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Rogers HL, Pablo Hernando S, Nunez Fernandez S, Sanchez A, Martos C, Moreno M, Grandes G. Healthcare organization and management barriers and facilitators for health promotion in primary care. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
There are challenges in translating evidence-based interventions into practice, and the need for health care organization, management, and policy changes to align with health promotion activities within the health and social care system is well-documented. This study aims to elucidate the role of these factors as barriers/facilitators influencing the implementation of an evidence-based health promotion intervention in primary care centers in the Basque Country, Spain.
Methods
Seven focus groups were conducted with 49 health professionals from 6 primary care centers participating in the Prescribing Healthy Life (PVS) program. Text was analyzed using the Consolidated Framework for Implementation Research (CFIR) focusing on those constructs related to health care organization, management, and policy.
Results
The health promotion intervention was found to be compatible with the values of primary care professionals. However, professionals at all centers reported barriers to implementation related to: (1) external policy and incentives, (2) compatibility with existing workflow, and (3) available resources to carry out the program. Specific barriers related to high caseloads, contracting issues, short consultation times, and lack of appointment times for lifestyle counselling. Other barriers/facilitators were related to CFIR constructs networks and communication, culture, relative priority, and leadership engagement. A set of nine specific barriers-facilitators emerged.
Conclusions
In some centers, certain facilitators addressed barriers identified in other centers influencing implementation of a health promotion intervention in primary care. Proactive identification and modification of barriers by healthcare managers and policy makers can help to ensure effective integration of health promotion into primary care.
Key messages
Implementation science methods for program evaluation can help identify barriers and facilitators to health promotion implementation in primary care. Policy and incentives, compatibility, available resources, networks and communication, culture, relative priority, and leadership engagement influenced successful health promotion implementation.
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Affiliation(s)
- HL Rogers
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Ikerbasque Basque Foundation for Science, Bilbao, Spain
| | - S Pablo Hernando
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Basque Healthcare Service - Osakidetza, Barakaldo, Spain
| | | | - A Sanchez
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Basque Healthcare Service - Osakidetza, Barakaldo, Spain
| | - C Martos
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Basque Healthcare Service - Osakidetza, Barakaldo, Spain
| | - M Moreno
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Basque Healthcare Service - Osakidetza, Barakaldo, Spain
| | - G Grandes
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Basque Healthcare Service - Osakidetza, Barakaldo, Spain
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Rogers HL, Pablo Hernando S, Núñez-Fernández S, Sanchez A, Martos C, Moreno M, Grandes G. Barriers and facilitators in the implementation of an evidence-based health promotion intervention in a primary care setting: a qualitative study. J Health Organ Manag 2021; ahead-of-print. [PMID: 34464035 PMCID: PMC9136863 DOI: 10.1108/jhom-12-2020-0512] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE This study aims to elucidate the health care organization, management and policy barriers and facilitators associated with implementation of an evidence-based health promotion intervention in primary care centers in the Basque Country, Spain. DESIGN/METHODOLOGY/APPROACH Seven focus groups were conducted with 49 health professionals from six primary care centers participating in the Prescribing Healthy Life program. Text was analyzed using the Consolidated Framework for Implementation Research (CFIR) focusing on those constructs related to health care organization, management and policy. FINDINGS The health promotion intervention was found to be compatible with the values of primary care professionals. However, professionals at all centers reported barriers to implementation related to: (1) external policy and incentives, (2) compatibility with existing workflow and (3) available resources to carry out the program. Specific barriers in these areas related to lack of financial and political support, consultation time constraints and difficulty managing competing day-to-day demands. Other barriers and facilitators were related to the constructs networks and communication, culture, relative priority and leadership engagement. A set of six specific barrier-facilitator pairs emerged. ORIGINALITY/VALUE Implementation science and, specifically, the CFIR constructs were used as a guide. Barriers and facilitators related to the implementation of a health promotion program in primary care were identified. Healthcare managers and policy makers can modify these factors to foster a more propitious implementation environment. These factors should be appropriately monitored, both in pre-implementation phases and during the implementation process, in order to ensure effective integration of health promotion into the primary care setting.
