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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer la incidencia&#44; el abordaje cl&#237;nico&#44; la demora y la supervivencia del carcinoma broncog&#233;nico &#40;CB&#41; en el &#193;rea Sanitaria de A Coru&#241;a</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de los pacientes diagnosticados de CB durante el per&#237;odo de 1995&#8211;1996 en un &#225;rea sanitaria de 509&#46;000 habitantes&#46; El estudio incluy&#243; datos demogr&#225;ficos&#44; cl&#237;nicos&#44; citohistol&#243;gicos&#44; demora diagn&#243;stica&#44; estudio de extensi&#243;n y fecha de fallecimiento&#46; Calculamos las tasas de incidencia brutas&#44; espec&#237;ficas y estandarizadas por edad</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se diagnosticaron 378 pacientes &#40;el 95&#37; varones y el 5&#37; mujeres&#41;&#46; La tasa de incidencia bruta fue de 37&#47;100&#46;000 habitantes &#40;73&#44;7&#47;100&#46;000 para los varones y 3&#47;100&#46;000 para las mujeres&#41; y la tasa estandarizada por edad&#44; de 21&#44;7&#47;100&#46;000&#46; El diagn&#243;stico fue citohistol&#243;gico en el 87&#37; de los casos y la estirpe m&#225;s frecuente fue el carcinoma epidermoide&#46; El diagn&#243;stico fue clinicorradiol&#243;gico en el 13&#44;7&#37; de los pacientes y en este grupo exist&#237;a m&#225;s comorbiliad y la edad era superior&#46; El 13&#37; de los casos estaban asintom&#225;ticos y en ellos la enfermedad se hallaba en estadios m&#225;s tempranos&#44; predominaba el carcinoma broncog&#233;nico de c&#233;lulas no peque&#241;as y el tratamiento fue quir&#250;rgico en el 60&#37; de ellos&#46; La demora diagn&#243;stica &#40;tiempo desde el primer s&#237;ntoma a la confirmaci&#243;n histol&#243;gica&#41; fue de 2&#44;5 meses &#40;mediana&#44; 2&#44;1&#41; y la intensidad de la demora no afect&#243; la supervivencia&#46; Se realiz&#243; tratamiento quir&#250;rgico en el 23&#37; de los pacientes con carcinoma broncog&#233;nico de c&#233;lulas no peque&#241;as&#46; La mediana de la supervivencia fue de 7&#44;1 meses &#40;5&#44;2 meses en pacientes no operados y 37&#44;6 en operados&#41;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Este estudio confirma los datos de incidencia de CB de otras regiones espa&#241;olas en el var&#243;n&#44; mientras que en la mujer la incidencia observada es muy inferior&#46; La demora diagn&#243;stica no afect&#243; a la supervivencia&#46; El porcentaje de pacientes en estadios quir&#250;rgicos es muy bajo y la supervivencia es muy corta&#46; Estos datos apoyan la necesidad de realizar el diagn&#243;stico en estadios tempranos</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the incidence&#44; clinical approach&#44; diagnostic delay and survival for bronchogenic carcinoma &#40;BC&#41; in the public health area of A Coru&#241;a &#40;Spain&#41;</p> <span class="elsevierStyleSectionTitle">Patients And Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">This was a retrospective study of patients with a diagnosis of BC made in 1995 and 1996 in a health care area with 509&#44;000 inhabitants&#46; For analysis we gathered demographic&#44; clinical and cytohistologic data and analyzed diagnostic delay&#44; extension of disease and time of death&#46; Crude&#44; age-specific and age-standardized incidences were calculated</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">BC was diagnosed in 378 patients &#40;95&#37; men and 5&#37; women&#41;&#46; The crude incidence was 37 per 100&#44;000 inhabitants &#40;73&#46;7 per 100&#44;000 men and 3 per 100&#44;000 women&#41; and the age-standardized incidence was 21&#46;7 per 100&#44;000&#46; Diagnosis was by cytohistology in 87&#37; of the cases&#44; and the most frequent biopsy finding was epidermoid carcinoma&#46; Diagnosis was by clinical or radiologic findings for 13&#46;7&#37;&#44; and patients in that group were older and had greater comorbidity&#46; No symptoms were present in 13&#37; and in those patients diagnosis was earlier&#44; with non-small BC predominating and 60&#37; treated surgically&#46; The diagnostic delay &#40;time from the first symptom to histologic confirmation&#41; was 2&#46;5 months &#40;median&#44; 2&#46;1&#41;&#44; and length of delay did not affect survival&#46; Surgery was performed in 23&#37; of the patients with non-small BC&#46; The median survival was 7&#46;1 months &#40;5&#46;2 months for patients who were not treated surgically&#44; and 37&#46;6 for those who were&#41;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The incidence of BC in men in our study is consistent with that reported for other Spanish regions&#44; although the incidence we observed for women is much lower&#46; Diagnostic delay did not affect survival&#46; The percentage of patients with surgical-stage disease is very low and survival is very short&#46; These findings support the need for early diagnosis</p>"
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Vol. 39. Issue 5.
Pages 209-216 (May 2003)
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Vol. 39. Issue 5.
Pages 209-216 (May 2003)
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Cáncer de pulmón en el Área Sanitaria de A Coruña: incidencia, abordaje clínico y supervivencia
Lung cancer in the health care area of A Coruña(Spain): incidence, clinical approach and survival
Visits
12808
C. Montero
, M. Rosales, I. Otero, M. Blanco, G. Rodríguez, S. Peterga, S. Pita, H. Verea
Servicio de Neumología. Hospital Universitario Juan Canalejo. A Coruña. España
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Article information
Objetivo

