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Gender differences in lung cancer mortality trends in Andalusia 1975–2008: a joinpoint regression analysis

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Abstract

Death rates from lung cancer in men are higher in Andalusia than in other Spanish regions. This study describes lung cancer mortality rates and their trends in Andalusia from 1975 through 2008. Data on lung cancer mortality were obtained from the Death Registry of Andalusia. For each gender, age group-specific and standardized (overall and truncated) rates were calculated by the direct method using the world standard population. Joinpoint regression analysis was used to identify points where a significant change in trends occurred. In men, short-term trends for age-standardized mortality rates (ASMRs) declined significantly from 2004 through 2008 for each age group < 80 years old. In women, the segmented joinpoint analysis showed a decrease from 1975 through 1998 in ASMRs (overall) (−0.6%, P < 0.05), followed by a marked increase (4.6%, P < 0.05). A decrease in male versus female mortality due to lung cancer is evident in Andalusia (Spain).

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References

  1. Ferlay J, et al. Estimates of the cancer incidence and mortality in Europe in 2006. Ann Oncol. 2007;18:581–92.

    Article  PubMed  CAS  Google Scholar 

  2. World Health Organization. WHO report on the global tobacco epidemic, 2008: the MPOWER package. Geneva: World Health Organization; 2008.

    Google Scholar 

  3. Ezzati M, Lopez AD. Estimates of global mortality attributable to smoking in 2000. Lancet. 2003;362:847–52.

    Article  PubMed  Google Scholar 

  4. Cayuela A, et al. Joinpoint regression analysis of lung cancer mortality, Andalusia 1975–2000. Ann Oncol. 2004;15:793–6.

    Article  PubMed  CAS  Google Scholar 

  5. Clegg LX, et al. Estimating average annual per cent change in trend analysis. Stat Med. 2009;28:3670–82.

    Article  PubMed  Google Scholar 

  6. Feuer E. Joinpoint regression program, version 3.4.2. In: National Cancer Institute. Bethesda: EEUU; 2010. Available via DIALOG. http://srab.cancer.gov/joinpoint/ of subordinate document. Accessed 15 Jan 2010.

  7. Kim HJ, et al. Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 2000;19:335–51.

    Article  PubMed  CAS  Google Scholar 

  8. http://srab.cancer.gov/joinpoint/aapc.html. Accessed 15 Jan 2010.

  9. Kim HJ, et al. Comparability of segmented line regression models. Biometrics. 2004;60:1005–14.

    Article  PubMed  Google Scholar 

  10. Levi F, et al. Continuing declines in cancer mortality in the European Union. Ann Oncol. 2007;18:593–5.

    Article  PubMed  CAS  Google Scholar 

  11. Cayuela A. Lung cancer mortality trends in Spain between 1980 and 2005. Arch Bronconeumol. 2008;44:70–4.

    Article  PubMed  Google Scholar 

  12. Cayuela A, Rodriguez-Dominguez S, Otero R. Trends in lung cancer mortality rates in the provinces of Andalusia, Spain, 1975–2002. Arch Bronconeumol. 2006;42:633–7.

    Article  PubMed  Google Scholar 

  13. Cayuela A, Rodríguez-Domínguez S, López-Campos JL. Estimation of the incidence of lung cancer in women in Andalusia (2001–2004). Neumosur. 2008;20:74–80.

    Google Scholar 

  14. Schiaffino A. Gender and educational differences in smoking initiation rates in Spain from 1948 to 1992. Eur J Public Health. 2003;13:56–60.

    Article  PubMed  Google Scholar 

  15. Graham H. Smoking prevalence among women in the European community 1950–1990. Soc Sci Med. 1996;43:243–54.

    Article  PubMed  CAS  Google Scholar 

  16. Cayuela A. Age-period-cohort analysis of lung cancer mortality rates in Andalusia, 1975–2004. Lung Cancer. 2007;57:261–5.

