Secular analysis of the mortality trend due to Inguinal Hernia in Brazil between 2002 and 2021: an epidemiological study ; Análise secular da tendência de mortalidade por Hérnia Inguinal no Brasil, entre 2002 e 2021: um estudo epidemiológico

Objective: To analyze the trend in the mortality rate due to Inguinal Hernia (IH) in Brazil over a 20-year period. Methods: ecological and descriptive study on Mortality due to IH in Brazil between 2002-2021 using the variables region/federation unit, race/color, sex, age group and education. Publicly accessible secondary data from the Mortality Information System of the Ministry of Health, accessed through DATASUS via Tabnet, was used. Mortality rates were calculated for the population estimated in the IBGE Census for each year analyzed. Due to the lack of population estimates for the variables race/color and education, the death proportions were calculated. The temporal trend was estimated using the Paris-Winsten Regression model, whose Annual Percentage Variation was considered reduction when negative results, growth when positive and stationary trend when there is no statistical significance (p>0.05). Results: In Brazil, 11,813 deaths from IH were recorded from 2002-2021. The Brazilian Average Mortality Rate (MMR) was 0.30 deaths/100 thousand. The Northeast and North regions had the highest and lowest national MMR, respectively, 0.33/100 thousand and 0.26/100 thousand. There was an increase of 5.5% per year in deaths due to IH in the country with 24 states showing an increasing trend, 3 a stationary trend and none showing a reduction. Most age groups showed a growth trend, especially between 30-39 years old. Both sexes showed positive VPA, being higher in males. There was a reduction in ignored data in relation to the variables education and race/color. Conclusion: There was an increase in mortality due to IH in all macro-regions of Brazil, in both sexes, in those with more than 4 years of study and over 30 years old and between 15-19 years old. No age group showed a decrease in mortality, despite it being a benign disease, easy to diagnose and curative to treat. Keywords: Inguinal Hernia. Mortality. Brazil. Time Factors. Epidemiology, Descriptive ; Objetivo: Analisar a tendência da taxa de mortalidade ...