Original Articles
Trends in Lung Cancer Mortality Rates in the Provinces of Andalusia, Spain, 1975-2002
Aurelio Cayuelaa,
, Susana Rodríguez-Domínguezb, Remedios Oteroc
Corresponding author
aurelio.cayuela.sspa@juntadeandalucia.es
Correspondence: Dr. A. Cayuela. Centro de Documentación Clínica. Hospitales Universitarios Virgen del Rocío. Avda. Manuel Siurot, s/n. 41013 Sevilla. España
Correspondence: Dr. A. Cayuela. Centro de Documentación Clínica. Hospitales Universitarios Virgen del Rocío. Avda. Manuel Siurot, s/n. 41013 Sevilla. España
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"etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Susana" "apellidos" => "Rodríguez-Domínguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "Remedios" "apellidos" => "Otero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Unidad de Apoyo a la Investigación, Hospital Universitario Virgen del Rocío, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Fundación Progreso y Salud, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospital Universitario Virgen del Rocío, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. A. Cayuela. Centro de Documentación Clínica. Hospitales Universitarios Virgen del Rocío. Avda. Manuel Siurot, s/n. 41013 Sevilla. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-11-23" "fechaAceptado" => "2006-02-28" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154228" "palabras" => array:5 [ 0 => "Lung cancer" 1 => "Mortality" 2 => "Trends" 3 => "Epidemiology" 4 => "Smoking" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154229" "palabras" => array:5 [ 0 => "Cáncer de pulmón" 1 => "Mortalidad" 2 => "Tendencia" 3 => "Epidemiología" 4 => "Tabaco" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To describe trends in lung cancer mortality rates in the different provinces of Andalusia, Spain, from 1975 through 2002.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Deaths from lung cancer during the period 1975 through 2002 were obtained from the Spanish national institute of statistics. Crude rates and age-adjusted rates (overall and truncated 35-64 year rates) were calculated.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In Andalusia in 2002 there were 2802 deaths from lung cancer in men and 254 in women, representing 28.4% and 4.5%, respectively, of the mortality rate from tumors. Joinpoint regression analysis distinguished 3 recent trends in truncated (range, 35-64 years) lung cancer mortality rates in men: decrease in Sevilla, increase in Huelva and Jaen, and stability in the other provinces. For women there was a marked increase (5.2% annually) during the period 1988 through 2002 in Malaga.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">From a strategic point of view, antismoking strategies should target women in the province of Malaga in particular, with the aim of detaining their increasing risk for this type of cancer and of preventing avoidable and premature deaths among future generations of women.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Describir la evolución de la mortalidad por cáncer de pulmón en Andalucía durante el período 1975-2002 a nivel provincial.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Las defunciones por cáncer de pulmón durante el período 1975-2002 se obtuvieron del Instituto Nacional de Estadística. Se han calculado los siguientes indicadores: tasas brutas y tasas ajustadas por edad (globa-les y truncadas 35-64 años).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En 2002 se produjeron en Andalucía 2.802 defunciones por cáncer de pulmón en varones y 254 en mu-jeres, lo que representó el 28,4 y el 4,5% de la mortalidad por tumores, respectivamente. El análisis joinpoint permitió delimitar 3 tendencias diferenciadas en los últimos años (descenso en Sevilla, incremento en Huelva y Jaén, y estabi-lización en el resto de provincias) en las tasas truncadas (35-64 años) de mortalidad por cáncer de pulmón en varones. En las mujeres destacó el fuerte incremento (un 5,2% anual) observado en el período 1988-2002 en Málaga.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Desde el punto de vista estratégico es re-comendable que las medidas antitabaco se dirijan especial-mente a las mujeres de la provincia de Málaga, con el fin de detener el creciente incremento del riesgo de padecer este tipo de cáncer e impedir muertes evitables y prematuras en-tre las generaciones futuras de mujeres.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Going up or coming down? 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 3 | 7 |
