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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La mortalidad por c&#225;ncer de pulm&#243;n en Espa&#241;a aumenta ininterrumpidamente&#46; El objetivo del presente estudio ha sido conocer su incidencia hospitalaria&#44; as&#237; como otros datos de manejo cl&#237;nico&#44; en varias regiones espa&#241;olas&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospective observacional de los pacientes diagnosticados de c&#225;ncer de pulm&#243;n en 2003 en 13 centros de 9 comunidades aut&#243;nomas&#46; Se evaluaron variables epidemiol&#243;gicas&#44; cl&#237;nicas&#44; diagn&#243;sticas y terap&#233;uticas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se han registrado 1&#46;064 varones y 125 mujeres correspondientes a una poblaci&#243;n total de 2&#46;726&#46;601 habitantes &#40;1&#46;346&#46;483 varones y 1&#46;380&#46;118 mujeres&#41;&#46; Las tasas estandarizadas seg&#250;n poblaci&#243;n mundial variaron entre 42&#44;4 y 61&#44;8&#47;100&#46;000 en varones y entre 1&#44;5 y 8&#44;6&#47;100&#46;000 en mujeres&#46; El 51&#37; ten&#237;a m&#225;s de 70 a&#241;os&#46; El 97&#44;5&#37; de los varones y el 32&#37; de las mujeres eran fumadores o ex fumadores&#46; Se obtuvo confirmaci&#243;n citohistol&#243;gica en el 93&#44;1&#37; de los casos &#40;un 20&#44;8&#37; microc&#237;ticos y un 79&#44;2&#37; no microc&#237;ticos&#41;&#46; Los s&#237;ntomas iniciales predominantes fueron tos&#44; dolor tor&#225;cico y p&#233;rdida de peso&#46; En el 13&#44;7&#37; el diagn&#243;stico se sospech&#243; s&#243;lo por anormalidad radiol&#243;gica&#46; La proporci&#243;n de estadios TNM cl&#237;nicos I y II vari&#243; entre el 6&#44;3 y el 26&#44;9&#37;&#46; El estadio IV fue el m&#225;s com&#250;n en todos los centros&#46; La tasa de intervenciones vari&#243; entre el 2&#44;5 y el 20&#44;6&#37;&#59; el promedio fue del 14&#44;8&#37; &#40;un 19&#44;9&#37; del total de no microc&#237;ticos&#41;&#46; El 27&#44;0&#37; s&#243;lo recibi&#243; medidas paliativas&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Entre los casos de c&#225;ncer de pulm&#243;n aumenta la proporci&#243;n de mujeres con respecto a estudios previos&#44; con notables diferencias interregionales&#46; Pese a las mejoras diagn&#243;sticas&#44; la tasa de intervenciones&#44; muy variable entre diferentes centros&#44; es muy baja&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Mortality due to lung cancer in Spain is increasing continuously&#46; The aim of the present study was to collect information on the hospital incidence of lung cancer&#44; as well as information on clinical management&#44; in different regions of Spain&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective observational study of patients diagnosed with lung cancer in 2003 was carried out in 13 centers in 9 autonomous communities&#46; Epidemiological&#44; clinical&#44; diagnostic&#44; and therapeutic variables were assessed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Of a total population of 2 726 601 inhabitants &#40;1 346 483 men and 1 380 118 women&#41;&#44; 1064 male and 125 female lung cancer patients were included&#46; The incidence standardized to the world population varied between 42&#46;4&#47;100 000 and 61&#46;8&#47;100 000 in men and between 1&#46;5&#47;100 000 and 8&#46;6&#47;100 000 in women&#46; Overall&#44; 51&#37; were aged over 70 years&#44; and 97&#46;5&#37; of the men and 32&#37; of the women were smokers or ex-smokers&#46; Cytologic or histologic confirmation was obtained for 93&#46;1&#37; of the cases &#40;20&#46;8&#37; of which were small cell lung cancers and 79&#46;2&#37; were non-small