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REGIONAL WORKSHOP ON NON
COMMUNICABLE DISEASES
RIO DE JANEIRO 3-5 MAY 2012
EPIDEMIOLOGICAL PROFILE AND
CANCER CONTROL PROGRAM OF
VENEZUELA LUIS G. CAPOTE NEGRIN ONCOLOGIST SURGEON, EPIDEMIOLOGY. DIRECTOR OF CANCER REGISTER ONCOLOGY PROGRAM. HEALTH MINISTRY
VENEZUELA
• 950.000 KM2
28.000.000 HAB.
23. ESTADOS
DISTRITO CAPITAL
VENEZUELAN CANCER CONTROL PROGRAM HISTORICAL BACKGROUND
• THE PROGRAM WAS ESTABLISHED AT BIGINNING OF THE DECADE OF SIXTIES AS A COMPONENT OF THE CHRONIC DESEASES PROGRAM OF HEALTH MINISTERY.
VENEZUELAN CANCER CONTROL PROGRAM
HISTORICAL BACKGROUND
At the beginning the program was dedicated to promote the practice of the pap smear and supplies the resources necessary for this test, at first level of medical care of Caracas
CANCER CONTROL PROGRAM OF VENEZUELA
HISTORICAL BACKGROUND
• In 1976 the Program achieve an extraordinary impulse with the Presidential Decree of establishment the Oncology Direction of the Ministry of Health
REPUBLICA BOLIVARIANA DE VENEZUELA
MINISTERIO DEL PODER POPULAR PARA LA SALUD
PROGRAMA NACIONAL DE ONCOLOGIA
NORMA OFICIAL VENEZOLANA
DEL PROGRAMA DE ONCOLOGIA
OFFICIAL GUIDELINES OF THE CANCER PROGRAM
CANCER CONTROL PROGRAM Was defined as process directed to organize
resources, appointing to reach viables objectives
and using valid strategies with the aim of reducing
morbidity and mortality for the most frequents and
especially the more vulnerable localizations of
cancer; appointing to the mayor risk groups.
The Cancer Control Program was established on
the base of the principles of promotion a healthy
stile of life, prevention of the illness or improving the
care of the cases of cancer
The main objective of the Cancer Control Program, aimed to activities
as: • PROMOTION OF THE HEALTH (Encouraging people to
live a healthy lifestyle. • EARLY DIAGNOSTIC (Promoting cancer screening tests.) • EFFECTIVE AND OPPORTUNE MEDICAL ATENTION
(Increasing access to good cancer care.) • CONTROL AND EVALUATION OF END RESULTS
(Improving the quality of the information sistem)
Cancer Control Program is supported, with the appropriate knowledge of the epidemiological profile and natural history of the main cancer’s types, as well as an efficient System of Information and Evaluation of End Results
CRITERIA FOR CANCER SCREENING (Fitting to Venezuela) CRETERIA CERVIX BREAST COLON PROSTATE LUNG OVARY STOMACH ORAL
Common Cancer xxx xxx xxx xxx xxx x xxx xx
Natural history known xxx x xx x xxx x xxx xxx
Effective test xxx xx xx x x x x xxx
Acceptable test xxx xx x xxx xx x x xxx
