Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex

BACKGROUND: Gastric cancer is the second leading cause of oncologic death worldwide. One of the most noteworthy characteristics of this tumor's epidemiology is the marked decline reported in its incidence and mortality in almost every part of the globe in recent decades. This study sought to de...

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Autores: García-Esquinas, Esther, Perez-Gomez, Beatriz, Pollan-Santamaria, Marina, Boldo, Elena, Fernandez-Navarro, Pablo L, Lope Carvajal, Virginia, Vidal, Enric, Lopez-Abente, Gonzalo, Aragones, Nuria
Formato: artículo
Fecha de publicación:2009
País:España
Recursos:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/7034
Acesso em linha:http://hdl.handle.net/20.500.12105/7034
Access Level:acceso abierto
Palavra-chave:Adult
Aged
Female
Humans
Male
Middle Aged
Sex Factors
Spain
Stomach Neoplasms
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spelling Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sexGarcía-Esquinas, EstherPerez-Gomez, BeatrizPollan-Santamaria, MarinaBoldo, ElenaFernandez-Navarro, Pablo LLope Carvajal, VirginiaVidal, EnricLopez-Abente, GonzaloAragones, NuriaAdultAgedFemaleHumansMaleMiddle AgedSex FactorsSpainStomach NeoplasmsBACKGROUND: Gastric cancer is the second leading cause of oncologic death worldwide. One of the most noteworthy characteristics of this tumor's epidemiology is the marked decline reported in its incidence and mortality in almost every part of the globe in recent decades. This study sought to describe gastric cancer mortality time trends in Spain's regions for both sexes. METHODS: Mortality data for the period 1976 through 2005 were obtained from the Spanish National Statistics Institute. Cases were identified using the International Classification of Diseases 9th and 10th revision (codes 151 and C16, respectively). Crude and standardized mortality rates were calculated by geographic area, sex, and five-year period. Joinpoint regression analyses were performed to ascertain whether changes in gastric cancer mortality trends had occurred, and to estimate the annual percent change by sex and geographic area. RESULTS: Gastric cancer mortality decreased across the study period, with the downward trend being most pronounced in women and in certain regions situated in the interior and north of mainland Spain. Across the study period, there was an overall decrease of 2.90% per annum among men and 3.65% per annum among women. Generally, regions in which the rate of decline was sharpest were those that had initially registered the highest rates. However, the rate of decline was not constant throughout the study period: joinpoint analysis detected a shift in trend for both sexes in the early 1980s. CONCLUSION: Gastric cancer mortality displayed in both sexes a downward trend during the study period, both nationally and regionally. The different trend in rates in the respective geographic areas translated as greater regional homogeneity in gastric cancer mortality by the end of the study period. In contrast, rates in women fell more than did those in men. The increasing differences between the sexes could indicate that some risk factors may be modifying the sex-specific pattern of this tumor.BioMed Central (BMC)20192019-01-3020092009-09-2820092009-09-28journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/7034reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/70342026-06-12T12:43:37Z
dc.title.none.fl_str_mv Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
title Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
spellingShingle Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
García-Esquinas, Esther
Adult
Aged
Female
Humans
Male
Middle Aged
Sex Factors
Spain
Stomach Neoplasms
title_short Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
title_full Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
title_fullStr Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
title_full_unstemmed Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
title_sort Gastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sex
dc.creator.none.fl_str_mv García-Esquinas, Esther
Perez-Gomez, Beatriz
Pollan-Santamaria, Marina
Boldo, Elena
Fernandez-Navarro, Pablo L
Lope Carvajal, Virginia
Vidal, Enric
Lopez-Abente, Gonzalo
Aragones, Nuria
author García-Esquinas, Esther
author_facet García-Esquinas, Esther
Perez-Gomez, Beatriz
Pollan-Santamaria, Marina
Boldo, Elena
Fernandez-Navarro, Pablo L
Lope Carvajal, Virginia
Vidal, Enric
Lopez-Abente, Gonzalo
Aragones, Nuria
author_role author
author2 Perez-Gomez, Beatriz
Pollan-Santamaria, Marina
Boldo, Elena
Fernandez-Navarro, Pablo L
Lope Carvajal, Virginia
Vidal, Enric
Lopez-Abente, Gonzalo
Aragones, Nuria
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Adult
Aged
Female
Humans
Male
Middle Aged
Sex Factors
Spain
Stomach Neoplasms
topic Adult
Aged
Female
Humans
Male
Middle Aged
Sex Factors
Spain
Stomach Neoplasms
description BACKGROUND: Gastric cancer is the second leading cause of oncologic death worldwide. One of the most noteworthy characteristics of this tumor's epidemiology is the marked decline reported in its incidence and mortality in almost every part of the globe in recent decades. This study sought to describe gastric cancer mortality time trends in Spain's regions for both sexes. METHODS: Mortality data for the period 1976 through 2005 were obtained from the Spanish National Statistics Institute. Cases were identified using the International Classification of Diseases 9th and 10th revision (codes 151 and C16, respectively). Crude and standardized mortality rates were calculated by geographic area, sex, and five-year period. Joinpoint regression analyses were performed to ascertain whether changes in gastric cancer mortality trends had occurred, and to estimate the annual percent change by sex and geographic area. RESULTS: Gastric cancer mortality decreased across the study period, with the downward trend being most pronounced in women and in certain regions situated in the interior and north of mainland Spain. Across the study period, there was an overall decrease of 2.90% per annum among men and 3.65% per annum among women. Generally, regions in which the rate of decline was sharpest were those that had initially registered the highest rates. However, the rate of decline was not constant throughout the study period: joinpoint analysis detected a shift in trend for both sexes in the early 1980s. CONCLUSION: Gastric cancer mortality displayed in both sexes a downward trend during the study period, both nationally and regionally. The different trend in rates in the respective geographic areas translated as greater regional homogeneity in gastric cancer mortality by the end of the study period. In contrast, rates in women fell more than did those in men. The increasing differences between the sexes could indicate that some risk factors may be modifying the sex-specific pattern of this tumor.
publishDate 2009
dc.date.none.fl_str_mv 2009
2009-09-28
2009
2009-09-28
2019
2019-01-30
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/7034
url http://hdl.handle.net/20.500.12105/7034
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central (BMC)
publisher.none.fl_str_mv BioMed Central (BMC)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418404842045440
score 15.812455

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