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1. Atlas of Cancer Mortality in Portugal and Spain (2003–2012)

Author

Fernandez-Navarro, Pablo L, Roquette, Rita, Nuñez, Olivier, de Sousa-Uva, Mafalda, Garcia-Perez, Javier, Lopez-Abente, Gonzalo, Nunes, Baltazar, Gonzalez-Sanchez, Mario, Dinis, José, Carmona-Alferez, Rocio, Rocha Rodrigues, Jéssica, Aragones, Nuria, Bento, María José, Castello Pastor, Adela, Rego, Raúl, Lope Carvajal, Virginia, Henrique, Rui, Boldo, Elena, Pais, Ana, Fernandez de Larrea, Nerea, Bastos, Joana, Ramis, Rebeca, Carrito, Branca, Pastor-Barriuso, Roberto, Miranda, Ana, Perez-Gomez, Beatriz, Forjaz, Gonçalo, Matias Dias, Carlos, Pollan-Santamaria, Marina, Instituto de Salud Carlos III. Centro Nacional de Epidemiología (CNE). Departamento de Enfermedades Crónicas. Unidad de Epidemiología del Cáncer y Ambiental, Instituto de Salud Carlos III. Centro de Investigación Biomédica en Red - CIBERESP (Epidemiología y Salud Pública), Instituto Nacional de Saúde Doutor Ricardo Jorge. Departamento de Epidemiologia. Unidade de Investigação Epidemiológica, and Instituto de Salud Carlos III

Subjects
Enviromental health, Neoplasias da Próstata, Lung Neoplasms, Esophageal Neoplasms, Epidemiology, España, Breast Neoplasms, Cáncer de Laringe, Cáncer de Páncreas, Stomach Neoplasms, Saúde Ambiental, Neoplasias Gástricas, Epidemiología, Leukaemia, Leucemia, Cáncer de Estómago, Mortality, Neoplasias Laríngeas, Epidemiologia, Laryngeal Neoplasms, Cancer, Neoplasias Colorretais, Cáncer de Colón, Portugal, Cáncer de Próstata, Prostatic Neoplasms, Cáncer de Pecho, Cáncer, Neoplasias de la Vejiga Urinaria, Pancreatic Neoplasms, Urinary Bladder Neoplasms, Spain, Neoplasias Pulmonares, Mortalidad, Mortalidade, Cáncer de Esófago, Cáncer de Pulmón, Câncer, Cáncer de Vejiga, Colorectal Neoplasms, Neoplasias da Mama, Neoplasias Esofágicas, Neoplasias Pancreáticas, Salud ambiental
Abstract

El 'Atlas of Cancer Mortality in Portugal and Spain 2003–2012', muestra la distribución espacial de la mortalidad municipal por distintos tipos cáncer para el periodo 2003-2012. Ha sido desarrollado por la Unidad de Epidemiología del Cáncer y Ambiental del Centro Nacional de Epidemiología del ISCIII, que forma parte del CIBERESP, y por el Departamento de Epidemiología del Instituto Nacional De Saúde Doutor Ricardo Jorge de Portugal. El estudio de la distribución geográfica del riesgo de fallecer por cáncer es una de las herramientas que se usan en epidemiología para generar hipótesis sobre la posible implicación de factores ambientales en el origen de los tumores. This project is partially supported by research grant from the Spanish Health Research Fund (FIS) of the National Institute of Health Carlos III (ISCIII), Spain (Project PI17CIII/00040: “Spatial distribution of municipal cancer mortality in Spain (SICAMSA)” (“Distribución Espacial de la Mortalidad municipal por CÁncer en ESpaña (DEMOCAES)”). Introduction. Methods. Results: Oesophagus (ICD-10 C15) Stomach (ICD-10 C16) Colorectal (ICD-10 C18–C21) Pancreas (ICD-10 C25) Larynx (ICD-10 C32) Lung (ICD-10 C33–C34) Female Breast (ICD-10 C50) Prostate (ICD-10 C61) Bladder (ICD-10 C67) Leukaemia (ICD-10 C91–C95) References. Annexes: Annex I and Annex II No

Published
2021

3. Analysis of matched geographical areas to study potential links between environmental exposure to oil refineries and non-Hodgkin lymphoma mortality in Spain

Author

Ramis Rebeca, Diggle Peter, Boldo Elena, Garcia-Perez Javier, Fernandez-Navarro Pablo, and Lopez-Abente Gonzalo

Subjects
Non-Hodgkin lymphoma, Refinery, Pollution, Mortality, Matched analysis, Computer applications to medicine. Medical informatics, R858-859.7
Abstract

Abstract Background Emissions from refineries include a wide range of substances, such as chrome, lead, nickel, zinc, arsenic, cadmium, benzene, dioxins and furans, all of which are recognized by the International Agency for Research on Cancer (IARC) as carcinogens. Various studies have shown an association between non-Hodgkin lymphoma (NHL) and residence in the vicinity of industrial areas; however, evidence of specific association between refineries and residence in the vicinity has been suggested but not yet established. The aim of this study is to investigate potential links between environmental exposure to emissions from refineries and non-Hodgkin lymphoma mortality in Spain. The spatial distribution of NHL in Spain has an unusual pattern with regions some showing higher risk than others. Methods We designed an analysis of matched geographical areas to examine non-Hodgkin lymphoma mortality in the vicinity of the 10 refineries sited in Spain over the period 1997-2006. Population exposure to refineries was estimated on the basis of distance from town of residence to the facility in a 10 km buffer. We defined 10 km radius areas to perform the matching, accounting for population density, level of industrialization and socio-demographic factors of the area using principal components analysis. For the matched towns we evaluated the risk of NHL mortality associated with residence in the vicinity of the refineries and with different regions using mixed Poisson models. Then we study the residuals to assess a possible risk trend with distance. Results Relative risks (RRs) associated with exposure showed similar values for women and for men, 1.09 (0.97-1.24) and 1.12 (0.99-1.27). RRs for two regions were statistically significant: Canary Islands showed an excess of risk of 1.35 (1.05-1.72) for women and 1.50 (1.18-1.92) for men, whilst Galicia showed an excess of risk of 1.35 (1.04-1.75) for men, but not significant excess for women. Conclusions The results suggest a possible increased risk of NHL mortality among populations residing in the vicinity of refineries; however, a potential distance trend has not been shown. Regional effects in the Canary Islands and Galicia are significantly greater than the regional average.

