Papers by Maria-paula Curado
In September of 1987, a radiotherapy unit containing 50.9 TBq of Cs(137)Cl was removed from an ab... more In September of 1987, a radiotherapy unit containing 50.9 TBq of Cs(137)Cl was removed from an abandoned radiotherapy clinic. This unit was subsequently disassembled leading to the most serious radiological accident yet to occur in the Western hemisphere. This event provides an opportunity to assess the genetic effects of ionizing radiation. We surveyed genetic variation of 12 microsatellite loci in 10 families of exposed individuals and their offspring and also in non-exposed families from the same area of Goias state. We found an increase in the number of new alleles in the offspring of the exposed individuals. The mutation rate was found to be higher in the exposed families compared to the control group. These results indicated that exposure to ionizing radiation can be detected in offspring of exposed individuals and also suggest that the elevated microsatellite mutation rate can be attributed to radioactive exposure.
BMC Public Health, 2015
Breast cancer is the most common cause of death from cancer in women in less developed regions. T... more Breast cancer is the most common cause of death from cancer in women in less developed regions. Therefore, the objective of this study was to provide data on the temporal trends in female breast cancer mortality between 1990 and 2011 and to evaluate its association with the social inequalities present in Brazil. Breast cancer mortality data and estimates for the resident population were obtained from the Brazilian National Health Service database for the 1990-2011 period. Age-standardized mortality rates were calculated (20-39, 40-49, 50-69 and ≥70 years) by direct standardization using the 1960 standard world population. Trends were modeled using joinpoint regression model and linear regression. The Social Exclusion Index and the Human Development Index were used to classify the 27 Brazilian states. Pearson's correlation was used to describe the association between the Social Exclusion Index and the Human DeveIopment and the variations in mortality rates in each state. Age-standardized mortality rates in Brazil were found to be stable (annual percent change [APC] = 0.3; 95% CI: -0.1 - 0.7) between 1994 and 2011. Considering the Brazilian states, significant decreases in mortality rates were found in Rio Grande do Sul, Rio de Janeiro and São Paulo. Increases in mortality rates were most notable in the states of Maranhão (APC = 11.2; 95 %CI: 5.8 - 16.9), Piauí (APC = 9.8; 95% CI: 7.6 - 12.1) and Paraíba (APC = 9.3; 95% CI: 6.0 - 12.8). There was a statistically significant correlation between Social Exclusion Index and a change in female breast cancer mortality rates in the Brazilian states between 1990 and 2011 and between Human Development Index and mortality between 2001 and 2011. Female breast cancer mortality rates are stable in Brazil. Reductions in these rates were found in the more developed states, possibly reflecting better healthcare.
Revista Brasileira De Otorrinolaringologia, 2001
ABSTRACT
RESUMO: Objetivo: Foram estudados 25 pacientes portadores de neoplasias malignas da cabeça e pesc... more RESUMO: Objetivo: Foram estudados 25 pacientes portadores de neoplasias malignas da cabeça e pescoço (20 de vias aerodigestivas superiores e cinco da glândula tireóide), submetidos a esvaziamentos cervicais uni ou bilaterais (33 procedimentos), sendo 15 supra-omohióideos, 11 funcionais e sete em campos alargados Método: Através da eletroneuromiografia (ENM), foram avaliados funcionalmente o músculo trapézio e o nervo espinhal após os
HPV is a circular double-stand DNA virus with approximately 8000bp. Some studies have implicated ... more HPV is a circular double-stand DNA virus with approximately 8000bp. Some studies have implicated HPV as the etiological agent of benign tumors such as papilomas, commons warts, and condilomas. With the advance of molecular techniques, detection of the HPV genome has been made fairly easy and has been frequently identified inmalign neoplasic cells of epithelial origin, associating the HPV with some epithelials tumors, mainly with cervical carcinoma. Recently, several studies have been aiming to understand the role HPV infection in the
Breast cancer has the highest incidence and mortality rates in the whole World, and is a severe p... more Breast cancer has the highest incidence and mortality rates in the whole World, and is a severe public health issue. This type of neoplasia has been increasing in the last decades, even in areas of traditional low incidence in part due to changes in the lifestyle and epidemiological profile of the population. Various developed countries, notwithstanding this incidence increase, have succeeded to reduce mortality through early diagnosis and more efficacious treatment. This paper compares current breast cancer trend in various parts of World, as well as the possible factors involved in this change of pattern. Especial emphasis is placed on the problem in our country Brazil, and in our city, Goiânia. Epidemiology Resumo O câncer de mama apresenta elevada incidência e mortalidade em todo o mundo, representando um grave problema de saúde pública. A incidência dessa neoplasia vem aumentando nas últimas décadas, mesmo em áreas de tradicional baixa incidência, em grande parte devido às mudanças nos hábitos de vida e no perfil epidemiológico da população. Vários países desenvolvidos têm conseguido, apesar desse aumento na incidência, reduzir a sua mortalidade, através de um diagnóstico mais precoce e de um tratamento mais eficaz. Nesse artigo comentamos as tendências atuais para o câncer de mama em vários locais do mundo, de forma comparativa, bem como os possíveis fatores envolvidos nessas mudanças. Dispensamos particular atenção à situação do Brasil, e da cidade de Goiânia. Palavras-chave Neoplasias mamárias, Incidência, Mortalidade, Epidemiologia
Cancer Epidemiology, 2012
Cancer Epidemiology, 2012
The incidence of cancer continues to rise all over the world and current projections show that th... more The incidence of cancer continues to rise all over the world and current projections show that there will be 1.27 million new cases and almost 1 million deaths by 2030. In view of the rising incidence of cancer in sub-Saharan Africa, urgent steps are needed to guide appropriate policy, health sector investment and resource allocation. We posit that hospital based cancer registries (HBCR) are fundamental sources of information on the frequent cancer sites in limited resource regions where population level data is often unavailable. In regions where population based cancer registries are not in existence, HBCR are beneficial for policy and planning. Nineteen of twenty-one cancer registries in Nigeria met the definition of HBCR, and from these registries, we requested data on cancer cases recorded from January 2009 to December 2010. 16 of the 19 registries (84%) responded. Data on year hospital was established; year cancer registry was established, no. of pathologists and types of oncology services available in each tertiary health facility were shown. Analysis of relative frequency of cancers in each HBCR, the basis of diagnosis recorded in the HBCR and the total number of cases recorded by gender was carried out. The total number of cancers registered in these 11 hospital based cancer registries in 2009 and 2010 was 6484. The number of new cancer cases recorded annually in these hospital based cancer registries on average was 117 cases in males and I77 cases in females. Breast and cervical cancer were the most common cancers seen in women while prostate cancer was the commonest among men seen in these tertiary hospitals. Information provided by HBCR is beneficial and can be utilized for the improvement of cancer care delivery systems in low and middle income countries where there are no population based cancer registries.
