Abstract: SA-PO202
Mortality Rates and Geographic Distribution of Kidney Cancer in Peru
Session Information
- Onco-Nephrology: Clinical
November 09, 2019 | Location: Exhibit Hall, Walter E. Washington Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Onco-Nephrology
- 1500 Onco-Nephrology
Authors
- Vasquez-Rios, George, Saint Louis University School of Medicine, Saint Louis, Missouri, United States
- Torres-Roman, Junior Smith, Universidad Nacional San Luis Gonzaga, Ica, Peru
- La vecchia, Carlo, Università degli Studi di Milano, Saint Louis, Missouri, United States
- Neyra, Javier A., University of Kentucky Medical Center, Lexington, Kentucky, United States
Background
Recent data showed decreasing prevalence rates of kidney cancer in the world. However, the epidemiology of kidney cancer in South America remains poorly explored. This study aims to illustrate the case of Peru.
Methods
Secondary data analysis from the Deceased Registry of the Peruvian Ministry of Health (PMH) database (2010 – 2015), which included reports from health care facilities located in 24 provinces, grouped into 3 regions: coast, highlands, and rainforest. Code 189 was used to identify deaths from kidney cancer based on ICD 9th Revision. Deaths were classified according to the birthplace. Calculations were made assuming an underreporting rate of 40%, as estimated by the PMH. We computed age-standardized mortality rates (ASMR, world population) per 100,000 person-year. Cluster map was developed to visualize data across regions.
Results
A total of 2074 kidney cancer deaths in Peru were identified. ASMR (per 100,000 individuals) due to kidney cancer increased in men by 15.3%: from 1.30 (2010-2012) to 1.50 (2013-2015). Similarly, ASMR (per 100,000 individuals) increased among women by 22.6%: from 0.70 (2010-2012) to 0.86 (2013-2015). When stratified by regions, people in the coast had the highest ASMR, in both men (1.83 - 1.99 per 100,000 individuals) and women (0.94 - 1.14 per 100,000 individuals); mainly in the provinces of Lima and Tacna. In contrast, people in the rainforest had the lowest ASMR.
Conclusion
Mortality rates due to kidney cancer have increased in Peru. People from the coast had the highest mortality rates, particularly in Lima and Tacna. The lack of healthcare access for early detection and limited coverage for treatment may play a role in the observed kidney cancer-related mortality rates in Peru. Further studies are warranted to identify modifiable epidemiological risk factors associated with kidney cancer in this country and region.
Provincial, regional and national age-standardized kidney cancer mortality rates per 100,000 in men and women in 2010–2012 and 2012–2015, and rate percentage change
| Gender | Men | Women | ||||
| 2010-2012 | 2013-2015 | %change | 2010-2012 | 2013-2015 | %change | |
| Peru | 1.30 | 1.50 | 15.3 | 0.70 | 0.86 | 22.6 |
| Coast | 1.83 | 1.99 | 8.80 | 0.94 | 1.14 | 21.2 |
| Highlands | 0.47 | 0.48 | 1.60 | 0.34 | 0.28 | -18.2 |
| Rainforest | 0.20 | 0.28 | 39.3 | 0.23 | 0.15 | -32.8 |