Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/197260 |
Resumo: | OBJECTIVE To analyze the impact of the covid-19 pandemic on mortality from cancer and cardiovascular diseases (CVD) as underlying cause and comorbidity in Brazil and Brazilian regions in 2020. METHODS We used the 2019 and 2020 databases of the Mortality Information System (SIM) to analyze deaths occurring between March and December of each year that had cancer or CVD as the underlying cause or comorbidity. Deaths from covid-19 in 2020 were also analyzed. To estimate the Standardized Mortality Ratio (SMR) and the excess of deaths, 2019 data were considered as standard. RESULTS Between March and December 2020, there were 181,377 deaths from cancer and 291,375 deaths from cardiovascular diseases in Brazil, indicating reduction rates of 9.7% and 8.8%, respectively, compared to the same period of the previous year. The pattern was maintained in the five Brazilian regions, with lower variation for cancer (-8.4% in the South to -10.9% in the Midwest). For CVD, the variation was greater, from -2.2% in the North to -10.5 in the Southeast and South. In the same period of 2020, these diseases were classified as comorbidities in 18,133 deaths from cancer and 188,204 deaths from cardiovascular diseases, indicating a proportional excess compared to data from 2019, of 82.1% and 77.9%, respectively. This excess was most significant in the Northern Region, with a ratio of 2.5 between observed and expected deaths for the two conditions studied. CONCLUSIONS Excess deaths from cancer and CVD as comorbidities in 2020 may indicate that covid-19 had an important impact among patients with these conditions. |
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Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovascularesCovid-19 in Brazil in 2020: impact on deaths from cancer and cardiovascular diseasesCOVID-19Cardiovascular DiseasesNeoplasmsComorbidityMortalityCovid-19Doenças CardiovascularesNeoplasiasComorbidadeMortalidadeOBJECTIVE To analyze the impact of the covid-19 pandemic on mortality from cancer and cardiovascular diseases (CVD) as underlying cause and comorbidity in Brazil and Brazilian regions in 2020. METHODS We used the 2019 and 2020 databases of the Mortality Information System (SIM) to analyze deaths occurring between March and December of each year that had cancer or CVD as the underlying cause or comorbidity. Deaths from covid-19 in 2020 were also analyzed. To estimate the Standardized Mortality Ratio (SMR) and the excess of deaths, 2019 data were considered as standard. RESULTS Between March and December 2020, there were 181,377 deaths from cancer and 291,375 deaths from cardiovascular diseases in Brazil, indicating reduction rates of 9.7% and 8.8%, respectively, compared to the same period of the previous year. The pattern was maintained in the five Brazilian regions, with lower variation for cancer (-8.4% in the South to -10.9% in the Midwest). For CVD, the variation was greater, from -2.2% in the North to -10.5 in the Southeast and South. In the same period of 2020, these diseases were classified as comorbidities in 18,133 deaths from cancer and 188,204 deaths from cardiovascular diseases, indicating a proportional excess compared to data from 2019, of 82.1% and 77.9%, respectively. This excess was most significant in the Northern Region, with a ratio of 2.5 between observed and expected deaths for the two conditions studied. CONCLUSIONS Excess deaths from cancer and CVD as comorbidities in 2020 may indicate that covid-19 had an important impact among patients with these conditions.OBJETIVO Analisar o impacto da pandemia de covid-19 sobre a mortalidade por câncer e por doenças cardiovasculares (DCV) como causa básica e comorbidade no Brasil e em suas regiões em 2020. MÉTODOS Foram utilizadas as bases de dados de 2019 e 2020 do Sistema de Informações de Mortalidade (SIM), analisando os óbitos ocorridos entre março e dezembro de cada ano que tiveram o câncer e as DCV como causa básica ou como comorbidade. Também foram analisados os óbitos por covid-19 em 2020. Para o cálculo da Razão de Mortalidade Padronizada (RMP) e estimativa do excesso de mortes, os dados de 2019 foram considerados como padrão. RESULTADOS Entre março e dezembro de 2020 ocorreram no Brasil 181.377 mortes por câncer e 291.375 mortes por doenças cardiovasculares, indicando redução de 9,7% e de 8,8%, respectivamente, em relação ao mesmo período do ano anterior. O padrão foi mantido nas cinco regiões brasileiras, com menor variação para o câncer (-8,4% na Região Sul a -10,9% na Região Centro-Oeste). Para as DCV houve uma maior variação, de -2,2% na Região Norte até -10,5 nas regiões Sudeste e Sul. No mesmo período de 2020, essas enfermidades foram classificadas como comorbidade em 18.133 óbitos por câncer e 188.204 óbitos por doenças cardiovasculares, indicando um excesso proporcional, se comparado aos dados de 2019, de 82,1% e 77,9%, respectivamente. Esse excesso foi mais expressivo na Região Norte, com