Cancer Causes & Control, 2008
Objective To analyze the variation in breast cancer incidence, with stratification into ten-year ... more Objective To analyze the variation in breast cancer incidence, with stratification into ten-year age groups, 17 years after the nuclear accident in Goiânia. Methods Between 1988 and 2003, 3312 new cases were recorded. The crude and standardized incidence rates were calculated. ANOVA was used to obtain the coefficient of determination (R2) for the incidence over the course of the years, and p-values were obtained both by linear and by polynomial regression. Results The increases in crude and standardized incidence were statistically significant in all age groups, except for women between 20 and 29 years old. For the age group from 30 to 49 years, the increase in incidence was around 100% (p = 0.001), and from 50 to 59 years, 277% (p \ 0.001). More modest increases of around 50% were observed in the age groups from 60 to 79 years (p = 0.013). For the women aged 80 years and over, the increase was 272% (p = 0.015). Conclusions There were significant increases in the crude and standardized incidence rates for breast cancer in the city of Goiânia. The women in the age group from 50 to 59 years were the ones who presented the highest increase in incidence. More wide-ranging epidemiological studies therefore become necessary for defining the factors that are possibly related to this excessive increase in breast cancer incidence, in certain specific segments of the female population.
PLoS …, 2011
Your browser version may not work well with NCBI's web applications. More information here..... more Your browser version may not work well with NCBI's web applications. More information here... ... PLoS Genet. 2011 April; 7(4): 10.1371/annotation/9952526f-2f1f-47f3-af0f-1a7cf6f0abc1 . ... Published online 2011 April 26. doi: 10.1371/annotation/9952526f-2f1f-47f3-af0f-...
Objective: To describe the mortality trends for lung cancer, cancer of the trachea, and bronchial... more Objective: To describe the mortality trends for lung cancer, cancer of the trachea, and bronchial cancer in relation to gender and age brackets in Brazil. Methods: Data related to mortality between 1980 and 2003 were collected from the Brazilian Mortality Database. A trend analysis of mortality was carried out, nationwide and in selected states, using the LOWESS technique for rate smoothing and model adjustments. Results: In Brazil, the standardized mortality rate for lung cancer, cancer of the trachea, and bronchial cancer increased from 7.21/100,000 inhabitants in 1980 to 9.36/100,000 inhabitants in 2003. Specific mortality rates decreased in males in the 30-49 and 50-59 age brackets. In the 60-69 age bracket, the rates for males increased from 1980 to 1995 and declined thereafter. There was a trend toward higher mortality rates in males over 70, as well as in females over 30, throughout the period evaluated. Conclusions: The decrease in the mortality rates in younger males might have resulted from recent national interventions aimed at reducing the prevalence of smoking and reducing exposure in younger cohorts. High mortality rates in older populations remained constant due to prior tobacco use. Increased mortality rates in females are a worldwide trend and are attributable to the recent increase in smoking prevalence in females.
Cancer Epidemiology, 2010
Population-based cancer registries (PBCRs) are instruments to provide cancer incidence to promote... more Population-based cancer registries (PBCRs) are instruments to provide cancer incidence to promote cancer control and etiological research. A setting of mandatory (standard) variables is routinely collected for patient and tumor. One recommended variable is tumor stage, which ...
The Cancer Incidence in Five Continents (CI5) series comprises nine volumes that bring together p... more The Cancer Incidence in Five Continents (CI5) series comprises nine volumes that bring together peer-reviewed results from population-based cancer registries worldwide. The aim of each is to make available comparable data on cancer incidence from as wide a range of geographical locations as possible. In addition, the existence of long time series of data allows the evolution of risk in different populations over time to be studied. The CI5 I-IX database brings together the results from all nine volumes, spanning a period of some 50 years. In addition, unpublished annual data, with more diagnostic detail, are made available for many cancer registries with 15 or more years of recent data. We describe the construction and composition of the CI5 databases, and provide examples of how they can be used to prepare tables and graphs comparing incidence rates between populations. This is the classical role of descriptive statistics: to allow formulation of hypotheses that might explain the observed differences (geographically, over time, in population subgroups) and that can be tested by further study. Such statistics are also essential components in the planning and evaluation of cancer control programmes.
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Papers by Maria-paula Curado