<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2301-1254</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Anfamed]]></abbrev-journal-title>
<issn>2301-1254</issn>
<publisher>
<publisher-name><![CDATA[Universidad de la República. Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2301-12542017000100007</article-id>
<article-id pub-id-type="doi">10.25184/anfamed2017.4.1.2</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cáncer: magnitud del problema en el mundo y en Uruguay, aspectos epidemiológicos]]></article-title>
<article-title xml:lang="en"><![CDATA[Cancer burden around the world and in Uruguay, epidemiological aspects]]></article-title>
<article-title xml:lang="pt"><![CDATA[Câncer: magnitude do problema no mundo e no Uruguay, aspectos epidemiológicos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garau]]></surname>
<given-names><![CDATA[Mariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Dpto. de Métodos Cuantitativos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Dpto. de Métodos Cuantitativos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>07</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>07</month>
<year>2017</year>
</pub-date>
<volume>4</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>161</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2301-12542017000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2301-12542017000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2301-12542017000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El problema del cáncer es uno de los desafíos más relevantes de nuestra época. Como consecuencia de la transición demográfico-epidemiológica, el cáncer es actualmente una de las principales causas de muerte en el mundo y en Uruguay. Debido a que esta transición está aún en curso y con diferentes dinámicas alrededor del mundo, el problema del cáncer está cambiando en su escala y perfil. Se estima que el número de casos nuevos anuales pasará de alrededor de 14 millones en 2012 a más de 20 millones en 2030, y que casi dos tercios de esos casos ocurrirán en los países menos desarrollados. En tanto que estos últimos no cuentan con recursos similares a aquellos de los países desarrollados para enfrentar la enfermedad, esta situación plantea un desafío dramático para gobiernos y autoridades sanitarias. En Uruguay se diagnostican unos 13000 casos nuevos de cáncer (exceptuando al cáncer de piel distinto al melanoma), y más de 8000 pacientes mueren por esta enfermedad anualmente. Se examina, en particular, la situación epidemiológica de los cuatro tipos de cáncer más importantes: el cáncer de mama femenino, y los de próstata, pulmón y colo-recto, éstos dan cuenta de la mitad del total. Se analizan, además: el cáncer cervico-uterino y el cáncer de esófago. Las tasas estandarizadas por edad de mortalidad por cáncer (todos los sitios reunidos) muestran un descenso sostenido en las últimas décadas. No obstante, Uruguay exhibe en general tasas de incidencia comparables al conjunto de los países desarrollados, pero tasas de mortalidad más elevadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The burden of cancer is one of the most relevant challenges of our time. As a consequence of the demographic-epidemiologic transition, cancer is currently one of the leading causes of death, globally and in Uruguay. This transition is still in progress but with different dynamics around the world; therefore, the burden of cancer is changing its scale and profile. The projections indicate that the number of new cases will grow from 14 million in 2012 to more than 20 million in 2030, and that almost two thirds of them will take place in developing countries. Since less developed countries don`t have similar resources as those of developed countries to face the problem, this situation poses a dramatic challenge to governments and health authorities. In Uruguay, a Around 13000 new cancer cases (any sites, except for non-melanoma skin cancer) are diagnosed and more than 8000 patients die due to this cause annually. The epidemiological situation of the four most frequent cancers is analysed in this article as they account for almost half of the total (female breast, prostate, lung and colo-rectum). Cervical and oesophageal cancers are also analysed. Uruguay shows a sustained decline in age- standardized mortality rates for all sites combined during the last two decades. In general, Uruguay exhibits comparable values of incidence rates to more developed countries, but higher values of mortality rates.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: O problema do câncer é um dos desafios mais relevantes de nosso tempo. Como consequência da transição demográfico-epidemiológica, o câncer é atualmente uma das principais causas de morte no mundo e no Uruguai. Devido a que essa transição ainda está em desenvolvimento e com diferentes dinâmicas ao redor do mundo, o problema do câncer está mudando na sua escala e no seu perfil. Estima-se que o número anual de novos casos vai aumentar de ao redor de 14 milhões em 2012 para mais de 20 milhões em 2030, e que quase dois terços desses casos ocorrerão nos países menos desenvolvidos. Enquanto esses últimos não contarem com recursos similares àqueles dos países desenvolvidos para enfrentar a doença, essa situação colocará um desafio dramático para os governos e as autoridades sanitárias. No Uruguai, diagnosticam-se aproximadamente 13000 casos novos de câncer (excetuando-se o câncer de pele diferente do melanoma), e mais de 8000 pacientes morren dessa doença anualmente. Examina-se, particularmente, a situação epidemiológica dos quatro tipos de câncer mais importantes: o câncer de mama feminino, e os de próstata, pulmão e colo-reto, estes constituindo a metade do total. Analisam-se, também, o câncer cérvico-uterino e o câncer de esôfago. As taxas padronizadas por idade de mortalidade por câncer (todas as localizações reunidas) mostran uma diminuição persistente nas últimas décadas. Porém, o Uruguai exibe em geral taxas de incidência comparáveis ao conjunto dos países desenvolvidos, embora as taxas de mortalidade sejam mais elevadas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cáncer]]></kwd>
<kwd lng="es"><![CDATA[incidencia]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Uruguay]]></kwd>
<kwd lng="en"><![CDATA[Cancer]]></kwd>
<kwd lng="en"><![CDATA[incidence]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Uruguay]]></kwd>
<kwd lng="pt"><![CDATA[câncer]]></kwd>
<kwd lng="pt"><![CDATA[incidência]]></kwd>
<kwd lng="pt"><![CDATA[mortalidade]]></kwd>
<kwd lng="pt"><![CDATA[epidemiologia]]></kwd>
<kwd lng="pt"><![CDATA[Uruguai]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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