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Affiliation(s)
- Heather L Rogers
- Psychology and Health Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.,Ikerbasque Basque Foundation for Science, Bilbao, Spain
| | - Susana Pablo Hernando
- Primary Care Research Unit of Bizkaia, Biocruces Bizkaia Health Research Institute, Basque Healthcare Service-Osakidetza, Barakaldo, Spain
| | - Silvia Núñez-Fernández
- Psychology and Health Research Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
| | - Alvaro Sanchez
- Primary Care Research Unit of Bizkaia, Biocruces Bizkaia Health Research Institute, Basque Healthcare Service-Osakidetza, Barakaldo, Spain
| | - Carlos Martos
- Arrigorriaga Health Center, Integrated Health Organization Barrualde-Galdakao, Osakidetza, Arrigorriaga, Spain
| | - Maribel Moreno
- Integrated Health Organization Barrualde-Galdakao, Osakidetza, Galdakao, Spain
| | - Gonzalo Grandes
- Primary Care Research Unit of Bizkaia, Biocruces Bizkaia Health Research Institute, Basque Healthcare Service-Osakidetza, Barakaldo, Spain
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Giusti F, Martos C, Neamtiu L, Randi G, Flego M, Dyba T, Calvalho R, Dimitrova N, Nicholson N, Bettio M. 1402P Gastroesophageal cancer treatment patterns in Europe and the United States: An exploratory analysis using population-based cancer registry data. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Giusti F, Martos C, Neamtiu L, Dimitrova N, Randi G, Carvalho R, Dyba T, Flego M, Nicholson N, Bettio M. Monitoring clinical patterns in early and advanced breast cancer in Europe through population-based cancer registries data. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30820-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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5
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Randi G, Dyba T, Martos C, Giusti F, Dimitrova N, Neamtiu L, Flego M, Nicholson N, Carvalho R, Bettio M. Estimated Cancer Incidence and Mortality in Europe for the year 2020. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1348] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Up-to-date cancer burden indicators are essential to support political decision making, to enable epidemiological research and as an information source for citizens. Nevertheless, observed cancer incidence and mortality suffer from an endemic registration delay in the data production workflow. To overcome this, the European Commission's Joint Research Centre in collaboration with the WHO's International Agency for Research on Cancer have computed estimates of cancer incidence and mortality, for the year 2020 and for European countries, in the framework of the European Cancer Information System (ECIS).
Methods
Predicted values for the year 2020 are based on the incidence data of more than 150 European population-based cancer registries included in the ECIS, and on the WHO mortality database. According to previously developed and applied methodology, the estimates of 2020 cancer incidence and mortality rates were produced for 40 European countries, on the basis of the most recent time trends of observed data, where possible. Estimated rates were then applied to the projected 2020 population from EUROSTAT, to calculate the predicted number of new cases and deaths for 2020 in each European country.
Results
The number of new cancer cases and deaths in 2020 has been estimated per country by sex and age group, for 25 major cancer sites. The results are included and disseminated through the ECIS web application (https://ecis.jrc.ec.europa.eu/).
Conclusions
The release of up-to-date cancer incidence and mortality estimates is of crucial importance in supporting evidence-based EU cancer policies. The homogeneity of the estimation methods applied throughout Europe guarantees the comparability of the estimated values between countries. Reliable and comparable estimates enable highlighting differences between countries in cancer incidence and mortality, thus facilitating the identification of possible intervention areas.
Key messages
The EC’s JRC, in collaboration with WHO’s IARC, have computed estimates of cancer incidence and mortality for the year 2020 for European countries, in the framework of the ECIS. The number of new cancer cases and deaths in 2020 has been estimated in 40 European countries for 25 major cancer sites and included in the ECIS web application (https://ecis.jrc.ec.europa.eu/).
