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
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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"apellidos" => "Rodríguez González-Moro" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "de Lucas Ramos" ] 5 => array:2 [ "nombre" => "G." "apellidos" => "Gaspar Alonso-Vega" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753629?idApp=UINPBA00003Z" "url" => "/03002896/0000003900000005/v1_201307081449/S0300289603753629/v1_201307081449/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Cáncer de pulmón en el Área Sanitaria de A Coruña: incidencia, abordaje clínico y supervivencia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "209" "paginaFinal" => "216" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Montero, M. Rosales, I. Otero, M. Blanco, G. Rodríguez, S. Peterga, S. Pita, H. Verea" "autores" => array:8 [ 0 => array:3 [ "nombre" => "C." "apellidos" => "Montero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Rosales" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Otero" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Blanco" ] 4 => array:2 [ "nombre" => "G." "apellidos" => "Rodríguez" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Peterga" ] 6 => array:2 [ "nombre" => "S." "apellidos" => "Pita" ] 7 => array:2 [ "nombre" => "H." "apellidos" => "Verea" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neumología. Hospital Universitario Juan Canalejo. A Coruña. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Pza. Gaiteira, portal 7, 6.° C. 15006 A Coruña. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lung cancer in the health care area of A Coruña(Spain): incidence, clinical approach and survival" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-05-16" "fechaAceptado" => "2002-10-29" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190322" "palabras" => array:5 [ 0 => "Carcinoma broncogénico" 1 => "Incidencia" 2 => "Abordaje clínico" 3 => "Demora" 4 => "Supervivencia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190321" "palabras" => array:3 [ 0 => "Bronchogenic carcinoma" 1 => "Incidence" 2 => "Clinical appro" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer la incidencia, el abordaje clínico, la demora y la supervivencia del carcinoma broncogénico (CB) en el Área Sanitaria de A Coruña</p> <span class="elsevierStyleSectionTitle">Pacientes Y Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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)</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">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</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To determine the incidence, clinical approach, diagnostic delay and survival for bronchogenic carcinoma (BC) in the public health area of A Coruña (Spain)</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 509,000 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</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">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)</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, 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</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:40 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 4 | 7 |
| 2024 October | 31 | 17 | 48 |
| 2024 September | 30 | 19 | 49 |
| 2024 August | 59 | 46 | 105 |
| 2024 July | 26 | 27 | 53 |
| 2024 June | 52 | 26 | 78 |
| 2024 May | 50 | 32 | 82 |
| 2024 April | 34 | 22 | 56 |
| 2024 March | 27 | 34 | 61 |
| 2024 February | 28 | 39 | 67 |
| 2024 January | 0 | 9 | 9 |
| 2023 December | 0 | 3 | 3 |
| 2023 November | 0 | 1 | 1 |
| 2023 October | 0 | 5 | 5 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 2 | 2 |
| 2023 May | 0 | 1 | 1 |
| 2023 April | 0 | 15 | 15 |
