMR decreased significantly during the period 1998-2022 [APC: -0.9(95%CI -1.6; -0.3)]; in 20 to 49 years: -1.6(95%CI -2.8; -0.4) in 50 and plus years: -3.2(95%CI -3.8; -2.6). One joinpoint resulting in periods with different APC in CMR was observed: 1998-2013: -1.9(95%CI: -9.9 to -1.2); 2013-2022: 1.0 (95%CI: -0.6 to 9.2). For 20 to 49 APCs were: [1998-2013: 2.9 (95%CI: -18.1 to 6.9); 2013-2022: 1.3 (95%CI: -9.4 to 19.5)]. For 50 years and older, the APCs were: [1998-2012: -4.2 (95% CI: -9.2 to -3.4); 2012-2022: -1.4 (95% CI: -2.7 to 4.9)]. The CMR ratios (50+/20-49) for 1990 and 2022 were 6.3 and 4.0, respectively.
CONCLUSIONS: The trend in mortality from CC decreased significantly over the period. However, the CMR in those aged 50+ years decreased twice as much as in those aged 20-49 years.
METHODS: Data of CC deaths (codes: C53, C530, C531, C538, C539, and C55) and population projections were obtained from the National Administrative Department of Statistics. Crude mortality rates (CMR) per 100,000 people were estimated by sex and year. Trends of CMR were analyzed by Joinpoint regression (JPR) to determine inflection points for temporal analysis. Annual Percent Change (APC).
RESULTS: 49,628 CC deaths were recorded from 1998 to 2022. The annual mean number of deaths during this period was 1,985 (SD±128; 95%CI 307 - 432). The annual mean of CMR for all ages was 8.84 (SD±0.80; 95%CI 8.52 - 9.15) per 100,000 persons. For those aged 20 to 49 years, the CMR was 6.16 (SD±0.94; 95%CI 5.79 - 6.52) and for those aged 50 years and older, 31.02 (SD±7.82; 95%CI 27.96 - 34.08). CMR decreased significantly during the period 1998-2022 [APC: -0.9(95%CI -1.6; -0.3)]; in 20 to 49 years: -1.6(95%CI -2.8; -0.4) in 50 and plus years: -3.2(95%CI -3.8; -2.6). One joinpoint resulting in periods with different APC in CMR was observed: 1998-2013: -1.9(95%CI: -9.9 to -1.2); 2013-2022: 1.0 (95%CI: -0.6 to 9.2). For 20 to 49 APCs were: [1998-2013: 2.9 (95%CI: -18.1 to 6.9); 2013-2022: 1.3 (95%CI: -9.4 to 19.5)]. For 50 years and older, the APCs were: [1998-2012: -4.2 (95% CI: -9.2 to -3.4); 2012-2022: -1.4 (95% CI: -2.7 to 4.9)]. The CMR ratios (50+/20-49) for 1990 and 2022 were 6.3 and 4.0, respectively.
CONCLUSIONS: The trend in mortality from CC decreased significantly over the period. However, the CMR in those aged 50+ years decreased twice as much as in those aged 20-49 years.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
EPH106
Topic
Epidemiology & Public Health
Topic Subcategory
Public Health
Disease
SDC: Oncology, SDC: Reproductive & Sexual Health