Original Articles
Lung Cancer Mortality Trends in Spain Between 1980 and 2005
Aurelio Cayuelaa, Susana Rodríguez-Domínguezb, José Luis López-Camposc,
, Eduardo Vigila, Remedios Oteroc
Corresponding author
lcampos@separ.es
Correspondence: Dr JL López-Campos Unidad Médico-Quirúrgica de Enfermedades Respiratorias Hospitales Universitarios Virgen del Rocío Avda. Manuel Siurot s/n41013 Sevilla, Spain
Correspondence: Dr JL López-Campos Unidad Médico-Quirúrgica de Enfermedades Respiratorias Hospitales Universitarios Virgen del Rocío Avda. Manuel Siurot s/n41013 Sevilla, Spain
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Manuel Siurot s/n41013 Sevilla, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-06-17" "fechaAceptado" => "2007-07-17" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155147" "palabras" => array:5 [ 0 => "Lung cancer" 1 => "Mortality" 2 => "Trend" 3 => "Epidemiology" 4 => "Smoking" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155146" "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 in Spain between 1980 and 2005.</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Data on deaths from lung cancer during the study period were obtained from the Spanish National Institute of Statistics. Global and truncated (35 to 64 years) age-specific and gender-specific mortality rates were calculated and expressed as rates per 100 000 person-years. Trends were analyzed using joinpoint regression models.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In 2005 in Spain, 16 647 men and 2471 women died from lung cancer, accounting for 26.6% and 6.6%, respectively, of all cancer deaths. In men, truncated mortality rates initially increased in the 1980–1992 period(3.1% per year, <span class="elsevierStyleItalic">P</span> <.05) but began to decrease in the 1992–2005 period (−0.8% per year, <span class="elsevierStyleItalic">P</span> <.05). Starting in the 1990s, age-specific mortality rates showed a statistically significant decrease in patients aged less than 85 years. For women, after an initial stable period, truncated mortality rates increased significantly from 1992 onward by 6.3% per year. The analysis by age groups showed that the rates increased in all age groups, except for patients aged 25 to 34 years and patients aged 75 to 84 years, in whom they remained stable.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">While lung cancer mortality began to decrease slightly among Spanish men 15 years ago, it increased significantly among women during the same period.</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 España durante el período 1980–2005.</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Las defunciones por cáncer de pulmón durante el período de estudio se obtuvieron del Instituto Nacional de Estadística. Se calcularon las tasas específicas globales y truncadas (35–64 años) por grupos de edad y sexo, que se expresan como tasas por 100.000 personas-año. Para el análisis de tendencias de las tasas se utilizaron modelos de regresión <span class="elsevierStyleItalic">joinpoint</span>.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En 2005 se produjeron en España 16.647 defunciones por cáncer de pulmón en varones y 2.471 en mujeres, lo que representó el 26,6 y el 6,6% de la mortalidad por tumores, respectivamente. En los varones las tasas truncadas, tras un período de incremento (1980–1992, un 3,1% anual; p < 0,05), comienzan a descender (1992–2005, un −0,8% anual; p < 0,05). Las tasas específicas por grupos de edad muestran un descenso estadísticamente significativo por debajo de los 85 años que comienza en la década de los noventa. En las mujeres las tasas truncadas, tras un período inicial en que permanecen estables, se incrementan significativamente a partir de 1992 un 6,3% anual. El análisis por grupos de edad muestra que las tasas se han incrementado en todos ellos, excepto en los grupos de 25–34 y 75–84 años, donde permanecen estables.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Mientras que la tendencia de mortalidad por cáncer de pulmón en los varones españoles comenzó a descender ligeramente hace 15 años, en las mujeres se observa un aumento llamativo durante el mismo período.