Trends and Spatial Patterns of Oral Cancer Mortality in Ecuador, 2001–2016
The aims of this study were to describe the temporal trend of OC from 2001 to 2016 and to analyze the space and space-time clusters of high mortality due to OC in Ecuador from 2011 to 2016. Methods. The present study is a mixed ecological study; the time trends were obtained using a Joinpoint regres...
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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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Series: | International Journal of Dentistry |
Online Access: | http://dx.doi.org/10.1155/2018/6086595 |
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author | Solange Núñez-González J. Andrés Delgado-Ron Christopher Gault Daniel Simancas-Racines |
author_facet | Solange Núñez-González J. Andrés Delgado-Ron Christopher Gault Daniel Simancas-Racines |
author_sort | Solange Núñez-González |
collection | DOAJ |
description | The aims of this study were to describe the temporal trend of OC from 2001 to 2016 and to analyze the space and space-time clusters of high mortality due to OC in Ecuador from 2011 to 2016. Methods. The present study is a mixed ecological study; the time trends were obtained using a Joinpoint regression model, space-time scan statistics was used to identify high-risk clusters, and Global Moran I index was calculated. Results. In Ecuador, between 2001 and 2016, OC caused a total of 1,025 deaths. Crude mortality rates significantly increased, with an APC (annual percentage change) of 2.7% (p=0.009). The age-standardized mortality rate did not significantly increase (APC: 1.73%; p=0.08). The most likely cluster was detected in 2015, included 20 cantons. The second cluster included 38 cantons, in the years 2014 to 2016. The Global Moran I index for the study period showed a negative spatial autocorrelation (−0.067; p=0.37). Conclusion. Mortality due to OC in Ecuador significantly increased over the 16-year study period, the young groups being the most affected. Ecuadorian provinces present high variability in types of OC and cancer rates. |
format | Article |
id | doaj-art-d9d03f51b5dc4b9d9fec067beeff8e55 |
institution | Kabale University |
issn | 1687-8728 1687-8736 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | International Journal of Dentistry |
spelling | doaj-art-d9d03f51b5dc4b9d9fec067beeff8e552025-02-03T01:23:57ZengWileyInternational Journal of Dentistry1687-87281687-87362018-01-01201810.1155/2018/60865956086595Trends and Spatial Patterns of Oral Cancer Mortality in Ecuador, 2001–2016Solange Núñez-González0J. Andrés Delgado-Ron1Christopher Gault2Daniel Simancas-Racines3Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Universidad Tecnológica Equinoccial, Quito 170129, EcuadorCentro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Universidad Tecnológica Equinoccial, Quito 170129, EcuadorCentro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Universidad Tecnológica Equinoccial, Quito 170129, EcuadorCentro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Universidad Tecnológica Equinoccial, Quito 170129, EcuadorThe aims of this study were to describe the temporal trend of OC from 2001 to 2016 and to analyze the space and space-time clusters of high mortality due to OC in Ecuador from 2011 to 2016. Methods. The present study is a mixed ecological study; the time trends were obtained using a Joinpoint regression model, space-time scan statistics was used to identify high-risk clusters, and Global Moran I index was calculated. Results. In Ecuador, between 2001 and 2016, OC caused a total of 1,025 deaths. Crude mortality rates significantly increased, with an APC (annual percentage change) of 2.7% (p=0.009). The age-standardized mortality rate did not significantly increase (APC: 1.73%; p=0.08). The most likely cluster was detected in 2015, included 20 cantons. The second cluster included 38 cantons, in the years 2014 to 2016. The Global Moran I index for the study period showed a negative spatial autocorrelation (−0.067; p=0.37). Conclusion. Mortality due to OC in Ecuador significantly increased over the 16-year study period, the young groups being the most affected. Ecuadorian provinces present high variability in types of OC and cancer rates.http://dx.doi.org/10.1155/2018/6086595 |
spellingShingle | Solange Núñez-González J. Andrés Delgado-Ron Christopher Gault Daniel Simancas-Racines Trends and Spatial Patterns of Oral Cancer Mortality in Ecuador, 2001–2016 International Journal of Dentistry |
title | Trends and Spatial Patterns of Oral Cancer Mortality in Ecuador, 2001–2016 |
title_full | Trends and Spatial Patterns of Oral Cancer Mortality in Ecuador, 2001–2016 |
title_fullStr | Trends and Spatial Patterns of Oral Cancer Mortality in Ecuador, 2001–2016 |
title_full_unstemmed | Trends and Spatial Patterns of Oral Cancer Mortality in Ecuador, 2001–2016 |
title_short | Trends and Spatial Patterns of Oral Cancer Mortality in Ecuador, 2001–2016 |
title_sort | trends and spatial patterns of oral cancer mortality in ecuador 2001 2016 |
url | http://dx.doi.org/10.1155/2018/6086595 |
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