<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642023000400009</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v25n4.105243</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reporte y mapeo de megacolon en una población colombiana: análisis de 10 años y 937 casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Reporting and mapping of megacolon in a Colombian population: analysis of 10 years and 937 cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Vallejo]]></surname>
<given-names><![CDATA[Jhony A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozada-Martinez]]></surname>
<given-names><![CDATA[Ivan D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benavides-Molina]]></surname>
<given-names><![CDATA[Cristian D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Mesa]]></surname>
<given-names><![CDATA[Henry E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil-Montoya]]></surname>
<given-names><![CDATA[Leonardo F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Caldas Grupo de Investigación en Nutrición, Metabolismo y Seguridad Alimentaria ]]></institution>
<addr-line><![CDATA[Manizales ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la Costa  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Caldas Semillero de Investigación en Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[Manizales ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Caldas Facultad de Ciencias para la Salud ]]></institution>
<addr-line><![CDATA[Manizales ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Caldas Semillero de Investigación en Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[Manizales ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>25</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642023000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642023000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642023000400009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo Analizar el reporte epidemiológico y el comportamiento geoespacial del megacolon en el departamento de Caldas.  Métodos Estudio retrospectivo de corte transversal, donde se analizaron datos de la territorial de salud regional de Caldas, compatibles con sospecha o diagnóstico definitivo de enfermedad de Hirschprung y megacolon durante 2009-2019. Se realizó un análisis univariado para el cálculo de frecuencias y porcentajes. Se utilizó QGIS v.3.24 para establecer la localización geoespacial de los casos.  Resultados Se reportaron 937 casos en total (55% clasificados como megacolon, con código CIE-10 K593). El 2013 y el 2009, fueron los años con mayor y menor número de casos reportados (145 vs. 40 casos). El 70% de los casos fueron de impresión diagnóstica (n=652) y solo el 10% correspondió a definitivos (N=98). El 75,7% se presentó en menores de edad y el 85% (n=782) correspondió a casos propios del departamento de Caldas, principalmente en Manizales (n=643).  Conclusiones Entre el 2009 y el 2019 se evidenció en el departamento de Caldas, una prevalencia elevada de casos de megacolon, con una tendencia reducida en los últimos años. Siete de cada 10 casos se reporta como impresión diagnóstica, y en esta misma proporción se presentó en menores de edad. Solo el 15% de los casos proviene de fuera del departamento. Finalmente, se observó que la base disponible es limitada con respecto a datos sociodemográficos o clínicos que permitan analizar de manera más profunda una enfermedad que no posee datos epidemiológicos sólidos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objetive To analyze the epidemiological report and geospatial behavior of megacolon in the department of Caldas.  Methods Retrospective cross-sectional study, where data from the Caldas regional health territorial, compatible with suspicion or definitive diagnosis of Hirschprung's disease and megacolon during 2009-2019 were analyzed. Univariate analysis was per-formed to calculate frequencies and percentages. QGIS v.3.24 was used to establish the geospatial location of the cases.  Results A total of 937 cases were reported (55% classified as megacolon, with ICD-10 code K593). The years 2013 and 2009 were the years with the highest and lowest number of cases reported (145 vs. 40 cases). Seventy percent of the cases were of diagnostic impression (n=652) and only 10% corresponded to definitive cases (n=98). The 75.7% occurred in minors and 85% (n=782) corresponded to cases in the department of Caldas, mainly in Manizales (n=643).  Conclusions Between 2009 and 2019, a high prevalence of megacolon cases was evidenced in the department of Caldas, with a reduced trend in recent years. 7 out of 10 cases are reported as diagnostic impression and in this same proportion, it occurred in minors. Only 15% of the cases come from outside the department. Finally, it was observed that the available data base is limited with respect to sociodemographic or clinical data, which would allow a more in-depth analysis of a disease that does not have solid epidemiological data.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Megacolon]]></kwd>
<kwd lng="es"><![CDATA[enfermedad de Hirschsprung, mapeo geográfico]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Colombia (fuente: DeCS, BIREME)]]></kwd>
<kwd lng="en"><![CDATA[Megacolon]]></kwd>
<kwd lng="en"><![CDATA[hirschsprung disease]]></kwd>
<kwd lng="en"><![CDATA[geographic mapping]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Colombia (source: MeSH, NLM)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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