Published
2012
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4. Epidemiological situation of breast cancer in spain

Author

Pollan-Santamaria, Marina, Garcia Mendizabal, Maria Jose, Perez-Gomez, Beatriz, Aragones, Nuria, Lope, Virginia, Pastor-Barriuso, Roberto, Ramis, Rebeca, Fernandez-Navarro, Pablo, Garcia-Perez, Javier, Vidal, Enric, Boldo, Elena, Pérdomo, Sandra, and Lopez-Abente, Gonzalo

Subjects
supervivencia, Supervivencia, Survival, Incidence, España, lcsh:BF1-990, Distribución geográfica, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, cáncer de mama, lcsh:RC254-282, incidencia, breast cancer, lcsh:Psychology, Cáncer de mama, distribución geográfica, Spain, Mortalidad, mortalidad, Mortality, Incidencia, geographical pattern
Abstract

Title and summary, also in English. El cáncer de mama es el tumor más frecuente en Europa. Según la Agencia Internacional de Investigación del Cáncer, en 2006 se diagnosticaron unos 429.900 casos nuevos de cáncer de mama en Europa, con una tasa estandarizada de incidencia de 110 casos por 100.000 mujeres. También es la localización más frecuente en mujeres españolas: supone casi la cuarta parte de los casos de cáncer femeninos, y su incidencia está aumentando entre un 2-3% anual. Entre las posibles causas de este incremento están los cambios en los patrones reproductivos y en los hábitos de vida y la introducción de la terapia hormonal sustitutiva. Nuestro país, con una tasa de incidencia estandarizada estimada de 93,6 casos por 100.000 mujeres-año para 2006, ocupa una posición intermedia entre los países de Europa occidental y los del este. Es también una importante causa de mortalidad femenina. En 2005 causó la muerte de 5.703 mujeres españolas, con una tasa de mortalidad estandarizada de 18,6 por 100.000 mujeres-año. Desde los años 90 la mortalidad por cáncer de mama está descendiendo debido al diagnóstico precoz por programas de cribado y a los avances terapéuticos. En España esta tendencia decreciente se observa a partir de 1993, con un descenso de un 2,4% anual.La supervivencia global en Europa a los 5 años es cercana al 79%, inferior a la observada en EEUU (90%), y ha aumentado en los últimos años. En España, se sitúa en un 83%, significativamente más alta que la media europea. Breast cancer is the most frequent neoplasm in Europe. According to the International Agency for Research on Cancer, there were an estimated 429,900 cases diagnosed in Europe in 2006, with an age-standardised incidence rate of 110 cases per 100,000 women.It is also the most frequent cancer in Spanish women, accounting for one forth of female cancer cases, and its incidence is increasing around 2-3% per year. Changes in reproductive behaviour and life style along with the introduction of hormone replacement therapy are partially responsible of this trend. Our country, with an estimated age-standardised incidence rate of 93.6 cases per 100,000 women-year in 2006, occupies an intermediate position between Western and Eastern European countries.This tumour also represents an important cause of female mortality. In 2005, it caused 5,703 deaths in Spanish women, with an age-standardised mortality rate of 18.6 per 100,000 women-year. However, since the 90’s, breast cancer mortality is declining thanks to earlier diagnosis derived from population screening programs and to therapeutical advances. In Spain this downward trend has started in 1993, declining a 2.4% per year.In Europe, 5-year global survival is close to 79%, lower than EEUU survival estimates (90%). Breast cancer survival has risen in recent years. In Spain, 5-year survival is around 83%, significantly higher than European average. Sí

Published
2007

5. Risk of Cancer Mortality in Spanish Towns Lying in the Vicinity of Pollutant Industries.

Author

Ramis, Rebeca, Fernandez-Navarro, Pablo, Garcia-Perez, Javier, Boldo, Elena, Gomez-Barroso, Diana, and Lopez-Abente, Gonzalo

Subjects
TUMOR classification, TUMOR risk factors, AIR pollution, INDUSTRIAL wastes, MORTALITY, POISSON distribution, RELATIVE medical risk
Abstract

Spatial aggregation of different industrial facilities leads to simultaneous release of pollutant emissions. Our objective is to study cancer mortality risk associated with residence in the vicinity of pollutant factories. We used data on industries for year 2007 (3458 facilities). For the 8,098 Spanish towns, we defined a factor with 4 levels based on the number of factories in a radius of 2.5 km from the centroid of each town (industrial factor).We also used data of land cover use to approximate the percentage of municipal land used for industrial activities in each Spanish town (land-used variable). For both variables we fitted Poisson models with random terms to account for spatial variation. We estimated risk trends related with increasing number of factories or percentage of land used for industrial activities. We studied 33 cancer causes. For the industrial factor, 11 causes showed trend associated with increasing factor level. For the land use variable, 8 causes showed statistically significant risks. Almost all tumours related to the digestive system and the respiratory system showed increased risks. Thus mortality by these tumours could be associated to residence in towns nearby industrial areas with positive trend linked to increasing levels of industrial activity. [ABSTRACT FROM AUTHOR]

Published
2012
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