Effective intervention xxx xxx xxx - x - xxx xxx
Health System can facilitate Services and resources
xxx xx x x - x x xxx
Demonstrable Change in Survival Rate
xxx xx x - - - - xx
Favourable Cost/Benefit Ratio xxx xx - - - - - x
xxx, Good positive evidence; xx, reasonable positive evidence; x, some positive evidence; -, no evidence
EPIDEMIOLOGICAL PROFILE OF CANCER IN VENEZUELA
20,61%
14,81%
14,21% 8,14% 7,49%
34,74%
PERCENT DISTRIBUTION OF THE FIVE LEADING CAUSES OF DEATH
VENEZUELA. 2009
DESEASES OF HEART. 27.542
MALIGNANT NEOPLASM (CANCER). 19.796
SUICIDES , HOMICIDES AND OTHER INTENTIONAL INJURIES. 18.994
ACCIDENTS ALL KIND. 10.885
CEREBROVASCULAR DESEASES. 10.007
ALL OTHER CAUSES. 46.427
13,12%
10,89%
7,11%
6,12%
5,18%
2,49% 2,36%
2,30%
2,11% 2,10%
46,21%
TEN MAIN CAUSES OF DEATH. MALES. VENEZUELA 2009
ACUTE MYOCARDIAL INFARCTION (I21) 10.934
HOMICIDES. (X85-Y09). (2) 9.072
TRANSPORT ACCIDENTS (V01-V99) 5.924
CEREBROVASCULAR DESEASES. (I60-I69) 5.101
DIABETES MELLITUS. (E10-E14) 4.315
MALIGNANT NEOPLASM OF PROSTATE (C61) 2.077
RESPIRAT. AND CARDIOV. DESEASES OF THE PERINATAL PERIOD(P22-P29) 1.969
MALIGNANT NEOPLASM OF TRACHEA BRONCHUS AND LUNG (C34) 1.917
CHRONIC LIVER DESEASE AND CIRRHOSIS (K70.2, K70.3, K74) 1.761
PNEUMONIA (J12-J18) 1.748
ALL OTHER CAUSES OF DEATH 38.507
TOTAL 83.325
12,99%
9,60%
8,77%
3,20%
3,07% 3,02%
2,94%
2,82% 2,77% 2,62% 2,40%
2,30%
43,51%
TWELVE MAIN SPECIFIC CAUSES OF DEATHS FEMALES. VENEZUELA 2009
ACUTE MYOCARDIAL INFARCTION (I21) 6.677
CEREBROVASCULAR DESEASES. (I60-I69) 4.933
DIABETES MELLITUS. (E10-E14) 4.507
MALIGNANAT NEOPLASM OF BREAST (C50) 1.643
MALIGNANT NEOPLASM OF CERVIX UTERI (C53) AND UT. NON SPEC.(C55) 1.576
PNEUMONIA (J12-J18) 1.551
HYPERTENSIVE HEART DESEASE (I11) 1.513
RESPIRAT. AND CARDIOV. DESEASES OF THE PERINATAL PERIOD(P22-P29) 1.450
TRANSPORT ACCIDENTS (V01-V99) 1.426
CHRONIC OBSTRUCTIVE RESPIRATORY DESEASE (J44) 1.348
CHRONIC ISCHEMIC HEART DESEASE (I25) 1.233
MALIGNANT NEOPLASM OF TRACHEA BRONCHUS AND LUNG (C34) 1.184
ALL OTHER CAUSES OF DEATH 22.365
TOTAL 51.406
4.881
2.397 1.578
1.273
841
719
610
593 523
481 435 406
INCIDENCE ESTIMATED OF MAIN CAUSES OF CANCER IN MALES. VENEZUELA 2009
PROSTATE (4.881) BRONCHUS AND LUNG (2.397) STOMACH (1.578)
COLON, RECTUM AND ANUS (1.273) LEUKEMIA (841) LARINX (719)
ORAL CAVITY AND PHARINX (610) NON HODGKIN LINPHOMAS (593) LIVER (523)
BLADDER (481) PANCREAS (435) KIDNEY AND RENAL PELVIS (406)
TOTAL : 17.609
3.943
3.860
1.499
1.484
1.036
799
671
665
508 475 443 336
INCIDENCE ESTIMATED OF THE MAIN CAUSES OF CANCER IN FEMALES.
