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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To describe trends in lung cancer mortality rates in the different provinces of Andalusia&#44; Spain&#44; from 1975 through 2002&#46;</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&#46; Crude rates and age-adjusted rates &#40;overall and truncated 35-64 year rates&#41; were calculated&#46;</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&#44; representing 28&#46;4&#37; and 4&#46;5&#37;&#44; respectively&#44; of the mortality rate from tumors&#46; Joinpoint regression analysis distinguished 3 recent trends in truncated &#40;range&#44; 35-64 years&#41; lung cancer mortality rates in men&#58; decrease in Sevilla&#44; increase in Huelva and Jaen&#44; and stability in the other provinces&#46; For women there was a marked increase &#40;5&#46;2&#37; annually&#41; during the period 1988 through 2002 in Malaga&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">From a strategic point of view&#44; antismoking strategies should target women in the province of Malaga in particular&#44; 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&#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 Andaluc&#237;a durante el per&#237;odo 1975-2002 a nivel provincial&#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 1975-2002 se obtuvieron del Instituto Nacional de Estad&#237;stica&#46; Se han calculado los siguientes indicadores&#58; tasas brutas y tasas ajustadas por edad &#40;globa-les y truncadas 35-64 a&#241;os&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">En 2002 se produjeron en Andaluc&#237;a 2&#46;802 defunciones por c&#225;ncer de pulm&#243;n en varones y 254 en mu-jeres&#44; lo que represent&#243; el 28&#44;4 y el 4&#44;5&#37; de la mortalidad por tumores&#44; respectivamente&#46; El an&#225;lisis joinpoint permiti&#243; delimitar 3 tendencias diferenciadas en los &#250;ltimos a&#241;os &#40;descenso en Sevilla&#44; incremento en Huelva y Ja&#233;n&#44; y estabi-lizaci&#243;n en el resto de provincias&#41; en las tasas truncadas &#40;35-64 a&#241;os&#41; de mortalidad por c&#225;ncer de pulm&#243;n en varones&#46; En las mujeres destac&#243; el fuerte incremento &#40;un 5&#44;2&#37; anual&#41; observado en el per&#237;odo 1988-2002 en M&#225;laga&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Desde el punto de vista estrat&#233;gico es re-comendable que las medidas antitabaco se dirijan especial-mente a las mujeres de la provincia de M&#225;laga&#44; con el fin de detener el creciente incremento del riesgo de padecer este tipo de c&#225;ncer e impedir muertes evitables y prematuras en-tre las generaciones futuras de mujeres&#46;</p>"
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Vol. 42. Issue 12.
Pages 633-637 (December 2006)
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Vol. 42. Issue 12.
Pages 633-637 (December 2006)
Original Articles
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Trends in Lung Cancer Mortality Rates in the Provinces of Andalusia, Spain, 1975-2002
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Aurelio Cayuelaa,
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
, Susana Rodríguez-Domínguezb, Remedios Oteroc
a Unidad de Apoyo a la Investigación, Hospital Universitario Virgen del Rocío, Sevilla, Spain
b Fundación Progreso y Salud, Sevilla, Spain
c Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospital Universitario Virgen del Rocío, Sevilla, Spain
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Abstract
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Objective

To describe trends in lung cancer mortality rates in the different provinces of Andalusia, Spain, from 1975 through 2002.

Material and methods

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.

Results

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.

Conclusions

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.

Key words:
Lung cancer
Mortality
Trends
Epidemiology
Smoking
Objetivo

Describir la evolución de la mortalidad por cáncer de pulmón en Andalucía durante el período 1975-2002 a nivel provincial.

Material y métodos

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).

Resultados

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.

Conclusiones

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.

Palabras clave:
Cáncer de pulmón
Mortalidad
Tendencia
Epidemiología
Tabaco
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Copyright © 2006. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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