The Mortality burden of hematological malignancies in Ecuador

Authors

DOI:

https://doi.org/10.3126/nje.v11i2.37057

Keywords:

Hematological neoplasm, Lymphoma, Leukemia, Observational studies, Latin America

Abstract

Background: The Hematological neoplasms (HN) are a heterogeneous group of cancers that originated in the hematopoietic or lymphoid tissues. There is reduced information published regarding HN mortality in Ecuador. This study aims to present the crude and age-specific mortality rates for HN in the Ecuadorian population.

Methods: We performed a cross-sectional study through the national database of defunctions published by the Ecuadorian National Institute of Statistics and Census, 2019. We used the ICD-10 codes to classify the HN.

Results: During 2019, 1462 deaths were reported, 53.83% were males, 87.96% of mestizo ethnicity, and 78.32% residents in urban areas. The median age was 62 years, with an interquartile range of 34.

The crude mortality rate obtained was 8.49 per 100000 inhabitants, and the higher age-specific mortality rates was 43.29 per 100000 inhabitants aged ≥ 60 years, contrasting with the 2.63 per 100000 inhabitants in people aged < 20 years. Considering each ICD-10 group, we found the following rates by 100000 inhabitants; C85 2.04, C91 1.92, C92 1.46, C90 1.11, C83 0.70, C95 0.48, C81 0.38, C84 0.16, C82 0.10, C96 0.05, C93 0.04, C86 and C94 0.02, and C88 0.01.

Conclusion: In Ecuador, during 2019, approximately eight people died due to HN by 100000 inhabitants, affecting mainly people aged ≥ 60 years. The most frequent neoplasms were Non-Hodgkin lymphomas, similar to other reports globally. These results should be analyzed considering some deficiencies in the Ecuadorian health system and the national registry. Therefore, we suggest conducting more studies regarding HN.

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Author Biographies

David Israel Garrido, Children's Hospital Baca Ortiz, Montevideo, Uruguay

Oncohematology Department , Montevideo, Uruguay.

Andres Orquera, Hospital Carlos Andrade Marín, Quito, Ecuador

Hematology Department, Hospital Carlos Andrade Marín

Quito, Ecuador

Johanna Rojas, Hospital Metropolitano, Quito, Ecuador

Hematology Department, Hospital Metropolitano

Quito, Ecuador

 

Manuel Granja, Hospital Carlos Andrade Marín, Quito, Ecuador

Hematology Department, Hospital Carlos Andrade Marín

Quito, Ecuador

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Published

2021-06-29

How to Cite

Garrido, D. I., Orquera, A., Rojas, J., & Granja, M. (2021). The Mortality burden of hematological malignancies in Ecuador. Nepal Journal of Epidemiology, 11(2), 1040–1048. https://doi.org/10.3126/nje.v11i2.37057

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Section

Short Communications