| 2024 October | 36 | 18 | 54 |
| 2024 September | 33 | 13 | 46 |
| 2024 August | 52 | 37 | 89 |
| 2024 July | 35 | 25 | 60 |
| 2024 June | 32 | 21 | 53 |
| 2024 May | 39 | 34 | 73 |
| 2024 April | 23 | 21 | 44 |
| 2024 March | 25 | 17 | 42 |
| 2024 February | 23 | 22 | 45 |
| 2023 March | 2 | 3 | 5 |
| 2023 February | 17 | 17 | 34 |
| 2023 January | 19 | 21 | 40 |
| 2022 December | 28 | 25 | 53 |
| 2022 November | 17 | 21 | 38 |
| 2022 October | 23 | 36 | 59 |
| 2022 September | 21 | 27 | 48 |
| 2022 August | 17 | 36 | 53 |
| 2022 July | 22 | 40 | 62 |
| 2022 June | 18 | 35 | 53 |
| 2022 May | 19 | 22 | 41 |
| 2022 April | 23 | 31 | 54 |
| 2022 March | 23 | 44 | 67 |
| 2022 February | 19 | 29 | 48 |
| 2022 January | 21 | 31 | 52 |
| 2021 December | 19 | 54 | 73 |
| 2021 November | 16 | 44 | 60 |
| 2021 October | 21 | 52 | 73 |
| 2021 September | 19 | 56 | 75 |
| 2021 August | 9 | 24 | 33 |
| 2021 July | 13 | 32 | 45 |
| 2021 June | 18 | 32 | 50 |
| 2021 May | 16 | 28 | 44 |
| 2021 April | 29 | 37 | 66 |
| 2021 March | 25 | 21 | 46 |
| 2021 February | 15 | 14 | 29 |
| 2021 January | 7 | 13 | 20 |
| 2020 December | 8 | 12 | 20 |
| 2020 November | 9 | 12 | 21 |
| 2020 October | 11 | 12 | 23 |
| 2020 September | 7 | 5 | 12 |
| 2020 August | 9 | 10 | 19 |
| 2020 July | 6 | 16 | 22 |
| 2020 June | 8 | 10 | 18 |
| 2020 May | 21 | 13 | 34 |
| 2020 April | 15 | 16 | 31 |
| 2020 March | 13 | 8 | 21 |
| 2020 February | 14 | 12 | 26 |
| 2020 January | 11 | 18 | 29 |
| 2019 December | 9 | 8 | 17 |
| 2019 November | 8 | 5 | 13 |
| 2019 October | 5 | 4 | 9 |
| 2019 September | 11 | 8 | 19 |
| 2019 August | 8 | 9 | 17 |
| 2019 July | 9 | 14 | 23 |
| 2019 June | 21 | 8 | 29 |
| 2019 May | 41 | 18 | 59 |
| 2019 April | 22 | 26 | 48 |
| 2019 March | 9 | 20 | 29 |
| 2019 February | 10 | 9 | 19 |
| 2019 January | 9 | 10 | 19 |
| 2018 December | 6 | 14 | 20 |
| 2018 November | 17 | 6 | 23 |
| 2018 October | 11 | 11 | 22 |
| 2018 September | 9 | 7 | 16 |
| 2018 May | 4 | 0 | 4 |
| 2018 April | 4 | 5 | 9 |
| 2018 March | 4 | 2 | 6 |
| 2018 February | 8 | 10 | 18 |
| 2018 January | 0 | 2 | 2 |
| 2017 December | 4 | 7 | 11 |
| 2017 November | 3 | 4 | 7 |
| 2017 October | 6 | 3 | 9 |
| 2017 September | 4 | 7 | 11 |
| 2017 August | 6 | 8 | 14 |
| 2017 July | 3 | 3 | 6 |
| 2017 June | 6 | 11 | 17 |
| 2017 May | 6 | 7 | 13 |
| 2017 April | 0 | 2 | 2 |
| 2017 March | 1 | 3 | 4 |
| 2017 February | 0 | 2 | 2 |
| 2017 January | 1 | 1 | 2 |
| 2016 December | 4 | 5 | 9 |
| 2016 November | 13 | 6 | 19 |
| 2016 October | 22 | 8 | 30 |
| 2016 September | 7 | 1 | 8 |
| 2016 August | 5 | 3 | 8 |
| 2016 July | 3 | 3 | 6 |
| 2016 April | 1 | 0 | 1 |
| 2016 March | 1 | 0 | 1 |
| 2015 December | 5 | 0 | 5 |
| 2015 October | 31 | 13 | 44 |
| 2015 September | 31 | 13 | 44 |
| 2015 August | 34 | 9 | 43 |
| 2015 July | 45 | 7 | 52 |
| 2015 June | 31 | 7 | 38 |
| 2015 May | 35 | 16 | 51 |
| 2015 April | 37 | 16 | 53 |
| 2015 March | 79 | 7 | 86 |
| 2015 February | 47 | 5 | 52 |
| 2015 January | 47 | 6 | 53 |
| 2014 December | 34 | 3 | 37 |
| 2014 November | 52 | 10 | 62 |
| 2014 October | 48 | 8 | 56 |
| 2014 September | 35 | 9 | 44 |
| 2014 August | 34 | 15 | 49 |
| 2014 July | 31 | 11 | 42 |
| 2014 June | 42 | 10 | 52 |
| 2014 May | 49 | 15 | 64 |
| 2014 April | 46 | 12 | 58 |
| 2014 March | 41 | 9 | 50 |
| 2014 February | 40 | 13 | 53 |
| 2014 January | 35 | 8 | 43 |
| 2013 December | 44 | 13 | 57 |
| 2013 November | 29 | 11 | 40 |
| 2013 October | 31 | 12 | 43 |
| 2013 September | 31 | 9 | 40 |
| 2013 August | 38 | 20 | 58 |
| 2013 July | 44 | 12 | 56 |
| 2013 June | 37 | 10 | 47 |
| 2013 May | 35 | 9 | 44 |
| 2013 April | 28 | 4 | 32 |
| 2013 March | 9 | 3 | 12 |
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