    Article  PubMed  CAS  Google Scholar 

  17. Fernandez E. Prevalence of cigarette smoking by birth cohort among males and females in Spain, 1910–1990. Eur J Cancer Prev. 2003;12:57–62.

    Article  PubMed  CAS  Google Scholar 

  18. Ballesta R et al. Study of evolution of the report “The Andalusians to drugs” 1987. Adicciones; 2004.

  19. Consejería de Salud. Junta de Andalucía. Available from: www.csalud.juntaandalucia.es/contenidos/prensa/apoyo1.pdf. Accessed 10 Nov 2009.

  20. Bray F, Tyczynski JE, Parkin DM. Going up or coming down? The changing phases of the lung cancer epidemic from 1967 to 1999 in the 15 European Union countries. Eur J Cancer. 2004;40:96–125.

    Article  PubMed  CAS  Google Scholar 

  21. Gjonca A. Sex differences in mortality, a comparison of the United Kingdom and other developed countries. Health Stat Q. 2005;26:6–16.

    PubMed  Google Scholar 

  22. Glasser JH. The quality and utility of death certificate data. Am J Public Health. 1981;71:231–3.

    Article  PubMed  CAS  Google Scholar 

  23. Perez-Gomez B, Aragones N, Pollan M. Accuracy of cancer death certificates in Spain: a summary of available information. Gac Sanit. 2006;20:42–51.

    Article  PubMed  Google Scholar 

  24. Perez-Gomez B, et al. Accuracy of cancer death certificates in Spain: a summary of available information. Gac Sanit. 2006;20(Suppl 3):42–51.

    Article  PubMed  Google Scholar 

  25. Ruiz M. Comparability between the ninth and tenth revisions of International Classification of Diseases applied to coding causes of death in Spain. Gac Sanit. 2002;16:526–32.

    PubMed  CAS  Google Scholar 

  26. Cano-Serral G, Perez G, Borrell C, COMPARA Group. Comparability between ICD-9 and ICD-10 for the leading causes of death in Spain. Rev Epidemiol Sante Publique. 2006;54:355–65.

    Article  PubMed  CAS  Google Scholar 

  27. Salmerón D. Influence of the introduction of the ICD-10 on tendencies of mortality by causes (1980–2004). Gac Sanit. 2009;23:144–6.

    Article  PubMed  Google Scholar 

  28. Martínez C, Sánchez MJ, Rodríguez M. Accuracy of diagnosis of cancer death certificates in the province of Granada. Revista de Oncología. 2000;2:245–52.

    Google Scholar 

  29. Doll R, Smith PG. Comparison between registries: age-standardized rates. In: Waterhouse JAH, Muir CS, Shanmugaratnam K, editors. Cancer incidence in five continents, vol IV. IARC Scient Publ Nº. 42, International Agency for Research on Cancer. Lyon; 1982. p. 671–675.

  30. Alonso-Fernández MA, García-Clemente M, Escudero-Bueno C, Grupo ASTURPAR (Sociedad Asturiana de Patología del Aparato Respiratorio) del Cáncer del Pulmón (GACP). Characteristics of lung cancer in a region in northern Spain. Arch Bronconeumol. 2005;41:478–83.

    Article  PubMed  Google Scholar 

  31. Hérnandez IS, Alonso JL, Sánchez CA. Epidemiology of lung cancer in Spain and forecast for the future. Arch Bronconeumol. 2006;42:594–9.

    Article  PubMed  Google Scholar 

  32. Sant M, EUROCARE Working Group, et al. EUROCARE-4. Survival of cancer patients diagnosed in 1995–1999. Results and commentary. Eur J Cancer. 2009;45:931–91.

    Article  PubMed  Google Scholar 

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Correspondence to Luis Jara-Palomares.

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Cayuela, A., Rodríguez-Domínguez, S., Jara-Palomares, L. et al. Gender differences in lung cancer mortality trends in Andalusia 1975–2008: a joinpoint regression analysis. Med Oncol 29, 1593–1598 (2012). https://doi.org/10.1007/s12032-011-0007-9

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