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DOI: 10.1055/s-0045-1807948
Comparison of mortality rates from cardiovascular disease and the most common cancers in Brazil in 2019 and 2022: a dimensional approach
Authors
Introduction: Cancer (CA) and cardiovascular diseases (CVD) are the two leading causes of death worldwide. Age-adjusted mortality rates for CVD and cancer represented nearly 30% and 20% of all death causes in Brazil in the last 20 years, respectively. Studies show, though, that cancer tends to be the major cause of death in the Brazilian population in the next few years, according to epidemiological trends. Furthermore, as risk factors of these two diseases overlap, it's expected that mortality rates overlap too.
Objective: Compare mortality rates from CVD and CA, with emphasis on breast, prostate, and colon cancer, using infectious and parasitic diseases (IPD) as control, in Brazilian states during the period from 2019 to 2022.
Methodology: Ecological study using data from DATASUS and IBGE, evaluating mortality rates for CVD (ICD-10 Chapter IX) and for breast, prostate and colon CA (ICD-10 Chapter II) in the Brazilian federative units for 2019 and 2022. The mortality rate for IPD (ICD-10 Chapter I), within the same time-space frame, was used as a control group. The years 2020 and 2021 were excluded due to potential data contamination from the COVID-19 pandemic. Absolute mortality data were adjusted for population using IBGE estimates. Pearson correlation test was used.
Results: All three of the most common cancers in the Brazilian population, respectively, breast, prostate and colorectal adenocarcinoma, have a strong correlation with CVD. After the data collection and analysis through the calculation of Pearson's correlation coefficient, it was found that, in 2019, there was a very strong correlation (r = 0,75) between the three most common cancer types and CVD in Brazil. As for the correlation between cancer and infectious diseases and CVD and infectious diseases, both had a moderate correlation (r = 0,49 and r = 0,50, respectively). As for 2022, all three Pearson's correlation coefficients indicated a very strong correlation, be it for cancer/CVD, cancer/infectious diseases and CVD/infectious diseases.
Conclusion: The correlation between common cancers and cardiovascular diseases (CVD) in Brazil in 2019 and 2022 indicates a significant overlap in risk factors. Integrated public health strategies could potentially reduce overall mortality by addressing the prevention of common risk factors for both conditions. These findings also highlight the importance of cardio-oncology specialists in improving the health outcomes of the population.
Corresponding author: Gabriela Vieira Bon (e-mail: gabrielavieirabon@id.uff.br).
Die Autoren geben an, dass kein Interessenkonflikt besteht.
Publikationsverlauf
Artikel online veröffentlicht:
06. Mai 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Gabriela Vieira Bon, Carla Veras Yigashira de Oliveira, Laila Lentini Cavalcante, Isabela Silva Erthal Vieira, Samuel Santos Souza, Luiza Meireles Teixeira, Danielle da Silva Fernandes, Caroline Decnop Carvalho e Silva, Rafael Martins Lameira, Estella Aparecida de Laia, Tácira Karoline Pereira Nascimento, Camila Mendes Peixoto, João Vitor Almeida e Silva, Carolini Erler Barbosa, Paulo Henrique Alves da Costa, Juliana Cardinalli Ruas da Silva, Victor Marcondes Lopes dos Santos. Comparison of mortality rates from cardiovascular disease and the most common cancers in Brazil in 2019 and 2022: a dimensional approach. Brazilian Journal of Oncology 2025; 21.
DOI: 10.1055/s-0045-1807948