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Affiliation(s)
- G Randi
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - T Dyba
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - C Martos
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - F Giusti
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - N Dimitrova
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - L Neamtiu
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - M Flego
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - N Nicholson
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - R Carvalho
- European Commission, Joint Research Centre, Ispra (VA), Italy
| | - M Bettio
- European Commission, Joint Research Centre, Ispra (VA), Italy
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Giusti F, Martos C, Neamtiu L, Randi G, Dyba T, Flego M, Carvalho R, Dimitrova N, Nicholson N, Bettio M. 508P Evaluating colorectal cancer treatment patterns by stage in European cancer registries. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Carvalho R, Randi G, Martos C, Dyba T, Giusti F, Nicholson N, Neamtiu L, Dimitrova N, Bettio M. Burden of cancer and human exposure to chemicals. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Cancer has important impacts on the EU's health systems and economies, with around 3 million new patients diagnosed each year. However, up to 40% of cancers are attributed to preventable causes. For these reasons, cancer is one of the main priorities of the EC in the health domain.
The new Europe's Beating Cancer Plan of the EC, to be launched at the end of 2020, aims to support EU Member States to improve cancer control and care, by proposing actions at every key stage of the disease: prevention (lifestyle, pollution, vaccination), diagnosis, treatment and survivorship. Reliable cancer statistics are essential to propel both epidemiological research and political decision making, and provide the supporting evidence to allow assessment of best practices in all those key stages. To this purpose, the European Cancer Information System (ECIS), built on European population-based cancer registries' data, provides the latest information on indicators that quantify the burden of cancer in Europe. It permits the exploration of geographical patterns and temporal trends of incidence, mortality and survival by granting access to harmonised and validated cancer incidence data.
Population-based cancer registries have been essential in many of the epidemiological studies that led to the identification of several carcinogens in the work place as well as those linked to certain lifestyle habits such as tobacco and alcohol consumption. However, In conditions of low exposure, the identification of cancer hazards has remained largely inconclusive, due to the unavailability of sufficient exposure data and appropriate models that can account for multiple exposures over extended periods.
The linkage between cancer registries data and administrative databases, biobanks, environmental data and extensive lifestyle questionnaires could help identifying or consolidate the available information on emerging carcinogens and populations at risk, thus allowing the development of preventable measures.
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Affiliation(s)
- R Carvalho
- European Commission, Joint Research Centre, Ispra, Italy
| | - G Randi
- European Commission, Joint Research Centre, Ispra, Italy
| | - C Martos
- European Commission, Joint Research Centre, Ispra, Italy
| | - T Dyba
- European Commission, Joint Research Centre, Ispra, Italy
| | - F Giusti
- European Commission, Joint Research Centre, Ispra, Italy
| | - N Nicholson
- European Commission, Joint Research Centre, Ispra, Italy
| | - L Neamtiu
- European Commission, Joint Research Centre, Ispra, Italy
| | - N Dimitrova
- European Commission, Joint Research Centre, Ispra, Italy
| | - M Bettio
- European Commission, Joint Research Centre, Ispra, Italy
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Giusti F, Martos C, Crocetti E, Dimitrova N, Randi G, Neamtiu L, Carvalho R, Dyba T, Flego M, Nicholson N, Bettio M. Patient data to monitor clinical patterns in early and advanced breast cancer in Europe. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz240.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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9
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Bettio M, Carvalho R, Dimitrova N, Dyba T, Flego M, Giusti F, Martos C, Neamtiu L, Nicholson N, Randi G, Nicholl C. Measuring the cancer burden in Europe: The European Cancer Information System (ECIS). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz263.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Bettio M, Carvalho R, Dimitrova N, Dyba T, Giusti F, Martos C, Neamtiu L, Randi G, Nicholson N. Measuring the cancer burden: the European Cancer Information System. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky212.500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M Bettio
- Joint Research Centre, Ispra, Italy
| | | | | | - T Dyba
- Joint Research Centre, Ispra, Italy
| | - F Giusti
- Joint Research Centre, Ispra, Italy
| | - C Martos
- Joint Research Centre, Ispra, Italy
| | | | - G Randi
- Joint Research Centre, Ispra, Italy
