Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)

Detalhes bibliográficos
Autor(a) principal: Roquette, Rita
Data de Publicação: 2019
Outros Autores: Painho, Marco, Nunes, Baltazar
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.18/6420
Resumo: Free PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542026/
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spelling Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)Colorectal CancerIncidenceMortalitySpatial EpidemiologyGeographical DistributionBYMGWREstados de Saúde e de DoençaFree PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542026/Background: Cancer is a leading cause of morbidity and mortality in the world. In Portugal, colorectal cancer is one of the most incident cancers; thus, it is crucial to act to fight it. Knowledge of the geographical distribution of the incidence and mortality of colorectal cancer can facilitate the execution of these actions and make them more effective. Methods: Our paper aims to describe and discuss the geographical patterns of colorectal cancer incidence and mortality in mainland Portugal municipalities (2007–2011). We used the Besag, York and Mollié (BYM) model to compute the relative risk (RR) and posterior probability (PP). We performed a cluster analysis with Global Moran’s Index and Local Moran’s Index (LISA). We ran a geographically weighted regression (GWR) to compare incidence and mortality patterns. Results: Incidence and mortality have different distributions of RR values. The interval of RR concerning incidence was higher than the interval of RR concerning mortality. PP values reinforce the finding of higher heterogeneity of the incidence of colorectal cancer. The comparison of the cluster maps for incidence and mortality shows a few municipalities classified with the same cluster type in both maps. Additionally, the GWR results show that the percentage of RR mortality explained by RR incidence differs throughout mainland Portugal. From the comparison of our results with the prevalence of risk factors (at NUTS II level), the need to be aware of smoking habits, alcohol consumption and the unhealthy diet of the Portuguese population stands out. Conclusions: There are differences in the geographical distribution of the RR incidence and RR mortality of colorectal cancer in mainland Portugal municipalities. Likewise, it is relevant to highlight the cluster of two municipalities with high RR values concerning colorectal cancer’s incidence and mortality. Future research is necessary to explain the geographical differences in the distribution of colorectal cancer in mainland Portugal municipalities. Based on our findings, it may be interesting to examine the influence of smoking, alcohol consumption, diet and screening on colorectal cancer in greater detail. Additionally, it may be relevant to develop an analysis focused on municipalities where the incidence values explain the mortality values poorly (or well).BMCRepositório Científico do Instituto Nacional de SaúdeRoquette, RitaPainho, MarcoNunes, Baltazar2019-06-11T15:23:13Z2019-05-292019-05-29T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/6420engBMC Cancer. 2019 May 29;19(1):512. doi: 10.1186/s12885-019-5719-91471-240710.1186/s12885-019-5719-9info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:41:25Zoai:repositorio.insa.pt:10400.18/6420Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:41:05.980621Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)
title Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)
spellingShingle Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)
Roquette, Rita
Colorectal Cancer
Incidence
Mortality
Spatial Epidemiology
Geographical Distribution
BYM
GWR
Estados de Saúde e de Doença
title_short Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)
title_full Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)
title_fullStr Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)
title_full_unstemmed Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)
title_sort Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011)
author Roquette, Rita
author_facet Roquette, Rita
Painho, Marco
Nunes, Baltazar
author_role author
author2 Painho, Marco
Nunes, Baltazar
author2_role author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Roquette, Rita
Painho, Marco
Nunes, Baltazar
dc.subject.por.fl_str_mv Colorectal Cancer
Incidence
Mortality
Spatial Epidemiology
Geographical Distribution
BYM
GWR
Estados de Saúde e de Doença
topic Colorectal Cancer
Incidence
Mortality
Spatial Epidemiology
Geographical Distribution
BYM
GWR
Estados de Saúde e de Doença
description Free PMC Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542026/
publishDate 2019
dc.date.none.fl_str_mv 2019-06-11T15:23:13Z
2019-05-29
2019-05-29T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/6420
url http://hdl.handle.net/10400.18/6420
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv BMC Cancer. 2019 May 29;19(1):512. doi: 10.1186/s12885-019-5719-9
1471-2407
10.1186/s12885-019-5719-9
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publisher.none.fl_str_mv BMC
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