Trends in digestive cancer mortality, Cuba 1987-2008.
BACKGROUND
Gastrointestinal malignancies are among the most common cancers suffered by Cubans. The purpose of our study is to analyse the evolution of digestive cancer mortality in Cuba.


METHODS
Mortality data for this study were obtained from the National Medical Records and Health Statistic Bureau. Trends (1987-2008) in age-standardized cancer mortality were described using joinpoint regression.


RESULTS
In the data set of digestive cancer mortality, in the period 1987-2008, colorectal/anal cancer was the most frequent cause of cancer mortality in males and females. In men, a rise in mortality was observed for cancer of the oesophagus between 2001 and 2008, and pancreatic cancer showed a slight mortality rise for the period 1987-2008. In women, colorectal/anal cancer increased from 1989 to 2001. A mortality increase was observed for oesophageal cancer in the period 2005-08. The result of the joinpoint analysis for the age group of 35-64 years was consistent with those for overall mortality.


CONCLUSIONS
The trend in mortality from digestive cancer in Cuba shows differences depending on sex, age and type of tumour. The Cuban health system has seen improvements in diagnostic systems, which has contributed even better diagnoses of digestive diseases.
Department of Biostatistics, National Institute of Gastroenterology, Havana, Cuba. mabreuv@yahoo.com
Maria R
MR
Abreu
Eduardo
E
Vilar
Enrique R
ER
Arús
Jose M
JM
Mejia
Yadina
Y
Martínez
Ali A
AA
Yasells
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000401:mortality; D016001:Confidence Intervals; D017281:Cost of Illness; D003462:Cuba / Q000453:epidemiology; D003644:Death Certificates; D004067:Digestive System Neoplasms / Q000401:mortality*; D004938:Esophageal Neoplasms / Q000401:mortality; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D010190:Pancreatic Neoplasms / Q000401:mortality; D011159:Population Surveillance; D012307:Risk Factors; D017678:Sex Distribution