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estimates of the cancer incidence and mortality in Europe in 2006" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J Ferlay" 1 => "P Autier" 2 => "M Boniol" 3 => "M Heanue" 4 => "M Colombet" 5 => "P Boyle" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/annonc/mdl498" "Revista" => array:6 [ "tituloSerie" => "Ann Oncol" "fecha" => "2007" "volumen" => "18" "paginaInicial" => "581" "paginaFinal" => "592" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17287242" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Continuing declines in cancer mortality in the European Union" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "F Levi" 1 => "F Lucchini" 2 => "E Negri" 3 => "C La Vecchia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/annonc/mdl437" "Revista" => array:6 [ "tituloSerie" => "Ann Oncol" "fecha" => "2007" "volumen" => "18" "paginaInicial" => "593" "paginaFinal" => "595" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17164227" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cancer mortality in Europe, 1995–1999, and an overview of trends since 1960" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "F Levi" 1 => "F Lucchini" 2 => "E Negri" 3 => "P Boyle" 4 => "C La Vecchia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/ijc.20097" "Revista" => array:6 [ "tituloSerie" => "Int J Cancer" "fecha" => "2004" "volumen" => "110" "paginaInicial" => "155" "paginaFinal" => "169" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15069676" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "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 | 9 | 6 | 15 |
| 2024 October | 55 | 16 | 71 |
| 2024 September | 36 | 18 | 54 |
| 2024 August | 47 | 42 | 89 |
| 2024 July | 32 | 22 | 54 |
| 2024 June | 47 | 31 | 78 |
| 2024 May | 44 | 27 | 71 |
| 2024 April | 32 | 20 | 52 |
| 2024 March | 25 | 15 | 40 |
| 2024 February | 28 | 21 | 49 |
| 2023 March | 4 | 4 | 8 |
| 2023 February | 16 | 14 | 30 |
| 2023 January | 19 | 34 | 53 |
| 2022 December | 20 | 23 | 43 |
| 2022 November | 31 | 25 | 56 |
| 2022 October | 28 | 39 | 67 |
| 2022 September | 16 | 17 | 33 |
| 2022 August | 26 | 36 | 62 |
| 2022 July | 29 | 40 | 69 |
| 2022 June | 25 | 36 | 61 |
| 2022 May | 28 | 32 | 60 |
| 2022 April | 26 | 27 | 53 |
| 2022 March | 18 | 38 | 56 |
| 2022 February | 30 | 27 | 57 |
| 2022 January | 16 | 23 | 39 |
| 2021 December | 15 | 51 | 66 |
| 2021 November | 15 | 44 | 59 |
| 2021 October | 34 | 50 | 84 |
| 2021 September | 17 | 61 | 78 |
| 2021 August | 10 | 29 | 39 |
| 2021 July | 17 | 25 | 42 |
| 2021 June | 10 | 22 | 32 |
| 2021 May | 16 | 24 | 40 |
| 2021 April | 22 | 22 | 44 |
| 2021 March | 23 | 14 | 37 |
| 2021 February | 5 | 10 | 15 |
| 2021 January | 13 | 16 | 29 |
| 2020 December | 12 | 11 | 23 |
| 2020 November | 13 | 10 | 23 |
| 2020 October | 10 | 4 | 14 |
| 2020 September | 9 | 1 | 10 |
| 2020 August | 12 | 9 | 21 |
| 2020 July | 13 | 15 | 28 |
| 2020 June | 8 | 5 | 13 |
| 2020 May | 13 | 12 | 25 |
| 2020 April | 23 | 12 | 35 |
| 2020 March | 13 | 8 | 21 |
| 2020 February | 13 | 11 | 24 |
| 2020 January | 18 | 15 | 33 |
| 2019 December | 15 | 8 | 23 |
| 2019 November | 10 | 4 | 14 |
| 2019 October | 6 | 4 | 10 |
| 2019 September | 7 | 7 | 14 |
| 2019 August | 9 | 3 | 12 |
| 2019 July | 14 | 19 | 33 |
| 2019 June | 14 | 3 | 17 |
| 2019 May | 8 | 9 | 17 |
| 2019 April | 20 | 24 | 44 |
| 2019 March | 17 | 8 | 25 |
| 2019 February | 12 | 12 | 24 |
| 2019 January | 4 | 5 | 9 |
| 2018 December | 14 | 11 | 25 |
| 2018 November | 20 | 10 | 30 |
| 2018 October | 23 | 15 | 38 |
| 2018 September | 11 | 9 | 20 |
| 2018 May | 5 | 0 | 5 |
| 2018 April | 10 | 6 | 16 |
| 2018 March | 9 | 4 | 13 |
| 2018 February | 4 | 7 | 11 |
| 2018 January | 7 | 6 | 13 |
| 2017 December | 7 | 6 | 13 |
| 2017 November | 4 | 1 | 5 |
| 2017 October | 6 | 13 | 19 |
| 2017 September | 3 | 5 | 8 |
| 2017 August | 10 | 9 | 19 |
| 2017 July | 14 | 9 | 23 |
| 2017 June | 10 | 10 | 20 |
| 2017 May | 4 | 1 | 5 |
| 2017 April | 4 | 5 | 9 |
| 2017 March | 3 | 3 | 6 |
| 2017 February | 4 | 5 | 9 |
| 2017 January | 5 | 4 | 9 |
| 2016 December | 7 | 4 | 11 |
| 2016 November | 13 | 7 | 20 |
| 2016 October | 7 | 8 | 15 |
| 2016 September | 14 | 13 | 27 |
| 2016 August | 12 | 5 | 17 |
| 2016 July | 11 | 5 | 16 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 34 | 10 | 44 |
| 2015 September | 28 | 4 | 32 |
| 2015 August | 21 | 8 | 29 |
| 2015 July | 30 | 8 | 38 |
| 2015 June | 30 | 4 | 34 |
| 2015 May | 37 | 5 | 42 |
| 2015 April | 22 | 4 | 26 |
| 2015 March | 35 | 7 | 42 |
| 2015 February | 28 | 5 | 33 |
| 2015 January | 18 | 2 | 20 |
| 2014 December | 21 | 6 | 27 |
| 2014 November | 34 | 3 | 37 |
| 2014 October | 39 | 12 | 51 |
| 2014 September | 21 | 9 | 30 |
| 2014 August | 26 | 12 | 38 |
| 2014 July | 22 | 7 | 29 |
| 2014 June | 36 | 7 | 43 |
| 2014 May | 40 | 10 | 50 |
| 2014 April | 39 | 6 | 45 |
| 2014 March | 42 | 9 | 51 |
| 2014 February | 29 | 11 | 40 |
| 2014 January | 35 | 7 | 42 |
| 2013 December | 33 | 7 | 40 |
| 2013 November | 22 | 4 | 26 |
| 2013 October | 28 | 9 | 37 |
| 2013 September | 36 | 8 | 44 |
| 2013 August | 43 | 12 | 55 |
| 2013 July | 45 | 13 | 58 |
| 2013 June | 25 | 8 | 33 |
| 2013 May | 35 | 4 | 39 |
| 2013 April | 21 | 3 | 24 |
| 2013 March | 7 | 1 | 8 |
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