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Cervical cancer burden in Latin America and the Caribbean: Where are we?

Sophie Pilleron1, Citadel J Cabasag2, Jacques Ferlay2

  • 1Prevention and Implementation Group, Section of Early Detection and Prevention, International Agency for Research on Cancer, Lyon, France.

International Journal of Cancer
|March 10, 2020
PubMed

Insights

Cervical cancer incidence and mortality rates in Latin America and the Caribbean are decreasing, but remain above the elimination threshold. Continued political and economic commitment is crucial for achieving cervical cancer elimination.

Area of Science:

  • Oncology
  • Public Health
  • Epidemiology

Background:

  • The World Health Organization (WHO) initiated a global strategy for cervical cancer elimination in May 2018.
  • Cervical cancer remains a significant public health challenge in the Latin America and Caribbean (LAC) region.

Purpose of the Study:

  • To monitor progress towards cervical cancer elimination in the LAC region.
  • To analyze cervical cancer incidence and mortality trends from 2008 to 2018.

Main Methods:

  • Utilized GLOBOCAN 2018, Cancer Incidence in Five Continents Series, and WHO Mortality Database.
  • Estimated 2018 cervical cancer incidence and mortality rates (age-standardized rates - ASRs).
  • Analyzed trends and calculated average annual percentage change over 10 years for various age groups.

Main Results:

  • In 2018, an estimated 56,000 new cervical cancer cases and 28,000 deaths occurred in the LAC region.
  • Cervical cancer incidence and mortality rates showed a decreasing trend over the past decade.
  • Rates in most LAC countries/territories exceed the 4 per 100,000 elimination threshold.

Conclusions:

  • While trends are encouraging, substantial political and economic commitment is needed to achieve cervical cancer elimination in LAC.
  • Population-based cancer registries are essential for effective monitoring of the elimination initiative.

Keywords:
Latin America and the Caribbeancancer registrycervical cancerepidemiologyincidencemortality

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