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Giusti F, Martos C, Randi G, Carvalho RN, Dimitrova N, Neamtiu L, Dyba T, Crocetti E, Bettio M. Cancer registration in Europe: where are we? Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- F Giusti
- European Commission - DG Joint Reasearch Centre, Ispra, Italy
| | - C Martos
- European Commission - DG Joint Reasearch Centre, Ispra, Italy
| | - G Randi
- European Commission - DG Joint Reasearch Centre, Ispra, Italy
| | - RN Carvalho
- European Commission - DG Joint Reasearch Centre, Ispra, Italy
| | - N Dimitrova
- European Commission - DG Joint Reasearch Centre, Ispra, Italy
| | - L Neamtiu
- European Commission - DG Joint Reasearch Centre, Ispra, Italy
| | - T Dyba
- European Commission - DG Joint Reasearch Centre, Ispra, Italy
| | | | - M Bettio
- European Commission - DG Joint Reasearch Centre, Ispra, Italy
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12
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Dyba T, Randi G, Giusti F, Martos C, Carvalho R, Dimitrova N, Neamtiu L, Bettio M. Comparing two approaches for estimating national incidence with regional cancer registration only. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- T Dyba
- DG Joint Research Centre Institute for Health and Consumer Protection, Ispra, Italy
| | - G Randi
- DG Joint Research Centre Institute for Health and Consumer Protection, Ispra, Italy
| | - F Giusti
- DG Joint Research Centre Institute for Health and Consumer Protection, Ispra, Italy
| | - C Martos
- DG Joint Research Centre Institute for Health and Consumer Protection, Ispra, Italy
| | - R Carvalho
- DG Joint Research Centre Institute for Health and Consumer Protection, Ispra, Italy
| | - N Dimitrova
- DG Joint Research Centre Institute for Health and Consumer Protection, Ispra, Italy
| | - L Neamtiu
- DG Joint Research Centre Institute for Health and Consumer Protection, Ispra, Italy
| | - M Bettio
- DG Joint Research Centre Institute for Health and Consumer Protection, Ispra, Italy
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13
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Randi G, Ben E, Carvalho R, Dimitrova N, Dyba T, Giusti F, Martos C, Neamtiu L, Nicholson N, Bettio M. European Cancer Information System web-application: analysing and visualising European cancer data. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.189] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- G Randi
- Joint Research Centre, Ispra, Italy
| | - E Ben
- Joint Research Centre, Ispra, Italy
| | | | | | - T Dyba
- Joint Research Centre, Ispra, Italy
| | - F Giusti
- Joint Research Centre, Ispra, Italy
| | - C Martos
- Joint Research Centre, Ispra, Italy
| | | | | | - M Bettio
- Joint Research Centre, Ispra, Italy
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14
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Marcos-Gragera R, Solans M, Galceran J, Fernández-Delgado R, Fernández-Teijeiro A, Mateos A, Quirós-Garcia JR, Fuster-Camarena N, De Castro V, Sánchez MJ, Franch P, Chirlaque MD, Ardanaz E, Martos C, Salmerón D, Peris-Bonet R. Childhood and adolescent lymphoma in Spain: incidence and survival trends over 20 years. Clin Transl Oncol 2018; 20:1289-1301. [PMID: 29623582 DOI: 10.1007/s12094-018-1860-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Accepted: 03/10/2018] [Indexed: 11/25/2022]
Abstract
BACKGROUND Lymphoma is the third most common malignancy in children (0-14 years) and the first in adolescents (15-19 years). This population-based study-the largest ever done in Spain-analyses incidence and survival of lymphomas among Spanish children and adolescents. PATIENTS AND METHODS 1664 lymphoma cases (1983-2007) for incidence and 1030 for survival (1991-2005) followed until 31/12/2010, were provided by 11 cancer registries. Age-adjusted incidence rates (ASRw) to the world standard population were obtained; incidence trends were modelled using the Joinpoint programme, observed survival (OS) was estimated with Kaplan-Meier and trends tested with a log-rank test. Results are presented according to the International Classification of Childhood Cancer-3. RESULTS In Spain, the ASRw0-14 for lymphomas was 17.5 per 1.000.000 child-years and 50.0 the specific rate for adolescents. Overall incidence increased significantly during 1983-1997 with no increases thereafter. Patients over 9 years old showed significant rising trends for all subtypes, except for Burkitt lymphoma (BL) in adolescents. During 2001-2005 (age 0-19 years), 5-year OS was 94 (90-98), 73 (64-83) and 86 (78-94) for Hodgkin lymphoma (HL), non-Hodgkin lymphoma (NHL) and BL, respectively. No improvement in survival was found. The incidence in Spain was higher than overall European rates, but within the range of that in Southern Europe. Comparing OS in Spain 1991-1995 and 2001-2005 with results for Europe of the Automated Childhood Cancer Information System (ACCIS) (1988-1997) and the European cancer registry-based study on survival and care of cancer patients (EUROCARE) (2000-2007), it was similar for HL and lower for NHL and BL. CONCLUSIONS Systematic monitoring and analysis of lymphoma paediatric data would provide clinical and epidemiological information to improve the health care of these patients and the outcomes for these malignancies in Spain.
