Abstract
Estimates of the true magnitude of mortality in the Brazilian northeast has been fraught with major obstacles due to underreporting and problems with the quality of information on the basic causes of death. The scope of this study was to evaluate the impact of the redistribution of deaths corrected by Active Search Research and Garbage codes on the mortality rates of the major types of cancer among the elderly in the northeastern states. The Ledermann method was used to reallocate the deaths. The number of deaths before and after the correction revealed a significant variation, especially the figures for breast cancer where the variation was 53.5%. With corrected data, the elderly aged 80 years or older had a prostate cancer death rate which was 18 times higher than those aged 60 to 64 years. Higher levels of prostate cancer deaths among men, and breast cancer among women, were observed in all of the northeastern states. Tracheal, bronchial, lung and stomach cancer resulted in different levels of distribution according to gender, with higher rates among men than among women. Correction of death data resulted in significant increases in the number of recorded deaths. The methodology adopted in this work was the simple application of feasible factual data by the information system managers.
Highlights
Resumo As estimativas das reais magnitudes da mortalidade no Nordeste têm enfrentado importantes entraves devido ao subregistro e aos problemas na qualidade das informações sobre as causas básicas de óbito
Teve-se como objetivo avaliar o impacto da redistribuição dos óbitos corrigidos pela Pesquisa de Busca Ativa e de códigos garbage nas taxas de mortalidade dos principais cânceres de idosos dos estados do Nordeste
Estudo desenvolvido por Barbosa et al.[7] apontou tendências de aumento nas taxas de mortalidade por câncer em ambos os sexos até o ano de 2030, para as regiões Norte e Nordeste, enquanto que para as demais regiões brasileiras tendências decrescentes nessas taxas foram previstas
Summary
Resumo As estimativas das reais magnitudes da mortalidade no Nordeste têm enfrentado importantes entraves devido ao subregistro e aos problemas na qualidade das informações sobre as causas básicas de óbito. De acordo com o método de Ledermann, do total de 3.403 óbitos mal definidos referentes aos homens idosos em 2010 a ser redistribuído entre os tipos de câncer, 1.312 (38,6%) corresponderam aos três principais, sendo que 652 (19,2%) foram atribuídos ao câncer de próstata, 531 (15,6%) ao câncer da traqueia, brônquios e pulmões e 129 (3,8%) ao câncer de estômago.
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