Análisis espacial del diagnóstico tardío vs. mortalidad: una herramienta para apoyar estudios epidemiológicos sobre el cáncer. Villa Clara. Cuba 2004-2009
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Fecha
2012
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Población y Salud en Mesoamérica, Volumen 9, número 2 (enero-junio 2012)
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1-20
Resumen
Fundamento: la tasa de mortalidad por cáncer en Villa Clara, al cierre del 2009, se mantuvo por encimade la media nacional, con ocurrencia significativa de mayor número de casos con diagnóstico tardío en fallecidos que en los sobrevivientes al período de estudio. Objetivo: mostrar las potencialidades del análisis espacio-temporal para identificar conglomerados espaciales y/o espacio-temporales que nos permitan el análisis del diagnóstico tardío como variable explicativa de la mortalidad, de las cinco localizaciones de cánceres bajo programa en la provincia. Métodos: estudio observacional descriptivo, focalizado en la detección de conglomerados espaciales y espacio-temporales del diagnostico tardío del cáncer en Villa Clara, utilizando una técnica estadística de exploración espacio-temporal (SaTScan v7.0.1.), la muestra abarcó la totalidad de pacientes diagnosticados durante el año 2004, y de estos, los fallecidos hasta el cierre del año 2009. Resultados: reveló la presencia de conglomerados significativos tanto espaciales como espacio-temporales, de las áreas de mayor riesgo de diagnóstico indeterminado. Conclusiones: demostró ser una buena herramienta para el análisis del diagnóstico tardío del cáncer, y permitió la generación de hipótesis sobre posibles determinantes que ayuden a orientar nuevas investigaciones.
Foundation: the death rate for cancer in Villa Clara, to the closing of the 2009, stayed above the national stocking, with significant occurrence of more number of cases with late diagnosis in deceases that in the survivors to the period of study. Objective: to show the potentialities of the space-temporal analysis to identify space conglomerates and/or space-temporal that allow us the analysis of the late diagnosis as explanatory variable of the mortality, of the five localizations of cancers under it programs in the county. Methods: an observational descriptive study, focused in the detection of space conglomerates and space-temporal of the late diagnosis of cancer in Villa Clara, using a statistical technique of space-temporary exploration, the sample embraced the entirety of patients diagnosed during the year 2004, to those that were carried out pursuit in the 5 serial years to the diagnosis, until the closing of the year 2009. Results: it revealed the presence of significant conglomerates so much space as space-temporal, of the areas of more risk of diagnostic uncertain. Summations: it demonstrated to be a good tool for the analysis of the late diagnosis of the cancer, and it allowed the hypothesis generation on possible decisive that help to guide new investigations.
Foundation: the death rate for cancer in Villa Clara, to the closing of the 2009, stayed above the national stocking, with significant occurrence of more number of cases with late diagnosis in deceases that in the survivors to the period of study. Objective: to show the potentialities of the space-temporal analysis to identify space conglomerates and/or space-temporal that allow us the analysis of the late diagnosis as explanatory variable of the mortality, of the five localizations of cancers under it programs in the county. Methods: an observational descriptive study, focused in the detection of space conglomerates and space-temporal of the late diagnosis of cancer in Villa Clara, using a statistical technique of space-temporary exploration, the sample embraced the entirety of patients diagnosed during the year 2004, to those that were carried out pursuit in the 5 serial years to the diagnosis, until the closing of the year 2009. Results: it revealed the presence of significant conglomerates so much space as space-temporal, of the areas of more risk of diagnostic uncertain. Summations: it demonstrated to be a good tool for the analysis of the late diagnosis of the cancer, and it allowed the hypothesis generation on possible decisive that help to guide new investigations.
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CANCER, ENFERMEDADES, MORTALIDAD, CUBA