Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil

The high incidence and mortality rates make lung cancer a global public health issue. Socioeconomic conditions and the provision of health services may be associated with this reality. This study investigates the spatial distribution of advanced-stage diagnosis and mortality due to lung cancer and i...

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Principais autores:	Souza, Dyego Leandro Bezerra de, Lima, Kalya Yasmine Nunes de, Cancela, Marianna de Camargo
Outros Autores:	https://orcid.org/0000-0001-8426-3120
Formato:	article
Idioma:	English
Publicado em:	Plos One
Assuntos:	lung cancer mortality due to lung cancer healthcare services supply
Endereço do item:	https://repositorio.ufrn.br/handle/123456789/54659 https://doi.org/10.1371/journal.pone.0265321
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spelling	ri-123456789-546592023-09-01T17:23:01Z Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil Souza, Dyego Leandro Bezerra de Lima, Kalya Yasmine Nunes de Cancela, Marianna de Camargo https://orcid.org/0000-0001-8426-3120 lung cancer mortality due to lung cancer healthcare services supply The high incidence and mortality rates make lung cancer a global public health issue. Socioeconomic conditions and the provision of health services may be associated with this reality. This study investigates the spatial distribution of advanced-stage diagnosis and mortality due to lung cancer and its association with the healthcare services supply and demographic and socioeconomic indicators in Brazil. This is an ecological study with 161 Intermediate Regions of Urban Articulation. Mortality data were extracted from the Mortality Information System, and the cases of lung cancer were obtained from the Integrator of Hospital-Based Cancer Registries from 2011 to 2015. Analyses employed Moran’s I, local indicators of spatial association, and the multivariable model. The proportion of advanced-stage diagnosis was 85.28% (95% CI 83.31–87.10) and was positively associated with the aging rate (Moran’s I 0.11; p = 0.02), per capita income (Moran’s I 0.05; p = 0.01) and negatively associated with Gini Index (Moran’s I -0.16; p = 0.01). The mean age-adjusted mortality rates was 12.82 deaths/100,000 inhabitants (SD 5.12). The age-adjusted mortality rates for lung cancer presented a positive and statistically significant spatial association with all demographic, socioeconomic and healthcare services supply indicators, except for the "density of family health teams" (Moran’s I -0.02 p = 0.28). The multivariable model for the mortality rates was constituted by the variables “Density of facilities licensed in oncology”, “Per capita income”, and “Health plan coverage”. The per capita income presented positive association and health plan coverage negative association with age-adjusted mortality rates. Both associations were statistically significant. The variable density of facilities licensed in oncology showed no significant association with age-adjusted mortality rates. There is a high proportion of advanced-stage diagnosis across the Brazilian territory and inequalities in lung cancer mortality, which are correlated with the most developed areas of the country 2023-09-01T17:23:00Z 2023-09-01T17:23:00Z 2022 article SOUZA, Dyego Leandro Bezerra de; LIMA, Kálya Yasmine Nunes de; CANCELA, Marianna de Camargo. Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil. Plos One, [S.L.], v. 17, n. 3, p. 0265321, 18 mar. 2022. Public Library of Science (PLoS). http://dx.doi.org/10.1371/journal.pone.0265321. Disponível em: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0265321#sec008. Acesso em: 31 ago. 2023. e1932-6203 https://repositorio.ufrn.br/handle/123456789/54659 https://doi.org/10.1371/journal.pone.0265321 en Attribution 3.0 Brazil http://creativecommons.org/licenses/by/3.0/br/ application/pdf Plos One
institution	Repositório Institucional
collection	RI - UFRN
language	English
topic	lung cancer mortality due to lung cancer healthcare services supply
spellingShingle	lung cancer mortality due to lung cancer healthcare services supply Souza, Dyego Leandro Bezerra de Lima, Kalya Yasmine Nunes de Cancela, Marianna de Camargo Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil
description	The high incidence and mortality rates make lung cancer a global public health issue. Socioeconomic conditions and the provision of health services may be associated with this reality. This study investigates the spatial distribution of advanced-stage diagnosis and mortality due to lung cancer and its association with the healthcare services supply and demographic and socioeconomic indicators in Brazil. This is an ecological study with 161 Intermediate Regions of Urban Articulation. Mortality data were extracted from the Mortality Information System, and the cases of lung cancer were obtained from the Integrator of Hospital-Based Cancer Registries from 2011 to 2015. Analyses employed Moran’s I, local indicators of spatial association, and the multivariable model. The proportion of advanced-stage diagnosis was 85.28% (95% CI 83.31–87.10) and was positively associated with the aging rate (Moran’s I 0.11; p = 0.02), per capita income (Moran’s I 0.05; p = 0.01) and negatively associated with Gini Index (Moran’s I -0.16; p = 0.01). The mean age-adjusted mortality rates was 12.82 deaths/100,000 inhabitants (SD 5.12). The age-adjusted mortality rates for lung cancer presented a positive and statistically significant spatial association with all demographic, socioeconomic and healthcare services supply indicators, except for the "density of family health teams" (Moran’s I -0.02 p = 0.28). The multivariable model for the mortality rates was constituted by the variables “Density of facilities licensed in oncology”, “Per capita income”, and “Health plan coverage”. The per capita income presented positive association and health plan coverage negative association with age-adjusted mortality rates. Both associations were statistically significant. The variable density of facilities licensed in oncology showed no significant association with age-adjusted mortality rates. There is a high proportion of advanced-stage diagnosis across the Brazilian territory and inequalities in lung cancer mortality, which are correlated with the most developed areas of the country
author2	https://orcid.org/0000-0001-8426-3120
author_facet	https://orcid.org/0000-0001-8426-3120 Souza, Dyego Leandro Bezerra de Lima, Kalya Yasmine Nunes de Cancela, Marianna de Camargo
format	article
author	Souza, Dyego Leandro Bezerra de Lima, Kalya Yasmine Nunes de Cancela, Marianna de Camargo
author_sort	Souza, Dyego Leandro Bezerra de
title	Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil
title_short	Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil
title_full	Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil
title_fullStr	Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil
title_full_unstemmed	Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil
title_sort	spatial assessment of advanced-stage diagnosis and lung cancer mortality in brazil
publisher	Plos One
publishDate	2023
url	https://repositorio.ufrn.br/handle/123456789/54659 https://doi.org/10.1371/journal.pone.0265321
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Spatial assessment of advanced-stage diagnosis and lung cancer mortality in Brazil

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