cell lung cancers&#41;&#46; The main initial symptoms were cough&#44; chest pain&#44; and weight loss&#46; In 13&#46;7&#37;&#44; lung cancer was suspected because of abnormal chest x-ray&#46; The percentage with clinical TNM stages I and II ranged from 6&#46;3&#37; to 26&#46;9&#37;&#46; The most common stage was stage IV in all centers&#46; The percentage of patients undergoing surgery ranged from 2&#46;5&#37; to 20&#46;6&#37;&#44; with a mean of 14&#46;8&#37; &#40;19&#46;9&#37; of whom were patients with non-small cell lung cancer&#41;&#59; 27&#37; received palliative treatment only&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The proportion of women suffering from lung cancer increased with respect to previous studies&#44; with notable differences among regions&#46; Despite diagnostic improvements&#44; the percentage of patients undergoing surgery is low&#44; though interregional variation is considerable&#46;</p>"
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Originales
Estudio multicéntrico epidemiológico-clínico de cáncer de pulmón en España (estudio EpicliCP-2003)
The EpicliCP-2003 Study: a Multicenter Epidemiological and Clinical Study of Lung Cancer in Spain
Julio Sánchez de Cos Escuína,
,
Corresponding author
jsd01cc@saludalia.com

Correspondencia: Dr. J. Sánchez de Cos Escuín. Sección de Neumología. Hospital San Pedro de Alcántara. Avda. Millán Astray, s/n. 10003 Cáceres. España.
, Luis Miravet Sorribesb,*, José Abal Arcac,*, Ana Núñez Aresd,*, Jesús Hernández Hernándeze,*, Ana M. Castañar Joverf,*, Francisco Javier Muñoz Gutiérrezg, Luis García Arangüenah, Miguel Ángel Alonsoi, M. del Carmen Montero Martínezj, Jesús Allende Gonzálezk, Ignacio Sánchez Hernándezl
a Sección de Neumología. Hospital San Pedro de Alcántara. Cáceres. España
b Sección de Neumología. Hospital de Vinaroz. Vinaroz. Castellón de la Plana. España
c Sección de Neumología. Hospital Cristal-Piñor. Orense. España
d Sección de Neumología. Complejo Hospitalario de Albacete. Albacete. España
e Sección de Neumología. Hospital Nuestra Señora de Sonsoles. Ávila. España
f Sección de Neumología. Hospital de Mérida. Mérida. Badajoz. España
g Sección de Neumología. Hospital Nuestra Señora de Valme. Sevilla. España
h Sección de Neumología. Hospital Sierrallana. Torrelavega. Cantabria. España
i Sección de Neumología. Hospital Central de Asturias. Oviedo. Asturias. España
j Sección de Neumología. Hospital Juan Canalejo. La Coruña. España
k Sección de Neumología. Complejo Hospitalario de León. León. España
l Sección de Neumología. Hospital General de Guadalajara. Guadalajara. España
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La mortalidad por c&#225;ncer de pulm&#243;n en Espa&#241;a aumenta ininterrumpidamente&#46; El objetivo del presente estudio ha sido conocer su incidencia hospitalaria&#44; as&#237; como otros datos de manejo cl&#237;nico&#44; en varias regiones espa&#241;olas&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un estudio prospective observacional de los pacientes diagnosticados de c&#225;ncer de pulm&#243;n en 2003 en 13 centros de 9 comunidades aut&#243;nomas&#46; Se evaluaron variables epidemiol&#243;gicas&#44; cl&#237;nicas&#44; diagn&#243;sticas y terap&#233;uticas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se han registrado 1&#46;064 varones y 125 mujeres correspondientes a una poblaci&#243;n total de 2&#46;726&#46;601 habitantes &#40;1&#46;346&#46;483 varones y 1&#46;380&#46;118 mujeres&#41;&#46; Las tasas estandarizadas seg&#250;n poblaci&#243;n mundial variaron entre 42&#44;4 y 61&#44;8&#47;100&#46;000 en varones y entre 1&#44;5 y 8&#44;6&#47;100&#46;000 en mujeres&#46; El 51&#37; ten&#237;a