| 2023 March | 6 | 8 | 14 |
| 2023 February | 22 | 26 | 48 |
| 2023 January | 25 | 30 | 55 |
| 2022 December | 36 | 30 | 66 |
| 2022 November | 31 | 23 | 54 |
| 2022 October | 47 | 27 | 74 |
| 2022 September | 32 | 30 | 62 |
| 2022 August | 30 | 45 | 75 |
| 2022 July | 34 | 45 | 79 |
| 2022 June | 29 | 37 | 66 |
| 2022 May | 35 | 41 | 76 |
| 2022 April | 47 | 31 | 78 |
| 2022 March | 55 | 43 | 98 |
| 2022 February | 28 | 23 | 51 |
| 2022 January | 21 | 23 | 44 |
| 2021 December | 26 | 39 | 65 |
| 2021 November | 27 | 48 | 75 |
| 2021 October | 42 | 54 | 96 |
| 2021 September | 24 | 50 | 74 |
| 2021 August | 17 | 36 | 53 |
| 2021 July | 24 | 22 | 46 |
| 2021 June | 30 | 35 | 65 |
| 2021 May | 24 | 33 | 57 |
| 2021 April | 37 | 46 | 83 |
| 2021 March | 39 | 20 | 59 |
| 2021 February | 28 | 16 | 44 |
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| 2020 December | 16 | 15 | 31 |
| 2020 November | 15 | 10 | 25 |
| 2020 October | 23 | 11 | 34 |
| 2020 September | 20 | 11 | 31 |
| 2020 August | 21 | 4 | 25 |
| 2020 July | 30 | 20 | 50 |
| 2020 June | 10 | 2 | 12 |
| 2020 May | 31 | 14 | 45 |
| 2020 April | 27 | 4 | 31 |
| 2020 March | 21 | 15 | 36 |
| 2020 February | 31 | 17 | 48 |
| 2020 January | 32 | 41 | 73 |
| 2019 December | 30 | 22 | 52 |
| 2019 November | 26 | 10 | 36 |
| 2019 October | 15 | 17 | 32 |
| 2019 September | 28 | 25 | 53 |
| 2019 August | 16 | 19 | 35 |
| 2019 July | 31 | 18 | 49 |
| 2019 June | 41 | 19 | 60 |
| 2019 May | 62 | 33 | 95 |
| 2019 April | 49 | 26 | 75 |
| 2019 March | 22 | 17 | 39 |
| 2019 February | 24 | 14 | 38 |
| 2019 January | 16 | 11 | 27 |
| 2018 December | 21 | 14 | 35 |
| 2018 November | 48 | 18 | 66 |
| 2018 October | 50 | 13 | 63 |
| 2018 September | 32 | 18 | 50 |
| 2018 August | 2 | 0 | 2 |
| 2018 July | 3 | 0 | 3 |
| 2018 May | 11 | 1 | 12 |
| 2018 April | 5 | 5 | 10 |
| 2018 March | 10 | 7 | 17 |
| 2018 February | 12 | 9 | 21 |
| 2018 January | 9 | 6 | 15 |
| 2017 December | 16 | 10 | 26 |
| 2017 November | 10 | 13 | 23 |
| 2017 October | 7 | 13 | 20 |
| 2017 September | 17 | 12 | 29 |
| 2017 August | 17 | 15 | 32 |
| 2017 July | 10 | 11 | 21 |
| 2017 June | 27 | 21 | 48 |
| 2017 May | 17 | 15 | 32 |
| 2017 April | 11 | 9 | 20 |
| 2017 March | 15 | 9 | 24 |
| 2017 February | 11 | 8 | 19 |
| 2017 January | 16 | 18 | 34 |
| 2016 December | 40 | 17 | 57 |
| 2016 November | 53 | 26 | 79 |
| 2016 October | 68 | 28 | 96 |
| 2016 September | 53 | 21 | 74 |
| 2016 August | 37 | 10 | 47 |
| 2016 July | 29 | 4 | 33 |
| 2016 June | 53 | 20 | 73 |
| 2016 May | 53 | 11 | 64 |
| 2016 April | 37 | 2 | 39 |
| 2016 March | 26 | 3 | 29 |
| 2016 February | 34 | 4 | 38 |
| 2016 January | 48 | 21 | 69 |
| 2015 December | 52 | 20 | 72 |
| 2015 November | 59 | 21 | 80 |
| 2015 October | 68 | 3 | 71 |
| 2015 September | 50 | 0 | 50 |
| 2015 August | 62 | 0 | 62 |
| 2015 July | 55 | 0 | 55 |
| 2015 June | 47 | 0 | 47 |
| 2015 May | 64 | 0 | 64 |
| 2015 April | 44 | 0 | 44 |
| 2015 March | 54 | 0 | 54 |
| 2015 February | 34 | 0 | 34 |
| 2015 January | 40 | 0 | 40 |
| 2014 December | 38 | 0 | 38 |
| 2014 November | 41 | 0 | 41 |
| 2014 October | 56 | 0 | 56 |
| 2014 September | 33 | 0 | 33 |
| 2014 August | 48 | 0 | 48 |
| 2014 July | 39 | 0 | 39 |
| 2014 June | 49 | 0 | 49 |
| 2014 May | 67 | 0 | 67 |
| 2014 April | 48 | 0 | 48 |
| 2014 March | 50 | 0 | 50 |
| 2014 February | 55 | 0 | 55 |
| 2014 January | 50 | 0 | 50 |
| 2013 December | 44 | 0 | 44 |
| 2013 November | 35 | 0 | 35 |
| 2013 October | 53 | 0 | 53 |
| 2013 September | 50 | 0 | 50 |
| 2013 August | 53 | 0 | 53 |
| 2013 July | 57 | 0 | 57 |
| 2013 June | 41 | 0 | 41 |
| 2013 May | 41 | 0 | 41 |
| 2013 April | 32 | 0 | 32 |
| 2013 March | 5 | 0 | 5 |
| 2000 January | 6435 | 0 | 6435 |
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