edistributing deaths by ill-defined and unspecified causes on cancer mortality in Brazi

Autor(es)

Bigoni, Alessandro ^{[1, 2]} ; da Cunha, Amanda Ramos ^[3] ; Ferreira Antunes, Jose Leopoldo ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Fac Saude Publ, Sao Paulo, SP - Brazil

^[2] Harvard TH Chan Sch Publ Hlth, Boston, MA - USA

^[3] Univ Fed Rio Grande do Sul, Fac Odontol, Porto Alegre, RS - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Revista de Saúde Pública; v. 55, 2021.
• Citações Web of Science: 1

Resumo

OBJECTIVE: to discuss the impact four different redistribution strategies have on the quantitative and temporal trends of cancer mortality assessment in Brazil. METHODOLOGY: This study used anonymized and georeferenced data provided by the Brazilian Ministry of Health (BMoH). Four different approaches were used to conduct the redistribution of ill-defined deaths and garbage codes. Age-standardized mortality rates used the world population as reference. Prais-Winsten autoregression allowed the calculation of region, sex, and cancer type trends. RESULTS: Death rates increased considerably in all regions after redistribution. Overall, Elisabeth B. Franca's and the World Health Organization methods had a milder impact on trends and rate magnitudes when compared to the Global Burden of Disease (GBD) 2010 method. This study also observed that, when the BMoH dealt with the problem of redistributing ill-defined deaths, results were similar to those obtained by the GBD method. The redistribution methods also influenced the assessment of trends; however, differences were less pronounced. CONCLUSIONS: Since developing a comparative gold standard is impossible, matching global techniques to local realities may be an alternative for methodological selection. In our study, the compatibility of the findings suggests how valid the GBD method is to the Brazilian context. However, caution is needed. Future studies should assess the impact of these methods as applied to the redistribution of deaths to type-specific neoplasms. (AU)

• Processo FAPESP: 19/08017-6 - Tendência e magnitude da mortalidade por Câncer no Brasil e sua relação com condições socioeconômicas e provisão de serviços de saúde
• Beneficiário: Alessandro Bigoni
• Modalidade de apoio: Bolsas no Brasil - Doutorado Direto