VENEZUELA 2009
BREAST (3.943) CERVIX UTERI (3.860) COLON, RECTUM AND ANUS (1.499)
BRONCHUS AND LUNG (1.484) STOMACH (1.036) OVARY (799)
CORPUS UTERI (671) LEUKEMIA (665) LIVER (508)
PANCREAS (475) NON HODGKIN LINPHOMAS (443) BRAIN, MENINGES AND OTHERS CNS. (336)
TOTAL: 18.778
2.077
1.917
1.168
665
478
443
377
300 282
270 260 219
12 MAIN CAUSES OF DEATH BY CANCER MALES. VENEZUELA 2.009
PROSTATE (2.077) TRACHEA, BRONCHUOS AND LUNG (1917)
STOMACH (1.168) COLON, RECTUN AND ANOUS (665)
LEUKEMIA (478) LIVER (443)
PANCREAS (377) LARINX (300)
NON HODGKIN LINPHOMAS (282) ORAL CAVITY AND PHARINX (270)
BRAIN, MENINGES AND OTHERS CNS. (260) KIDNEY AND RENAL PELVIS (219)
TOTAL: 10.334
1.643
1.576
1.184 750
722
432
423
415 369 232
210 162
12 MAIN CAUSES OF DEATH BY CANCER FEMALES. VENEZUELA 2.009
BREAST (1.643) CERVIX UTERI AND UTERUS PART UNSPECIFIED. (1.576)
TRACHEA, BRONCHUS AND LUNG (1.184) STOMACH (750)
COLON, RECTUM AND ANUS (722) OVARY (432)
LIVER (423) PANCREAS (415)
LEUKEMIA (369) BRAIN, MENINGES AND OTHERS CNS. (232)
NON HODGKIN LINPHOMAS (210) CORPUS UTERI (162)
TOTAL: 9.954
AMAZONAS
FALCON
BARINAS
ANZOATEGUI
PORTUGUESA
DELTA AMACURO
APURE
TRUJILLO
MONAGAS
YARACUY
MIRANDA
SUCRE
BOLIVAR
ARAGUA
VENEZUELA
LARA
TACHIRA
CARABOBO
COJEDES
GUARICO
NUEVA ESPARTA
MERIDA
ZULIA
DISTRITO CAPITAL
VARGAS
0,00 10,00 20,00 30,00 40,00 50,00 60,00 70,00 80,00 90,00 100,00
STANDARDIZED RATE PER 100.000 INHAB.
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF MORTALITY BY CANCER. (ALL TYPES) FEDERAL STATES OF VENEZUELA.
BOTH SEX. MEAN RATE OF THE QUINQUENIAL 2005-2009
AMAZONAS
ANZOATEGUI
BARINAS
FALCON
DELTA AMACURO
PORTUGUESA
APURE
YARACUY
MONAGAS
BOLIVAR
SUCRE
TACHIRA
MIRANDA
ARAGUA
VENEZUELA
LARA
CARABOBO
COJEDES
TRUJILLO
GUARICO
NUEVA ESPARTA
ZULIA
MERIDA
DISTRITO CAPITAL
VARGAS
0,00 20,00 40,00 60,00 80,00 100,00 120,00 140,00 160,00 180,00 200,00
STANDARDIZED RATE PER 100.000 INHAB.
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF INCIDENCE BY CANCER. (ALL TYPES) FEDERAL STATES OF VENEZUELA.
BOTH SEX. MEAN RATE OF THE QUINQUENIAL 2005-2009
MIRANDA
DISTRITO. CAPITAL
NUEVA ESPARTA
MERIDA
FALCON
TRUJILLO
ARAGUA
CARABOBO
TACHIRA
YARACUY
LARA
VENEZUELA
ANZOATEGUI
VARGAS
ZULIA
SUCRE
AMAZONAS
BARINAS
BOLIVAR
PORTUGUESA
GUARICO
MONAGAS
DELTA AMACURO
APURE
COJEDES
0,00 5,00 10,00 15,00 20,00 25,00
STANDARDIZED RATE PER 100.000 FEMALES
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF MORTALITY BY CERVIX UTERI CANCER. FEDERAL STATES OF VENEZUELA.