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Affiliation(s)
- R Marcos-Gragera
- Epidemiology Unit and Girona Cancer Registry, Oncology Coordination Plan, Department of Health, Autonomous Government of Catalonia, Catalan Institute of Oncology, Girona, Spain. .,Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, Girona, Spain.
| | - M Solans
- Epidemiology Unit and Girona Cancer Registry, Oncology Coordination Plan, Department of Health, Autonomous Government of Catalonia, Catalan Institute of Oncology, Girona, Spain.,Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, Girona, Spain.,CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - J Galceran
- Tarragona Cancer Registry, Foundation Society for Cancer Research and Prevention (FUNCA), Reus, Spain.,Pere Virgili Health Research Institute, Reus, Spain.,Rovira i Virgili University (URV), Reus, Spain
| | - R Fernández-Delgado
- Department of Paediatrics, Obstetrics and Gynaecology, University of Valencia, Valencia, Spain.,Non-Hodgkin Lymphoma Working Group, Spanish Society of Paediatric Haematology and Oncology (SEHOP), Madrid, Spain
| | - A Fernández-Teijeiro
- University Hospital Virgen de la Macarena, Sevilla, Spain.,Hodgkin Lymphoma Working Group, Spanish Society of Paediatric Haematology and Oncology, (SEHOP), Madrid, Spain
| | - A Mateos
- Albacete Cancer Registry, Health and Social Welfare Authority, Albacete, Spain
| | - J R Quirós-Garcia
- Asturias Cancer Registry. Public Health Directorate, Asturias, Spain
| | - N Fuster-Camarena
- Childhood Cancer Registry of the C. Valenciana, Public Health Directorate, Health Department, Government of C.Valenciana, Valencia, Spain
| | - V De Castro
- Basque Country Cancer Registry, Basque Government, Bilbao, Spain
| | - M J Sánchez
- CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
| | - P Franch
- Mallorca Cancer Registry, Epidemiology Department, Directorate-General of Public Health and Participation, Palma de Mallorca, Spain
| | - M D Chirlaque
- CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia University, Murcia, Spain
| | - E Ardanaz
- CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Navarra Public Health Institute, Pamplona, Spain.,IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
| | - C Martos
- Instituto Aragonés de Ciencias de la Salud, Zaragoza, Spain.,Centre of Public Health Research-FISABIO, Valencia, Spain
| | - D Salmerón
- CIBER in Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Department of Health and Social Sciences, University of Murcia, Murcia, Spain.,IMIB-Arrixaca, Murcia, Spain
| | - R Peris-Bonet
- Spanish Registry of Childhood Tumours (RETI-SEHOP), University of Valencia, Valencia, Spain
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15
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Aguilar-Palacio I, Martinez-Beneito MA, Rabanaque MJ, Borrell C, Cirera L, Daponte A, Domínguez-Berjón MF, Gandarillas A, Gotsens M, Lorenzo-Ruano P, Marí-Dell'Olmo M, Nolasco A, Saez M, Sánchez-Villegas P, Saurina C, Martos C. Diabetes mellitus mortality in Spanish cities: Trends and geographical inequalities. Prim Care Diabetes 2017; 11:453-460. [PMID: 28623082 DOI: 10.1016/j.pcd.2017.05.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2016] [Revised: 05/08/2017] [Accepted: 05/18/2017] [Indexed: 01/24/2023]
Abstract
AIM To analyze the geographical pattern of diabetes mellitus (DM) mortality and its association with socioeconomic factors in 26 Spanish cities. METHODS We conducted an ecological study of DM mortality trends with two cross-sectional cuts (1996-2001; 2002-2007) using census tract (CT) as the unit of analysis. Smoothed standardized mortality rates (sSMR) were calculated using Bayesian models, and a socioeconomic deprivation score was calculated for each CT. RESULTS In total, 27,757 deaths by DM were recorded, with higher mortality rates observed in men and in the period 1996-2001. For men, a significant association between CT deprivation score and DM mortality was observed in 6 cities in the first study period and in 7 cities in the second period. The highest relative risk was observed in Pamplona (RR, 5.13; 95% credible interval (95%CI), 1.32-15.16). For women, a significant association between CT deprivation score and DM mortality was observed in 13 cities in the first period and 8 in the second. The strongest association was observed in San Sebastián (RR, 3.44; 95%CI, 1.25-7.36). DM mortality remained stable in the majority of cities, although a marked decrease was observed in some cities, including Madrid (RR, 0.67 and 0.64 for men and women, respectively). CONCLUSIONS Our findings demonstrate clear inequalities in DM mortality in Spain. These inequalities remained constant over time are were more marked in women. Detection of high-risk areas is crucial for the implementation of specific interventions.