m&#225;s de 70 a&#241;os&#46; El 97&#44;5&#37; de los varones y el 32&#37; de las mujeres eran fumadores o ex fumadores&#46; Se obtuvo confirmaci&#243;n citohistol&#243;gica en el 93&#44;1&#37; de los casos &#40;un 20&#44;8&#37; microc&#237;ticos y un 79&#44;2&#37; no microc&#237;ticos&#41;&#46; Los s&#237;ntomas iniciales predominantes fueron tos&#44; dolor tor&#225;cico y p&#233;rdida de peso&#46; En el 13&#44;7&#37; el diagn&#243;stico se sospech&#243; s&#243;lo por anormalidad radiol&#243;gica&#46; La proporci&#243;n de estadios TNM cl&#237;nicos I y II vari&#243; entre el 6&#44;3 y el 26&#44;9&#37;&#46; El estadio IV fue el m&#225;s com&#250;n en todos los centros&#46; La tasa de intervenciones vari&#243; entre el 2&#44;5 y el 20&#44;6&#37;&#59; el promedio fue del 14&#44;8&#37; &#40;un 19&#44;9&#37; del total de no microc&#237;ticos&#41;&#46; El 27&#44;0&#37; s&#243;lo recibi&#243; medidas paliativas&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Entre los casos de c&#225;ncer de pulm&#243;n aumenta la proporci&#243;n de mujeres con respecto a estudios previos&#44; con notables diferencias interregionales&#46; Pese a las mejoras diagn&#243;sticas&#44; la tasa de intervenciones&#44; muy variable entre diferentes centros&#44; es muy baja&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Mortality due to lung cancer in Spain is increasing continuously&#46; The aim of the present study was to collect information on the hospital incidence of lung cancer&#44; as well as information on clinical management&#44; in different regions of Spain&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A prospective observational study of patients diagnosed with lung cancer in 2003 was carried out in 13 centers in 9 autonomous communities&#46; Epidemiological&#44; clinical&#44; diagnostic&#44; and therapeutic variables were assessed&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Of a total population of 2 726 601 inhabitants &#40;1 346 483 men and 1 380 118 women&#41;&#44; 1064 male and 125 female lung cancer patients were included&#46; The incidence standardized to the world population varied between 42&#46;4&#47;100 000 and 61&#46;8&#47;100 000 in men and between 1&#46;5&#47;100 000 and 8&#46;6&#47;100 000 in women&#46; Overall&#44; 51&#37; were aged over 70 years&#44; and 97&#46;5&#37; of the men and 32&#37; of the women were smokers or ex-smokers&#46; Cytologic or histologic confirmation was obtained for 93&#46;1&#37; of the cases &#40;20&#46;8&#37; of which were small cell lung cancers and 79&#46;2&#37; were non-small cell lung cancers&#41;&#46; The main initial symptoms were cough&#44; chest pain&#44; and weight loss&#46; In 13&#46;7&#37;&#44; lung cancer was suspected because of abnormal chest x-ray&#46; The percentage with clinical TNM stages I and II ranged from 6&#46;3&#37; to 26&#46;9&#37;&#46; The most common stage was stage IV in all centers&#46; The percentage of patients undergoing surgery ranged from 2&#46;5&#37; to 20&#46;6&#37;&#44; with a mean of 14&#46;8&#37; &#40;19&#46;9&#37; of whom were patients with non-small cell lung cancer&#41;&#59; 27&#37; received palliative treatment only&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The proportion of women suffering from lung cancer increased with respect to previous studies&#44; with notable differences among regions&#46; Despite diagnostic improvements&#44; the percentage of patients undergoing surgery is low&#44; though interregional variation is considerable&#46;</p>"
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Article information
ISSN: 03002896
Original language: Spanish
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