MEAN RATE OF THE QUINQUENIAL 2005-2009
MIRANDA
NUEVA ESPARTA
DISTRITO. CAPITAL
FALCON
ARAGUA
MERIDA
CARABOBO
ANZOATEGUI
TRUJILLO
TACHIRA
LARA
VENEZUELA
YARACUY
ZULIA
VARGAS
SUCRE
PORTUGUESA
BARINAS
BOLIVAR
GUARICO
MONAGAS
AMAZONAS
DELTA AMACURO
COJEDES
APURE
0,00 10,00 20,00 30,00 40,00 50,00 60,00
ESTANDARDIZED RATE PER 100.000 FEMALES
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF INCIDENCE BY CERVIX UTERI CANCER. FEDERAL STATES OF VENEZUELA.
MEAN RATE OF THE QUINQUENIAL 2005-2009
AMAZONAS
APURE
PORTUGUESA
BARINAS
ANZOATEGUI
COJEDES
TACHIRA
MONAGAS
MERIDA
BOLIVAR
GUARICO
FALCON
SUCRE
YARACUY
DELTA AMACURO
LARA
TRUJILLO
VENEZUELA
MIRANDA
ZULIA
CARABOBO
VARGAS
NUEVA ESPARTA
DISTRITO CAPITAL
ARAGUA
0,00 2,00 4,00 6,00 8,00 10,00 12,00 14,00 16,00
STANDARDIZED RATE PER 100.000 FEMALES
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF MORTALITY BY BREAST CANCER. FEDERAL STATES OF VENEZUELA.
MEAN RATE OF THE QUINQUENIAL 2005-2009
AMAZONAS
PORTUGUESA
APURE
BARINAS
ANZOATEGUI
COJEDES
MONAGAS
TACHIRA
YARACUY
MERIDA
BOLIVAR
SUCRE
GUARICO
FALCON
DELTA AMACURO
VENEZUELA
LARA
TRUJILLO
MIRANDA
ZULIA
CARABOBO
NUEVA ESPARTA
ARAGUA
DISTRITO CAPITAL
VARGAS
0,00 5,00 10,00 15,00 20,00 25,00 30,00 35,00 40,00
STANDARDIZED RATE PER 100.000 FEMALES
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF INCIDENCE BY BREAST CANCER. FEDERAL STATES OF VENEZUELA.
MEAN RATE OF THE QUINQUENIAL 2005-2009
AMAZONAS
PORTUGUESA
FALCON
TACHIRA
LARA
BARINAS
ANZOATEGUI
MIRANDA
DISTRITO CAPITAL
YARACUY
VENEZUELA
ARAGUA
CARABOBO
TRUJILLO
MERIDA
APURE
D.AMACURO
NVA. ESPARTA
VARGAS
ZULIA
MONAGAS
COJEDES
BOLIVAR
SUCRE
GUARICO
0,00 5,00 10,00 15,00 20,00 25,00
STANDARDIZED RATE PER 100.000 MALES
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF MORTALITY BY PROSTATE CANCER. FEDERAL STATES OF VENEZUELA.
MEAN RATE OF THE QUINQUENIAL 2005-2009
AMAZONAS
PORTUGUESA
FALCON
TACHIRA
LARA
BARINAS
ANZOATEGUI
MIRANDA
YARACUY
D.AMACURO
DISTRITO CAPITAL
ARAGUA
CARABOBO
VENEZUELA
APURE
MERIDA
NVA. ESPARTA
ZULIA
VARGAS
BOLIVAR
MONAGAS
COJEDES
TRUJILLO
GUARICO
SUCRE
0,00 10,00 20,00 30,00 40,00 50,00 60,00
STANDARDIZED RATE PER 100.000 MALES
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF INCIDENCE BY PROSTATE CANCER. FEDERAL STATES OF VENEZUELA.
