Abstract
This retrospective study assessed the Years of Potential Life Lost (YPLL) and the Adjusted Rate per 1,000 Women (ARYPLL) due to endometrial cancer and uterus not otherwise specified (NOS) in Northern Brazil from 2012 to 2022, using data from the Cancer Mortality Atlas of the Ministry of Health. The total ARYPLL ranged from 0.14 (Acre) to 0.35 (Amapá) per 1,000 women, with Pará recording the highest absolute YPLL (12,815 years). The 50-59 age group showed the highest ARYPLL peaks, particularly in Roraima (1.47) and Amapá (1.17), while the 40-49 age group was also significant (maximum ARYPLL of 1.12 in Amapá). No significant losses were observed below 15 years. The concentration of YPLL between 40-59 years suggests an association with perimenopausal factors and metabolic risks, exacerbated by regional disparities, such as limited healthcare infrastructure in Pará and Amazonas. Global comparisons reveal similarities with aging population patterns in Shanghai and high mortality rates in low-income countries. The findings underscore the need for public health policies focused on prevention, screening, and equitable treatment access to reduce the burden of gynecological cancers in the region.
References
AZANGOU-KHYAVY, M. et al. Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990-2019. BMC Women's Health, v. 24, n. 1, p. 69, 2024. https://doi.org/10.1186/s12905-024-02884-9
BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Atlas de Mortalidade por Câncer. Sistema de Informação sobre Mortalidade - SIM. Brasília: MS, 2022. Disponível em: https://mortalidade.inca.gov.br/MortalidadeWeb/. Acesso em: 21 fev. 2025.
ENGELBRECHT, K. et al. Productivity costs due to human papillomavirus-related cancer mortality in the United Kingdom. Journal of Medical Economics, v. 27, sup2, p. 20-29, 2024. https://doi.org/10.1080/13696998.2024.2368986
ESPINOSA-YÉPEZ, K. R. Years of life lost due to cancer in Ecuador. Cancer Epidemiology, v. 94, p. 102717, 2025. https://doi.org/10.1016/j.canep.2024.102717
FRICK, C. et al. Quantitative estimates of preventable and treatable deaths from 36 cancers worldwide: a population-based study. The Lancet Global Health, v. 11, n. 11, p. e1700-e1712, 2023. https://doi.org/10.1016/S2214-109X(23)00406-0
FUNDAÇÃO INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA - IBGE. Estimativas populacionais 2021. Rio de Janeiro: IBGE, 2021.
HU, X. et al. Global and China burden of hormone-related cancers and risk factors, 1990-2021: results from the Global Burden of Disease Study 2021. BMC Public Health, v. 25, n. 1, p. 1566, 2025. https://doi.org/10.1186/s12889-025-22768-3
INSTITUTO NACIONAL DE CÂNCER - INCA. Divisão de Vigilância. Brasília: MS/INCA/Conprev, 2022.
LUO, Z. et al. Years of life lost due to premature death and their trends in people with malignant neoplasm of female genital organs in Shanghai, China during 1995-2018: a population based study. BMC Public Health, v. 20, n. 1, p. 1489, 2020. https://doi.org/10.1186/s12889-020-09593-6
PIKALA, M.; BURZYŃSKA, M. Years of Life Lost Due to Cervical Cancer in Poland in 2000 to 2015. International Journal of Environmental Research and Public Health, v. 16, n. 9, p. 1545, 2019. https://doi.org/10.3390/ijerph16091545
RAMAMOORTHY, T. et al. Burden of cervical cancer in India: estimates of years of life lost, years lived with disability and disability adjusted life years at national and subnational levels using the National Cancer Registry Programme data. Reproductive Health, v. 21, n. 1, p. 111, 2024. https://doi.org/10.1186/s12978-024-01837-7
REIS, N. V. S. et al. The Global Burden of Disease Study Estimates of Brazil's Cervical Cancer Burden. Annals of Global Health, v. 86, n. 1, p. 56, 2020. https://doi.org/10.5334/aogh.2756
ZHENG, N. et al. [Common Malignant Tumors in the Reproductive System of Chinese Women: Disease Burden During 1990-2019 and Prediction of Future Trend]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao, v. 46, n. 1, p. 25-32, 2024. https://doi.org/10.3881/j.issn.1000-503X.15801
ZHENG, W. L. et al. [Analysis on long-term trends of cervical cancer mortality and years of life lost in Tianjin, 1999-2015]. Zhonghua Liu Xing Bing Xue Za Zhi, v. 40, n. 1, p. 64-69, 2019. https://doi.org/10.3760/cma.j.issn.0254-6450.2019.01.013.

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