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dc.contributor.authorSeoane-Mato, Daniel 
dc.contributor.authorNuñez, Olivier 
dc.contributor.authorFernandez de Larrea-Baz, Nerea 
dc.contributor.authorPerez-Gomez, Beatriz 
dc.contributor.authorPollan-Santamaria, Marina 
dc.contributor.authorLopez-Abente, Gonzalo 
dc.contributor.authorAragones, Nuria
dc.identifier.citationBMC Cancer. 2018 Jun 4;18(1):625es_ES
dc.description.abstractBACKGROUND: Pancreatic cancer is acquiring increasing prominence as a cause of cancer death in the population. The purpose of this study was to analyze long-term pancreatic cancer mortality trends in Spain and evaluate the independent effects of age, death period and birth cohort on these trends. METHODS: Population and mortality data for the period 1952-2012 were obtained from the Spanish National Statistics Institute. Pancreatic cancer deaths were identified using the International Classification of Diseases ICD-6 to ICD-9 (157 code) and ICD-10 (C25 code). Age-specific and age-adjusted mortality rates were computed by sex, region and five-year period. Changes in pancreatic cancer mortality trends were evaluated using joinpoint regression analyses by sex and region. Age-period-cohort log-linear models were fitted separately for each sex, and segmented regression models were used to detect changes in period- and cohort-effect curvatures. RESULTS: In men, rates increased by 4.1% per annum from 1975 until the mid-1980s and by 1.1% thereafter. In women, there was an increase of 3.6% per annum until the late 1980s, and 1.4% per annum from 1987 to 2012. With reference to the cohort effects, there was an increase in mortality until the generations born in the 1950s in men and a subsequent decline detected by the change point in 1960. A similar trend was observed in women, but the change point occurred 10 years later than in men. CONCLUSIONS: Pancreatic cancer mortality increased over the study period in both sexes and all regions. An important rise in rates -around 4% annually- was registered until the 1980s, and upward trends were more moderate subsequently. The differences among sexes in trends in younger generations may be linked to different past prevalence of exposure to some risk factors, particularly tobacco, which underwent an earlier decrease in men than in women.es_ES
dc.description.sponsorshipThe study was funded by a research grant from the Spanish Health Research Fund (FIS PI11/00871). The funding body had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.es_ES
dc.publisherBioMed Central (BMC) es_ES
dc.subjectAge-period-cohort analysises_ES
dc.subjectPancreatic canceres_ES
dc.subjectTime trendses_ES
dc.subjectTobacco smokinges_ES
dc.subject.meshAdult es_ES
dc.subject.meshAge Distribution es_ES
dc.subject.meshAged es_ES
dc.subject.meshAged, 80 and over 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.meshMortality es_ES
dc.subject.meshPancreatic Neoplasms es_ES
dc.subject.meshSex Distribution es_ES
dc.subject.meshSpain es_ES
dc.titleLong-term trends in pancreatic cancer mortality in Spain (1952-2012)es_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.identifier.journalBMC canceres_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.rights.accessRightsopen accesses_ES

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