MEAN RATE OF THE QUINQUENIAL 2005-2009
PORTUGUESA
TACHIRA
BARINAS
TRUJILLO
AMAZONAS
FALCON
MERIDA
YARACUY
LARA
COJEDES
APURE
MONAGAS
SUCRE
NVA. ESPARTA
CARABOBO
VENEZUELA
ARAGUA
D.AMACURO
ANZOATEGUI
MIRANDA
GUARICO
DTO. CAPITAL
BOLIVAR
ZULIA
VARGAS
0,00 2,00 4,00 6,00 8,00 10,00 12,00 14,00 16,00 18,00 20,00
STANDARDIZED RATE PER 100.000 INHAB.
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF MORTALITY BY LUNG CANCER. FEDERAL STATES OF VENEZUELA.
BOTH SEX. MEAN RATE OF THE QUINQUENIAL 2005-2009
BARINAS
AMAZONAS
PORTUGUESA
TACHIRA
TRUJILLO
MERIDA
YARACUY
FALCON
LARA
APURE
MONAGAS
COJEDES
SUCRE
CARABOBO
D.AMACURO
ANZOATEGUI
VENEZUELA
ARAGUA
NVA. ESPARTA
MIRANDA
BOLIVAR
DTO. CAPITAL
GUARICO
ZULIA
VARGAS
0,00 5,00 10,00 15,00 20,00 25,00
STANDARDIZED RATE PER 100.000 INHAB
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF INCIDECE BY LUNG CANCER. FEDERAL STATES OF VENEZUELA.
BOTH SEX. MEAN RATE OF THE QUINQUENIAL 2005-2009
BOLIVAR
ZULIA
AMAZONAS
FALCON
ANZOATEGUI
MIRANDA
GUARICO
ARAGUA
DELTA AMACURO
MONAGAS
NUEVA ESPARTA
APURE
CARABOBO
VARGAS
DTO. CAPITAL
SUCRE
VENEZUELA
BARINAS
PORTUGUESA
LARA
YARACUY
COJEDES
TRUJILLO
MERIDA
TACHIRA
0,00 5,00 10,00 15,00 20,00 25,00 30,00
STANDARDIZED RATE PER 100.000 INHAB.
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF INCIDECE BY STOMACH CANCER. FEDERAL STATES OF VENEZUELA.
BOTH SEX. MEAN RATE OF THE QUINQUENIAL 2005-2009
AMAZONAS
ZULIA
BOLIVAR
FALCON
MIRANDA
ANZOATEGUI
ARAGUA
GUARICO
MONAGAS
VARGAS
DELTA AMACURO
CARABOBO
NUEVA ESPARTA
DTO. CAPITAL
VENEZUELA
APURE
SUCRE
LARA
YARACUY
PORTUGUESA
BARINAS
TRUJILLO
COJEDES
MERIDA
TACHIRA
0,00 2,00 4,00 6,00 8,00 10,00 12,00 14,00 16,00 18,00 20,00
STANDARDIZED RATE PER 100.000 INHAB.
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF MORTALITY BY STOMACH CANCER. FEDERAL STATES OF VENEZUELA.
BOTH SEX. MEAN RATE OF THE QUINQUENIAL 2005-2009
AMAZONAS APURE TRUJILLO
DELTA AMACURO BARINAS MONAGAS
FALCON ANZOATEGUI
GUARICO MERIDA BOLIVAR SUCRE
YARACUY COJEDES
PORTUGUESA ZULIA VENEZUELA
TACHIRA MIRANDA
NUEVA ESPARTA CARABOBO ARAGUA LARA
DTO. CAPITAL VARGAS
0,00 1,00 2,00 3,00 4,00 5,00 6,00 7,00 8,00
STANDARDIZED RATE PER 100.000 INHAB.
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF MORTALITY BY COLON & RECTUN CANCER.
