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dc.contributor.authorGarcia-Esquinas, Esther
dc.contributor.authorPerez-Gomez, Beatriz 
dc.contributor.authorPollan-Santamaria, Marina 
dc.contributor.authorBoldo, Elena 
dc.contributor.authorFernandez-Navarro, Pablo 
dc.contributor.authorLope, Virginia 
dc.contributor.authorVidal, Enric 
dc.contributor.authorLopez-Abente, Gonzalo 
dc.contributor.authorAragones, Nuria 
dc.date.accessioned2019-01-30T18:22:01Z
dc.date.available2019-01-30T18:22:01Z
dc.date.issued2009-09-28
dc.identifier.citationBMC Cancer. 2009 Sep 28;9:346.es_ES
dc.identifier.issn1471-2407es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/7034
dc.description.abstractBACKGROUND: 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.es_ES
dc.language.isoenges_ES
dc.publisherBiomed Centrales_ES
dc.relation.isversionofPublisher's versiones_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subject.meshAdult es_ES
dc.subject.meshAged es_ES
dc.subject.meshFemale es_ES
dc.subject.meshHumans es_ES
dc.subject.meshMale es_ES
dc.subject.meshMiddle Aged es_ES
dc.subject.meshSex Factors es_ES
dc.subject.meshSpain es_ES
dc.subject.meshStomach Neoplasms es_ES
dc.titleGastric cancer mortality trends in Spain, 1976-2005, differences by autonomous region and sexes_ES
dc.typeArtículoes_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID19785726es_ES
dc.format.volume9es_ES
dc.format.number1es_ES
dc.format.page346es_ES
dc.identifier.doi10.1186/1471-2407-9-346es_ES
dc.description.peerreviewedes_ES
dc.identifier.e-issn1471-2407es_ES
dc.relation.publisherversionhttps://doi.org/10.1186/1471-2407-9-346es_ES
dc.identifier.journalBMC canceres_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.repisalud.institucionISCIIIes_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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