Testicular Cancer Mortality in Chile: Is it as high as we think? 41 years of experience in a single center

<p>Introduction: Testicular cancer carries a good prognosis, with survival rates over 70% at any stage. According to the GLOBOCAN database, Chile has the highest mortality rate worldwide, without a clear explanation of why this is the case. The objective of this study is to contrast the observ...

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Main Authors: Nicolás Pieressa P (Author), José Rojas C (Author), Carolina Bonomo M (Author), José Villena H (Author), Ítalo Raineri V (Author), Sebastián Oporto U (Author), Cristián Alliende (Author), Miguél Sarrás J (Author), Christopher Horn B (Author), Bruno Vivaldi J (Author), Iván Saez V (Author), Felipe Mandujano T (Author), Fernando Coz (Author)
Format: Book
Published: Archive of Urological Research - Peertechz Publications, 2019-12-12.
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001 peertech__10_17352_aur_000006
042 |a dc 
100 1 0 |a Nicolás Pieressa P  |e author 
700 1 0 |a  José Rojas C  |e author 
700 1 0 |a  Carolina Bonomo M  |e author 
700 1 0 |a  José Villena H  |e author 
700 1 0 |a  Ítalo Raineri V  |e author 
700 1 0 |a  Sebastián Oporto U  |e author 
700 1 0 |a  Cristián Alliende  |e author 
700 1 0 |a  Miguél Sarrás J  |e author 
700 1 0 |a  Christopher Horn B  |e author 
700 1 0 |a  Bruno Vivaldi J  |e author 
700 1 0 |a  Iván Saez V  |e author 
700 1 0 |a  Felipe Mandujano T  |e author 
700 1 0 |a Fernando Coz  |e author 
245 0 0 |a Testicular Cancer Mortality in Chile: Is it as high as we think? 41 years of experience in a single center 
260 |b Archive of Urological Research - Peertechz Publications,   |c 2019-12-12. 
520 |a <p>Introduction: Testicular cancer carries a good prognosis, with survival rates over 70% at any stage. According to the GLOBOCAN database, Chile has the highest mortality rate worldwide, without a clear explanation of why this is the case. The objective of this study is to contrast the observed deaths in a chilean center during a 41-year period, to the national data previously reported by GLOBOCAN.</p><p>Methods: For this retrospective descriptive study, data was retrieved from medical records from every patient diagnosed with testicular cancer between the years 1978-2019 in our center, and their death certificates were assessed for comparison. Histological type, staging, adjuvant treatment, and cause of death, among other variables, were analyzed. </p><p>Results: Out of 255 patients diagnosed with testicular cancer, 239(93.7%) were alive at the time of data collection. Out of the 16 recorded deaths, 5(2%) had testicular cancer as cause of death, two out of these five patients had early stage cancers, completed 5 years follow-up without relapse, had multiple comorbidities, and had unspecific information in the death certificate. Thus, testicular cancer cannot be attributed with certainty as the cause of death in those patients.</p><p>Conclusion: Chile has the highest mortality rate for testicular cancer worldwide. In our center 40% of the patients that have testicular cancer as cause of death had presumably been incorrectly registered in the death certificate. A possible explanation for the high mortality in Chile could be an incorrect registration of testicular cancer as cause of death.</p> 
540 |a Copyright © Nicolás Pieressa P et al. 
546 |a en 
655 7 |a Research Article  |2 local 
856 4 1 |u https://doi.org/10.17352/aur.000006  |z Connect to this object online.