FEDERAL STATES OF VENEZUELA. BOTH SEX. MEAN RATE OF THE QUINQUENIAL 2005-2009
AMAZONAS BARINAS
APURE TRUJILLO
DELTA AMACURO MONAGAS
ANZOATEGUI COJEDES
YARACUY FALCON
GUARICO BOLIVAR
SUCRE PORTUGUESA
TACHIRA MERIDA VENEZUELA
ZULIA MIRANDA NUEVA ESPARTA
CARABOBO ARAGUA LARA
VARGAS DTO. CAPITAL
0,00 2,00 4,00 6,00 8,00 10,00 12,00 14,00 16,00
STANDARDIZED RATE PER 100.000 INHAB.
FED
ERA
L
STA
TES
COMPARISON OF STANDARDIZED RATE OF INCIDENCE BY COLON & RECTUN CANCER.
FEDERAL STATES OF VENEZUELA. BOTH SEX. MEAN RATE OF THE QUINQUENIAL 2005-2009
• Lung.
• Cervix Uteri.
• Breast.
• Prostate
• Gastrointestinal.
The Components of
a Cancer Control
Program are
chooses on the
basis of the
knowledge of which
are the main types
of cancer who affect
the population and
the accessibility of
early detection or preventive actions:
LUNG CANCER CONTROL PROGRAM
These Program started in the decade of seventies
It is center on avoid the cigarrets smoking Through:
Public education campaign,
Restriction of advertising and
Forbidding smoking on public place
CERVICAL CANCER CONTROL PROGRAM
It has been based on screening, with Pap test,
to women from 25 to 64 years,
The main objective was reached 80% of the
target population every three year period
PROGRAMA CONTROL DE CÁNCER DE CUELLO UTERINO
FLUJOGRAMA DE ATENCIÓN
PESQUISA
TAMIZAJE
POBLACION ♀ DE RIESGO
(25 A 64 AÑOS)
CENTRO DE PESQUISA
TOMA DE CITOLOGIA
•Ambulatorios Urbanos y Rurales
•Instituciones públicas y privadas
LABORATORIO DE CITOHISTO- PATOLOGIA
•ASCUS - AGUS
•LIE Bg.
•LIE Ag.
•Cá. Epidermoide
•Adenocarcinoma
Citología Negativa Control Periódico
Una a Dos
Semanas Dos a Cuatro
Semanas
I NIVEL DE ATENCION
PROGRAMA CONTROL DE CÁNCER DE CUELLO UTERINO
FLUJOGRAMA de ATENCIÓN
DIAGNÓSTICO
CITOLOGICO
CONSULTA DE PATOLOGIA CERVICAL (C P C)
NIC I
NIC II
NIC III
PREINVASOR
III NIVEL DE ATENCION
Tto Hospitalario:
•Cirugía
•Radiaciones
•Quimioterapia
NIVEL II DE ATENCIÓN
C P C
7 Días
15 Días – 1 mes
7 Días
1 mes
15 Días – 1 mes
II y III NIVEL DE ATENCION
Tratamiento Ambulatorio
ASA - LEEP
COLPOSCOPIA
BIOPSIA DIRIGIDA
LABORATORIO DE CITO-
HISTOPATOLOGIA
CARCINOMA
INVASOR
BREAST CANCER CONTROL CANCER
SELF-EXAMINATION
CLINIC EXAMENINATION
MAMOGRAPHY
(50 to 65 YEAR EVERY 2 YEAR)
PROGRAMA DE CONTROL DE CANCER DE PULMON
Este Programa se inició en la década de los años sesenta.
Esta centrado en evitar el habito de fumar cigarrillo a través de:
Campañas de Educación Pública. Restricción de la Propaganda de cigarrillos Prohibición
de fumar en sitios Públicos.
