Spatial and space-time analysis of deaths due to breast and cervical cancer and distribution of the screening of these neoplasms, in the Municipality of São Paulo, from 2000 to 2016

Abstract

Introduction: Breast and cervical neoplasms are important causes of morbidity and mortality in the Brazilian female population. Therefore, it is relevant to look at the deaths and their screening, in the municipality of São Paulo, from a spatial and temporal point of view, considering their different patterns in this territory. Objectives: To describe the cases, deaths and standardized rates of mortality due to neoplasms of breast and cervical in women aged 20 years and over, living in the municipality of São Paulo, between 2000 and 2016; calculate and describe the spatial distribution of screening coverage for cervical cancer (Pap smear) and breast cancer (mammography); to identify spatial, spatial-temporal and spatial variation clusters in temporal trends; and to verify the presence of spatial pattern between the deaths of each neoplasm alone and of both neoplasms jointly. Methods: an descriptive and ecological study in which all cases and deaths due to malignant neoplasm of the breast (ICD-10: from C50 to C50.9) and cervical neoplasms (ICD-10: from C53 to C53.9) will be considered. Occurred in the female population, aged 20 years and older, living in the municipality of São Paulo, in 2000 to 2016. The analysis modalities will be considered: exploratory descriptive analysis; spatial analysis; and statistical analysis of scanning, for the detection of spatial, space-time clusters and spatial variation in temporal trends; and spatial analysis of punctual data for spatial patterns detection. Key words: Breast cancer, Cervical cancer, Ecological study.