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Published on: March 14, 2014
Prostate cancer mortality rates in Peru and its geographical regions
Junior Smith Torres-Roman1,2, Eloy F Ruiz3, Jose Fabian Martinez-Herrera4
1Clinica de Urologia Avanzada UROZEN, Lima, Peru.
Objective:
To evaluate the mortality rates for prostate cancer according to geographical areas in Peru between 2005 and 2014.
Materials And Methods:
Information was extracted from the Deceased Registry of the Peruvian Ministry of Health. We analysed age-standardised mortality rates (world population) per 100 000 men. Spatial autocorrelation was determined according to the Moran Index. In addition, we used Cluster Map to explore relations between regions.
Results:
Mortality rates increased from 20.9 (2005-2009) to 24.1 (2010-2014) per 100 000 men, an increase of 15.2%. According to regions, during the period 2010-2014, the coast had the highest mortality rate (28.9 per 100 000), whilst the rainforest had the lowest (7.43 per 100 000). In addition, there was an increase in mortality in the coast and a decline in the rainforest over the period 2005-2014. The provinces with the highest mortality were Piura, Lambayeque, La Libertad, Callao, Lima, Ica, and Arequipa. Moreover, these provinces (except Arequipa) showed increasing trends during the years under study. The provinces with the lowest observed prostate cancer mortality rates were Loreto, Ucayali, and Madre de Dios. This study showed positive spatial autocorrelation (Moran's I: 0.30, P = 0.01).
Conclusion:
Mortality rates from prostate cancer in Peru continue to increase. These rates are higher in the coastal region compared to those in the highlands or rainforest.
Insights
Prostate cancer mortality in Peru is increasing, particularly on the coast. Rates are highest in coastal provinces like Piura and lowest in the rainforest region.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Prostate cancer is a significant health concern globally.
- Understanding geographical variations in mortality is crucial for targeted interventions.
Purpose of the Study:
- To evaluate prostate cancer mortality rates across different geographical areas in Peru.
- To analyze trends and spatial patterns of prostate cancer deaths between 2005 and 2014.
Main Methods:
- Analysis of age-standardized mortality rates per 100,000 men using data from the Peruvian Ministry of Health's Deceased Registry.
- Determination of spatial autocorrelation using the Moran Index.
- Exploration of regional relationships using Cluster Map.
Main Results:
- Overall prostate cancer mortality increased by 15.2% from 2005-2009 to 2010-2014.
- The coast exhibited the highest mortality rates (28.9 per 100,000) in 2010-2014, while the rainforest had the lowest (7.43 per 100,000).
- Provinces such as Piura, Lambayeque, and Lima showed increasing mortality trends, with positive spatial autocorrelation detected (Moran's I: 0.30, P = 0.01).
Conclusions:
- Prostate cancer mortality rates in Peru are on the rise.
- Significant geographical disparities exist, with higher mortality concentrated in coastal regions compared to the rainforest.
- Findings highlight the need for region-specific public health strategies to address prostate cancer mortality in Peru.
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