Establecimiento de Clínicas de Cesación
PROGRAMA DE CONTROL DE CANCER DE GLANDULA
MAMARIA
AUTOEXAMEN
EXAMEN CLINICO
MAMOGRAFIA (APLICADA COMO PESQUISA
OPORTUNISTA)
SCREENING WITH MAMOGRAPHY IS NOT BASE ON POPULATION PROGRAM, BECAUSE LIMITATION ON RESOURCES
REGISTRY OF CANCER
IT IS A BRANCH OF THE CANCER CONTROL PROGRAM WITH THE AIM OF RECOLLETING INFORMATION OF
CASES OF CANCER OF HOSPITAL THAT TREAT MORE OF 100 CASES PER
YEAR
GASTROINTESTINAL CANCER CONTROL
PROGRAM
THE MAIN GOAL IS REDUCE LATE DIAGNOSIS:
THROUGHT CLINIC AND ENDOSCOPIC EVALUATION OF PEOPLE AT RISK AGE WITH GASTROINTESTINAL SYMPTOMATOLOGY
REGISTRY OF CANCER
IT IS A BRANCH OF THE CANCER CONTROL PROGRAM WITH THE AIM OF RECOLLETING INFORMATION OF
CASES OF CANCER OF HOSPITAL THAT TREAT MORE OF 100 CASES PER
YEAR
CENTRO HOSPITALARIO ESTADO
HOSP. DR. LUIS RAZETTI ANZOATEGUI
HOSP. DR. PABLO ACOSTA ORTIZ APURE
HOSP. DR. LUIS RAZETTI BARINAS
HOSP. DR. RUIZ Y PAEZ BOLIVAR
ONC .DR. MIGUEL PEREZ CARREÑO CARABOBO
HOSP. DR. EGOR NUCETTE COJEDES
HOSP. ONCOLOGICO DR. LUIS RAZETTI CARACAS DTTO CAPITAL
SERV. HOSP. ONC. DE LOS SEGUROS SOCIALES (PADRE
MACHADO)
CARACAS DTTO CAPITAL
HOSP. UNIVERSITARIO DE CARACAS CARACAS DTTO CAPITAL
HOSP. DR. LUIS GOMEZ LOPEZ LARA
HOSP. UNIVERSITARIO DE LOS ANDES MERIDA
HOSP. DR. MANUEL NUÑEZ TOVAR MONAGAS
HOSP. DR. LUIS ORTEGA NUEVA ESPARTA
HOSP. CENTRAL DE SAN CRISTOBAL TACHIRA
HOSP. DR. PEDRO EMILIO CARRILLO TRUJILLO
HOSP. DR. ANTONIO P. ALCALA SUCRE
HOSP. DR. PLACIDO D. RODRIGUEZ YARACUY
HOSP. UNIVERSITARIO DE MARACAIBO ZULIA
ESTABLECIMIENTOS HOSPITALARIOS QUE REPORTAN
INFORMACION AL REGISTRO CENTRAL DE CANCER
0
5
10
15
20
25
30
1961-65 1966-70 1971-75 1976-80 1981-85 1986-90 1991-95 1996-00 2001-05 2006-10*
TA
SA
S E
ST
AN
DA
RIZ
AD
AS
PO
R 1
00
.00
0 V
AR
ON
ES
PROMEDIOS QUINQUENALES
TENDENCIA DE LA MORTALIDAD PARA LAS CUATRO MAYORES LOCALIZACIONES DE CANCER PROMEDIO QUINQUENAL DE TASAS ESTANDARIZADAS.
VARONES. VENEZUELA 1965 - 2010
PROSTATA
ESTOMAGO
PULMON
COLON RECTO
0
5
10
15
20
25
1961-65 1966-70 1971-75 1976-80 1981-85 1986-90 1991-95 1996-00 2000-05 2006-10*
TA
SA
S E
ST
AN
D.
PO
R 1
00.0
00 M
UJE
RE
S
PERIODOS QUINQUENALES
TENDENCIA DE LA MORTALIDAD PARA LAS CINCO MAYORES LOCALIZACIONES DE CANCER SEGUN PROMEDIO QUINQUENAL DE TASAS ESTANDARIZADAS.
MUJERES. VENEZUELA 1965-2010
CUELLO UTERINO
GL. MAMARIA
ESTOMGO
PULMON
COLON y RECTO
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