{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T19:00:27Z","timestamp":1787425227000,"version":"build-2736575974"},"reference-count":39,"publisher":"Universidad del Valle","issue":"1","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["colombiamedica.univalle.edu.co"],"crossmark-restriction":true},"short-container-title":["Colomb Med"],"abstract":"<jats:p>Introducci\u00f3n: el c\u00e1ncer representa un desaf\u00edo para la salud p\u00fablica global, ya que requiere de una estrategia integral, transdisciplinaria y sustentable para su control. En este contexto, los sistemas de vigilancia epidemiol\u00f3gica, como los Registros de C\u00e1ncer de Base Poblacional (PBCR), se convierten en actores clave para el desarrollo y seguimiento de las acciones implementadas.\r\nObjetivo: en el marco del plan nacional de c\u00e1ncer propuesto en 2017 para el pa\u00eds, este estudio analiza la tendencia de las tasas de incidencia y mortalidad por c\u00e1ncer durante el per\u00edodo 1985-2017.\r\nM\u00e9todos: se estimaron las tasas de incidencia y mortalidad estandarizadas por edad utilizando datos del PBCR de Quito. Para el an\u00e1lisis de las tendencias, de ubicaciones seleccionadas, se utiliz\u00f3 la regresi\u00f3n de puntos de uni\u00f3n y el cambio porcentual anual promedio (AAPC).\r\nResultados: Un aumento sostenido en la incidencia de c\u00e1ncer (AAPC Hombres = 1.5%, Intervalo de confianza al 95% [IC 95%]: 1.2 - 1.7; AAPC Mujeres: 0.7%, IC 95%: 0.4 - 1.0) y tasas de mortalidad (AAPC Hombres = 2.0%, IC 95%: 1.8 - 2.3; AAPC Mujeres = 1.3%, IC 95%: 1.1 - 1.6) se observ\u00f3 en Quito durante todo el per\u00edodo de estudio. Hubo un aumento sostenido en las tasas de incidencia y mortalidad de c\u00e1nceres de mama, pr\u00f3stata, colon-recto, tiroides y linfoma. Mientras que las tasas de incidencia de c\u00e1ncer de cuello uterino y est\u00f3mago, relacionado con agentes infecciosos, disminuyeron.\r\nConclusi\u00f3n: La informaci\u00f3n presentada por el PBCR de Quito sirve como referencia para el pron\u00f3stico del c\u00e1ncer en el pa\u00eds y como l\u00ednea de base para su control. Son urgentes acciones para fortalecer las estrategias de prevenci\u00f3n y promoci\u00f3n del c\u00e1ncer, especialmente en el c\u00e1ncer de mama y de cuello uterino, para mitigar su impacto en la sociedad ecuatoriana.<\/jats:p>","DOI":"10.25100\/cm.v53i1.4929","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T20:27:26Z","timestamp":1668112046000},"page":"e2024929","update-policy":"https:\/\/doi.org\/10.25100\/cm.crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Incidencia y mortalidad por c\u00e1ncer en Quito: informaci\u00f3n para monitorear las pol\u00edticas de control del c\u00e1ncer"],"prefix":"10.25100","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9320-3696","authenticated-orcid":false,"given":"Patricia","family":"Cueva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3611-7759","authenticated-orcid":false,"given":"Wilmer","family":"Tarupi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3466-975X","authenticated-orcid":false,"given":"Henry","family":"Caballero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10728","published-online":{"date-parts":[[2022,2,25]]},"reference":[{"key":"55967","doi-asserted-by":"crossref","unstructured":"Gelband H, Sankaranarayanan R, Gauvreau CL, Horton S, Anderson BO, Bray F, et al. 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