THE EVOLUTION OF THE POPULATION- BASED CANCER REGISTRIES IN BRAZIL: A PERFORMANCE EVALUATION

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1 2nd International Cancer Control Congress November 25 to 28, 07 THE EVOLUTION OF THE POPULATION- BASED CANCER REGISTRIES IN BRAZIL: A PERFORMANCE EVALUATION Cláudio Pompeiano Noronha; Gulnar Azevedo Mendonça; Julio Fernando Pinto Oliveira; Marceli Oliveira Santos; Marise Souto Rebelo; Rejane de Souza Reis. National Cancer Institute of Brazil

2 The evolution of the population-based cancer registries in Brazil: a performance evaluation Objective To analyze the historical evolution of the Brazilian PBCR through the report of their specific characteristics of implantation, maintenance and future perspectives. Methods The analysis was based on information included in available technical reports and publications from the National Cancer Institute of Brazil, emphasizing coverage indicators, quality of data collected, regularity of activities and to publish updated reports.

3 BRAZILIAN POPULATION-BASED CANCER REGISTRIES Roraima PBCR Decade Decade Decade Decade * After PBCR 21 capital cities 05 cities 02 inactive (*RJ e AL) Belém Fortaleza Manaus Natal Teresina João Pessoa Palmas Recife Maceió 1996* Cuiabá Aracaju Distrito Federal Salvador Goiânia 1986 Belo Horizonte Campo Grande Vitória São Paulo Rio de Janeiro 1996* Jaú - 05 Campinas Santa Rosa - 05 Curitiba Florianópolis Alegrete - 05 Caxias do Sul - 05 Porto Alegre Source: MS/INCA/Conprev/ Information Departament

4 Cancer registry coverage in Brazil Population coverage of Brazilian PBCR established by decade % (2) 70 (4) 80 (6) 90 (15) After 00 (26) Decade Sources: MP/Brazilian Institute of Geography and Statistics Foundation - IBGE MS/INCA/Conprev/ Information Department

5 Cancer registry coverage in Brazil Coverage of active PBCR by cities population. Brazil, % to 500,000 (5,528) 500,001 to 1 million (22) 1 million to 3 million (12) more than 3 million (2) Inhabitants Sources: MP/Brazilian Institute of Geography and Statistics Foundation - IBGE MS/INCA/Conprev/ Information Department

6 Cancer registry coverage in Brazil Populational coverage by active PBCR and PBCR with published data* from Brazil and geographical macro- regions, % Brazil North Northeast Middle West Southeast South (*) at least 3 years Active PBCR PBCR w ith published data Sources: MP/Brazilian Institute of Geography and Statistics Foundation - IBGE MS/INCA/Conprev/ Information Department

7 Historical evolution of Brazilian populationbased cancer registries Source: MS/INCA/Conprev/ Information Departament

8 Indices of Data Quality Brazil vs. America, Central and South 1 for all PBCR 2 at least 3 years PBCR * exception Goiânia PBCR Sources: Brazilian population-based cancer registries Cancer Incidence in Five Continents, Vol. VIII MS/INCA/Conprev/ Information Department

9 Percentage of cases with diagnosis based on Death Certificate Information Only - %DCO. Brazilian population-based cancer registries. Males Females Brasil (16) America C.S.(11) Asia (37) Europa (65) Africa (4) America N.(39) Oceania (7) Brasil (14) America C.S.(11) Asia (38) Europa (65) Africa (4) America N.(39) Oceania (7) Sources: Brazilian population-based cancer registries Cancer Incidence in Five Continents, Vol. VIII MS/INCA/Conprev/ Information Department

10 Percentage of cases histologically verified of diagnosis - % HV. Brazilian population-based cancer registries. Males Females America N.(42) Oceania (10) Europe (85) America C.S.(11) Brazil (16) Asia (42) Africa (6) 0 America N.(42) Oceania (10) Europa (85)America C.S.(11) Brasil (16) Asia (42) Africa (6) Sources: Brazilian population-based cancer registries Cancer Incidence in Five Continents, Vol. VIII MS/INCA/Conprev/ Information Department

11 Average mortality/incidence ratios percent %M/I. Brazilian population-based cancer registries. Males Females America C.S.(10) Asia (22) Europa (84) Africa (1) Brasil (16) America N.(42) Oceania (10) Europa (84) America C.S.(10) Oceania(10) Asia (22) America N.(42) Africa (1) Brasil (16) Sources: Brazilian population-based cancer registries Cancer Incidence in Five Continents, Vol. VIII MS/INCA/Conprev/ Information Department

12 Average age-adjusted incidence rates* from all cancers but skin, by sex. Brazilian population-based cancer registries. Porto Alegre ( ) São Paulo ( ) Goiânia ( ) Curitiba ( ) Distrito Federal ( ) Cuiabá (00-03) Jaú (00-04) Aracaju ( ) Natal ( ) Fortaleza ( ) Manaus ( ) Recife ( ) João Pessoa (00-04) Salvador ( ) *World Standard Population Sources: Brazilian population-based cancer registries MP/Brazilian Institute of Geography and Statistics Foundation - IBGE MS/INCA/Conprev/ Information Department

13 Population-based cancer registry and Hospital-based cancer registry Cancer registration manuals and registration forms since 1999 Source: MS/INCA/Conprev/ Information Department

14 Cancer registration software developed by National Cancer Institute of Brazil Data linkage among Cancer Registries HBCR PBCR 84% (105/124) * 92% (23/26) * excluded 62 HBCR from São Paulo Source: MS/INCA/Conprev/ Information Department MS/INCA/COAE/ Information Technology Department

15 RHC Brasil National Hospital Cancer Register Database HBCR Database HBCR Database State A State B HBCR Database Reports Database Source: MS/INCA/Conprev/ Information Department MS/INCA/COAE/ Information Technology Department

16 On line Information Source: MS/INCA/Conprev/ Information Department MS/INCA/COAE/ Information Technology Department since 04

17 Investments Federal funds Volume Investments Federal funds provided to 27 states (1999 to 06): U$ 4.0 million or almost U$ 21,0 for states by year. To cancer registries (surveillance ) and to risk factors health surveys. Governmental Decree nº /28/05 Established, with resources of Health Surveillance Secretariat SVS, financial support to provide funds to improve Population-Based Cancer Registries PBCR activities. U$ 500,000 by year or U$ 22,300 for PBCR by year. Source: MS/INCA/Conprev/ Information Department

18 The evolution of the population-based cancer registries in Brazil: a performance evaluation Thank you for your attention! Marise Souto Rebelo National Cancer Institute of Brazil (INCA) Surveillance and Prevention Coordination Information Department To contact: Instituto Nacional de Câncer Coordenação de Prevenção e Vigilância Divisão de Informação address mail: Rua dos Inválidos 212-3º andar - Centro - Rio de Janeiro Rio de Janeiro - Brasil phone number:

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