Cervical cancer burden in Latin America and the Caribbean: Where are we?. Issue 6 (9th April 2020)

• Record Type: Journal Article
• Authors: Pilleron, Sophie; Cabasag, Citadel J.; Ferlay, Jacques; Bray, Freddie; Luciani, Silvana; Almonte, Maribel; Piñeros, Marion
• Is Part Of: International journal of cancer. Volume 147:Issue 6(2020)
• Page Start: 1638
• Page End: 1648
• Publication Date: 2020-04-09
• Subjects: cervical cancer -- Latin America and the Caribbean -- incidence -- mortality -- epidemiology -- cancer registry; Cancer -- Periodicals; Cancer -- Prevention -- Periodicals; 616.994
• DOI: 10.1002/ijc.32956
• Languages: English
• ISSNs: 0020-7136

Abstract

Abstract : In May 2018, the World Health Organization (WHO) called for the elimination of cervical cancer. To monitor this initiative, we examined cervical cancer incidence and mortality in the Latin America and Caribbean (LAC) region using GLOBOCAN 2018, Cancer Incidence in Five Continents Series, and the WHO Mortality Database. We estimated the number of cases and age‐standardized rates (ASRs) for cervical cancer incidence and mortality for 2018. We also presented the ASRs for recorded cervical cancer incidence from the period 2008 to 2012. We calculated annual rates and analyzed trends in cervical cancer incidence and mortality for all ages combined and for the following age groups: 0–29, 30–49, 50–64 and 65+. Finally, we calculated the estimated average annual percentage change in incidence and mortality rates for the past 10 years. In 2018, an estimated 56, 000 new cervical cancer cases and 28, 000 cervical cancer deaths occurred among women in LAC with great variations between subregions and countries/territories. Overall, trends in cervical cancer incidence and mortality have decreased over the past decade; however, the rates are still above the elimination threshold of 4 per 100, 000 in most LAC countries/territories. Despite the encouraging trends observed, achieving the elimination of cervical cancer in the region still requests substantial political commitment and economic effort. Population‐based cancer registries are critical in monitoring the elimination initiative. Abstract : What's new? Although marked declines have been observed in incidence worldwide, cervical cancer continues to disproportionally affect women in Latin America and the Caribbean. Here, the authors present the most up‐to‐date data on the cervical cancer burden in 32 countries/territories in the region. In 2018, there were an estimated 56, 000 and 28, 000 new cervical cancer cases and deaths, respectively, with great variations between countries/territories. Despite a recent decrease in cervical cancer incidence and mortality, rates remain high. Thus, achieving the elimination of cervical cancer in the region still requires substantial political commitment and economic effort, including the establishment of population‐based cancer registries.