Conocer la incidencia, el abordaje clínico, la demora y la supervivencia del carcinoma broncogénico (CB) en el Área Sanitaria de A Coruña

Pacientes Y Método

Estudio retrospectivo de los pacientes diagnosticados de CB durante el período de 1995–1996 en un área sanitaria de 509.000 habitantes. El estudio incluyó datos demográficos, clínicos, citohistológicos, demora diagnóstica, estudio de extensión y fecha de fallecimiento. Calculamos las tasas de incidencia brutas, específicas y estandarizadas por edad

Resultados

Se diagnosticaron 378 pacientes (el 95% varones y el 5% mujeres). La tasa de incidencia bruta fue de 37/100.000 habitantes (73,7/100.000 para los varones y 3/100.000 para las mujeres) y la tasa estandarizada por edad, de 21,7/100.000. El diagnóstico fue citohistológico en el 87% de los casos y la estirpe más frecuente fue el carcinoma epidermoide. El diagnóstico fue clinicorradiológico en el 13,7% de los pacientes y en este grupo existía más comorbiliad y la edad era superior. El 13% de los casos estaban asintomáticos y en ellos la enfermedad se hallaba en estadios más tempranos, predominaba el carcinoma broncogénico de células no pequeñas y el tratamiento fue quirúrgico en el 60% de ellos. La demora diagnóstica (tiempo desde el primer síntoma a la confirmación histológica) fue de 2,5 meses (mediana, 2,1) y la intensidad de la demora no afectó la supervivencia. Se realizó tratamiento quirúrgico en el 23% de los pacientes con carcinoma broncogénico de células no pequeñas. La mediana de la supervivencia fue de 7,1 meses (5,2 meses en pacientes no operados y 37,6 en operados)

Conclusiones

Este estudio confirma los datos de incidencia de CB de otras regiones españolas en el varón, mientras que en la mujer la incidencia observada es muy inferior. La demora diagnóstica no afectó a la supervivencia. El porcentaje de pacientes en estadios quirúrgicos es muy bajo y la supervivencia es muy corta. Estos datos apoyan la necesidad de realizar el diagnóstico en estadios tempranos

Palabras clave:
Carcinoma broncogénico
Incidencia
Abordaje clínico
Demora
Supervivencia
Objective

To determine the incidence, clinical approach, diagnostic delay and survival for bronchogenic carcinoma (BC) in the public health area of A Coruña (Spain)

Patients And Method

This was a retrospective study of patients with a diagnosis of BC made in 1995 and 1996 in a health care area with 509,000 inhabitants. For analysis we gathered demographic, clinical and cytohistologic data and analyzed diagnostic delay, extension of disease and time of death. Crude, age-specific and age-standardized incidences were calculated

Results

BC was diagnosed in 378 patients (95% men and 5% women). The crude incidence was 37 per 100,000 inhabitants (73.7 per 100,000 men and 3 per 100,000 women) and the age-standardized incidence was 21.7 per 100,000. Diagnosis was by cytohistology in 87% of the cases, and the most frequent biopsy finding was epidermoid carcinoma. Diagnosis was by clinical or radiologic findings for 13.7%, and patients in that group were older and had greater comorbidity. No symptoms were present in 13% and in those patients diagnosis was earlier, with non-small BC predominating and 60% treated surgically. The diagnostic delay (time from the first symptom to histologic confirmation) was 2.5 months (median, 2.1), and length of delay did not affect survival. Surgery was performed in 23% of the patients with non-small BC. The median survival was 7.1 months (5.2 months for patients who were not treated surgically, and 37.6 for those who were)

Conclusions

The incidence of BC in men in our study is consistent with that reported for other Spanish regions, although the incidence we observed for women is much lower. Diagnostic delay did not affect survival. The percentage of patients with surgical-stage disease is very low and survival is very short. These findings support the need for early diagnosis

Keywords:
Bronchogenic carcinoma
Incidence
Clinical appro
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