razão de 2,5 entre mortes observadas e esperadas, para as duas condições estudadas. CONCLUSÕES O excesso de óbitos por câncer e DCV como comorbidade em 2020 pode indicar que a covid-19 teve um importante impacto entre pacientes portadores dessas condições.Universidade de São Paulo. Faculdade de Saúde Pública2022-04-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/19726010.11606/s1518-8787.2022056004040Revista de Saúde Pública; Vol. 56 (2022); 22Revista de Saúde Pública; Vol. 56 (2022); 22Revista de Saúde Pública; v. 56 (2022); 221518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/197260/181604https://www.revistas.usp.br/rsp/article/view/197260/181606https://www.revistas.usp.br/rsp/article/view/197260/181605Copyright (c) 2022 Beatriz Cordeiro Jardim, Arn Migowski, Flávia de Miranda Corrêa, Gulnar Azevedo e Silvahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessJardim, Beatriz CordeiroMigowski, ArnCorrêa, Flávia de Miranda Azevedo e Silva, Gulnar2022-05-03T19:24:39Zoai:revistas.usp.br:article/197260Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2022-05-03T19:24:39Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares Covid-19 in Brazil in 2020: impact on deaths from cancer and cardiovascular diseases |
title |
Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares |
spellingShingle |
Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares Jardim, Beatriz Cordeiro COVID-19 Cardiovascular Diseases Neoplasms Comorbidity Mortality Covid-19 Doenças Cardiovasculares Neoplasias Comorbidade Mortalidade |
title_short |
Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares |
title_full |
Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares |
title_fullStr |
Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares |
title_full_unstemmed |
Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares |
title_sort |
Covid-19 no Brasil em 2020: impacto nas mortes por câncer e doenças cardiovasculares |
author |
Jardim, Beatriz Cordeiro |
author_facet |
Jardim, Beatriz Cordeiro Migowski, Arn Corrêa, Flávia de Miranda Azevedo e Silva, Gulnar |
author_role |
author |
author2 |
Migowski, Arn Corrêa, Flávia de Miranda Azevedo e Silva, Gulnar |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Jardim, Beatriz Cordeiro Migowski, Arn Corrêa, Flávia de Miranda Azevedo e Silva, Gulnar |
dc.subject.por.fl_str_mv |
COVID-19 Cardiovascular Diseases Neoplasms Comorbidity Mortality Covid-19 Doenças Cardiovasculares Neoplasias Comorbidade Mortalidade |
topic |
COVID-19 Cardiovascular Diseases Neoplasms Comorbidity Mortality Covid-19 Doenças Cardiovasculares Neoplasias Comorbidade Mortalidade |
description |
OBJECTIVE To analyze the impact of the covid-19 pandemic on mortality from cancer and cardiovascular diseases (CVD) as underlying cause and comorbidity in Brazil and Brazilian regions in 2020. METHODS We used the 2019 and 2020 databases of the Mortality Information System (SIM) to analyze deaths occurring between March and December of each year that had cancer or CVD as the underlying cause or comorbidity. Deaths from covid-19 in 2020 were also analyzed. To estimate the Standardized Mortality Ratio (SMR) and the excess of deaths, 2019 data were considered as standard. RESULTS Between March and December 2020, there were 181,377 deaths from cancer and 291,375 deaths from cardiovascular diseases in Brazil, indicating reduction rates of 9.7% and 8.8%, respectively, compared to the same period of the previous year. The pattern was maintained in the five Brazilian regions, with lower variation for cancer (-8.4% in the South to -10.9% in the Midwest). For CVD, the variation was greater, from -2.2% in the North to -10.5 in the Southeast and South. In the same period of 2020, these diseases were classified as comorbidities in 18,133 deaths from cancer and 188,204 deaths from cardiovascular diseases, indicating a proportional excess compared to data from 2019, of 82.1% and 77.9%, respectively. This excess was most significant in the Northern Region, with a ratio of 2.5 between observed and expected deaths for the two conditions studied. CONCLUSIONS Excess deaths from cancer and CVD as comorbidities in 2020 may indicate that covid-19 had an important impact among patients with these conditions. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-22 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/197260 10.11606/s1518-8787.2022056004040 |
url |
https://www.revistas.usp.br/rsp/article/view/197260 |
identifier_str_mv |
10.11606/s1518-8787.2022056004040 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/197260/181604 https://www.revistas.usp.br/rsp/article/view/197260/181606 https://www.revistas.usp.br/rsp/article/view/197260/181605 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/xml application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 56 (2022); 22 Revista de Saúde Pública; Vol. 56 (2022); 22 Revista de Saúde Pública; v. 56 (2022); 22 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1787713241742311424 |