Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Feb;114(2):199-206.
doi: 10.36660/abc.20180304.

Trends in Mortality Rates from Cardiovascular Disease and Cancer between 2000 and 2015 in the Most Populous Capital Cities of the Five Regions of Brazil

[Article in English, Portuguese]
Wolney de Andrade Martins  1 , Maria Luiza Garcia Rosa  1 , Ricardo Cardoso de Matos  2 , Willian Douglas de Souza Silva  2 , Erito Marques de Souza Filho  2   3 , Antonio José Lagoeiro Jorge  1 , Mario Luiz Ribeiro  2 , Eduardo Nani Silva  2
Affiliations

Trends in Mortality Rates from Cardiovascular Disease and Cancer between 2000 and 2015 in the Most Populous Capital Cities of the Five Regions of Brazil

[Article in English, Portuguese]
Wolney de Andrade Martins et al. Arq Bras Cardiol. 2020 Feb.

Abstract

Background: In many cities around the world, the mortality rate from cancer (CA) has exceeded that from disease of the circulatory system (DCS).

Objectives: To compare the mortality curves from DCS and CA in the most populous capital cities of the five regions of Brazil.

Methods: Data of mortality rates from DCS and CA between 2000 and 2015 were collected from the Mortality Information System of Manaus, Salvador, Goiania, Sao Paulo and Curitiba, and categorized by age range into early (30-69 years) and late (≥ 70 years), and by gender of the individuals. Chapters II and IX of the International Classification of Diseases-10 were used for the analysis of causes of deaths. The Joinpoint regression model was used to assess the tendency of the estimated annual percentage change of mortality rate, and the Monte Carlo permutation test was used to detect when changes occurred. Statistical significance was set at 5%.

Results: There was a consistent decrease in early and late mortality from DCS in both genders in the cities studied, except for late mortality in men in Manaus. There was a tendency of decrease of mortality rates from CA in São Paulo and Curitiba, and of increase in the rates from CA in Goiania. In Salvador, there was a decrease in early mortality from CA in men and women and an increase in late mortality in both genders.

Conclusion: There was a progressive and marked decrease in the mortality rate from DCS and a maintenance or slight increase in CA mortality in the five capital cities studied. These phenomena may lead to the intersection of the curves, with predominance of mortality from CA (old and new cases).

PubMed Disclaimer

Conflict of interest statement

Potential Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
Trends in mortality rates from cardiovascular disease and cancer in the most populated capital cities of five Brazilian regions, stratified by gender and age group, 2000-2015. Source: DATASUS. Green curve represents cardiovascular diseases and blue curve represents cancer
See this image and copyright information in PMC

Comment in

References

    1. Martins WA, Moço ETM. Cardio-Oncologia: o preço do envelhecimento. Rev Bras Cardiol. 2012;25(3):164–166.
    1. Mansur AP, Favarato D. trends in mortality rate from cardiovascular disease in Brazil, 1980-2012. Arq Bras Cardiol. 2016;107(1):20–25. - PMC - PubMed
    1. Mansur AP, Favarato D. Mortality due to cardiovascular diseases in Brazil and in the metropolitan region of São Paulo: a 2011 update. Arq Bras Cardiol. 2012;99(2):755–761. - PubMed
    1. GBD 2013 Mortality and Causes of Death Collaborators Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causesof death, 1990-2013: a systematic analysis for the Global Burden of Disease Study2013. Lancet. 2015;385(9963):117–171. - PMC - PubMed
    1. Mensah GA, Wei GS, Sorlie PD, Fine LJ, Rosenberg Y, Kaufmann PG, et al. Decline in cardiovascular mortality: possible causes and implications. Circ Res. 2017;120(2):366–380. - PMC - PubMed

Publication types