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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To describe trends in lung cancer mortality in Spain between 1980 and 2005&#46;</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&#46; Global and truncated &#40;35 to 64 years&#41; age-specific and gender-specific mortality rates were calculated and expressed as rates per 100 000 person-years&#46; Trends were analyzed using joinpoint regression models&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">In 2005 in Spain&#44; 16 647 men and 2471 women died from lung cancer&#44; accounting for 26&#46;6&#37; and 6&#46;6&#37;&#44; respectively&#44; of all cancer deaths&#46; In men&#44; truncated mortality rates initially increased in the 1980&#8211;1992 period&#40;3&#46;1&#37; per year&#44; <span class="elsevierStyleItalic">P</span> &#60;&#46;05&#41; but began to decrease in the 1992&#8211;2005 period &#40;&#8722;0&#46;8&#37; per year&#44; <span class="elsevierStyleItalic">P</span> &#60;&#46;05&#41;&#46; Starting in the 1990s&#44; age-specific mortality rates showed a statistically significant decrease in patients aged less than 85 years&#46; For women&#44; after an initial stable period&#44; truncated mortality rates increased significantly from 1992 onward by 6&#46;3&#37; per year&#46; The analysis by age groups showed that the rates increased in all age groups&#44; except for patients aged 25 to 34 years and patients aged 75 to 84 years&#44; in whom they remained stable&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">While lung cancer mortality began to decrease slightly among Spanish men 15 years ago&#44; it increased significantly among women during the same period&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Describir la evoluci&#243;n de la mortalidad por c&#225;ncer de pulm&#243;n en Espa&#241;a durante el per&#237;odo 1980&#8211;2005&#46;</p> <span class="elsevierStyleSectionTitle">Material y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Las defunciones por c&#225;ncer de pulm&#243;n durante el per&#237;odo de estudio se obtuvieron del Instituto Nacional de Estad&#237;stica&#46; Se calcularon las tasas espec&#237;ficas globales y truncadas &#40;35&#8211;64 a&#241;os&#41; por grupos de edad y sexo&#44; que se expresan como tasas por 100&#46;000 personas-a&#241;o&#46; Para el an&#225;lisis de tendencias de las tasas se utilizaron modelos de regresi&#243;n <span class="elsevierStyleItalic">joinpoint</span>&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En 2005 se produjeron en Espa&#241;a 16&#46;647 defunciones por c&#225;ncer de pulm&#243;n en varones y 2&#46;471 en mujeres&#44; lo que represent&#243; el 26&#44;6 y el 6&#44;6&#37; de la mortalidad por tumores&#44; respectivamente&#46; En los varones las tasas truncadas&#44; tras un per&#237;odo de incremento &#40;1980&#8211;1992&#44; un 3&#44;1&#37; anual&#59; p &#60; 0&#44;05&#41;&#44; comienzan a descender &#40;1992&#8211;2005&#44; un &#8722;0&#44;8&#37; anual&#59; p &#60; 0&#44;05&#41;&#46; Las tasas espec&#237;ficas por grupos de edad muestran un descenso estad&#237;sticamente significativo por debajo de los 85 a&#241;os que comienza en la d&#233;cada de los noventa&#46; En las mujeres las tasas truncadas&#44; tras un per&#237;odo inicial en que permanecen estables&#44; se incrementan significativamente a partir de 1992 un 6&#44;3&#37; anual&#46; El an&#225;lisis por grupos de edad muestra que las tasas se han incrementado en todos ellos&#44; excepto en los grupos de 25&#8211;34 y 75&#8211;84 a&#241;os&#44; donde permanecen estables&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Mientras que la tendencia de mortalidad por c&#225;ncer de pulm&#243;n en los varones espa&#241;oles comenz&#243; a descender ligeramente hace 15 a&#241;os&#44; en las mujeres se observa un aumento llamativo durante el mismo per&#237;odo&#46;</p>"
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Vol. 44. Issue 2.
Pages 70-74 (January 2008)
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Vol. 44. Issue 2.
Pages 70-74 (January 2008)
Original Articles
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Lung Cancer Mortality Trends in Spain Between 1980 and 2005
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Aurelio Cayuelaa, Susana Rodríguez-Domínguezb, José Luis López-Camposc,
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
, Eduardo Vigila, Remedios Oteroc
a Servicio de Documentación Clínica, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain
b Centro de Salud Pino Montano, Sevilla, Spain
c Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain
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Objective

To describe trends in lung cancer mortality in Spain between 1980 and 2005.

Material and Methods

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.

Results

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, P <.05) but began to decrease in the 1992–2005 period (−0.8% per year, P <.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.

Conclusions

While lung cancer mortality began to decrease slightly among Spanish men 15 years ago, it increased significantly among women during the same period.

Key words:
Lung cancer
Mortality
Trend
Epidemiology
Smoking
Objetivo

Describir la evolución de la mortalidad por cáncer de pulmón en España durante el período 1980–2005.

Material y Métodos

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 joinpoint.

Resultados

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.

Conclusiones

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.

Palabras clave:
Cáncer de pulmón
Mortalidad
Tendencia
Epidemiología
Tabaco
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