HAS THE AGING OF BRAZILIANS IMPACTED THE OCCURRENCE OF OSTEO-CARTILAGINOUS NEOPLASMS?

IF 0.5 4区医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243201e268544

Marcelo Tomio Kohara, Gustavo Ferrareto Pires, André Marson Sanches, Rodrigo Pereira Amarante, Gabriela Caponero de Brito, Fernando Adami

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Abstract

Cancer cases and survival have increased significantly in recent decades.

Objective: In this study, we sought to evidence whether bone, joint and cartilage neoplasms are increasing with the aging of the Brazilian population, using the analysis of the DATASUS and IBGE databases, between 1979 and 2020.

Methods: We compared the means and the proportion of death in Brazil, to observe the confidence interval overlaps, separated by region. Comparison between genders, age group, death and specific rate were compared via proportion tests and the trend was investigated via time series analysis.

Results: Through the analyses, we can see that there is an increasing trend of cases, about 2.5 times in the period. Separated by region, the Southeast stands out, with a number of deaths about 6 times higher than other regions.

Conclusion: Metastatic carcinoma is the most common neoplasm treated by orthopedic surgeons, and it is essential to adapt to this future projection, with cases of pathological bone involvement resulting from metastatic carcinomas, increasingly present in the routine of orthopedic surgeons. Level of Evidence IV, Cross-Sectional Observational Study.

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巴西人的老龄化是否影响了骨软骨瘤的发生？

近几十年来，癌症病例和存活率显著增加：在这项研究中，我们利用 DATASUS 和 IBGE 数据库对 1979 年至 2020 年间巴西人口的分析，试图证明骨、关节和软骨肿瘤是否随着巴西人口的老龄化而增加：我们比较了巴西的平均值和死亡比例，以观察按地区划分的置信区间重叠情况。通过比例测试比较了性别、年龄组、死亡率和具体比率，并通过时间序列分析研究了趋势：通过分析，我们可以发现病例数呈上升趋势，在此期间增长了约 2.5 倍。按地区划分，东南部的情况最为突出，死亡人数比其他地区高出约 6 倍：转移性癌是骨科医生治疗的最常见肿瘤，必须适应这一未来预测，因为骨科医生的日常工作中越来越多地出现转移性癌导致病理骨受累的病例。证据等级 IV，横断面观察研究。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.