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Affiliation(s)
- I Aguilar-Palacio
- Departamento de Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Zaragoza, Spain; Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Spain.
| | - M A Martinez-Beneito
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunidad Valenciana (FISABIO-Salud Pública), Valencia, Spain; Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - M J Rabanaque
- Departamento de Microbiología, Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Zaragoza, Spain; Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Spain
| | - C Borrell
- Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Agència de Salut Pública de Barcelona, Barcelona, Spain
| | - L Cirera
- Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Servicio de Epidemiología, Consejería de Sanidad, IMIB - Arrrixaca, Murcia, Spain
| | - A Daponte
- Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Observatorio de Salud y Medio Ambiente de Andalucía (OSMAN), Escuela Andaluza de Salud Pública, Consejería de Salud, Junta de Andalucía, Granada, Spain
| | - M F Domínguez-Berjón
- Subdirección de Promoción de la Salud y Prevención, Consejería de Sanidad, Comunidad de Madrid, Madrid, Spain
| | - A Gandarillas
- Subdirección de Promoción de la Salud y Prevención, Consejería de Sanidad, Comunidad de Madrid, Madrid, Spain
| | - M Gotsens
- Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Agència de Salut Pública de Barcelona, Barcelona, Spain
| | - P Lorenzo-Ruano
- Dirección General de Salud Pública, Servicio Canario de Salud, Spain
| | - M Marí-Dell'Olmo
- Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Agència de Salut Pública de Barcelona, Barcelona, Spain
| | - A Nolasco
- Unidad de Investigación en Análisis de la Mortalidad y Estadísticas Sanitarias, Universidad de Alicante, Alicante, Spain
| | - M Saez
- Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Grupo de Investigación en Estadística, Econometría y Salud (GRECS), Universidad de Girona, Girona, Spain
| | - P Sánchez-Villegas
- Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Observatorio de Salud y Medio Ambiente de Andalucía (OSMAN), Escuela Andaluza de Salud Pública, Consejería de Salud, Junta de Andalucía, Granada, Spain
| | - C Saurina
- Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Grupo de Investigación en Estadística, Econometría y Salud (GRECS), Universidad de Girona, Girona, Spain
| | - C Martos
- Grupo de Investigación en Servicios Sanitarios de Aragón (GRISSA), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Spain; Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunidad Valenciana (FISABIO-Salud Pública), Valencia, Spain; Ciber de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
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Bettio M, Carvalho R, Crocetti E, Dyba T, Giusti F, Martos C, Randi G, Rooney R, Voti L, Nicholson N. Assessing Cancer Burden across Europe: Towards a Comprehensive an Harmonised Cancer Information System. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw168.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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17
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Martos C, Giusti F, Randi G, Voti L, Crocetti E, Rooney R, Dyba T, Carvalho R, Nicholson N, Bettio M. Improving cancer data comparability in Europe: a common data quality-checking software tool. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw168.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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18
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Randi G, Crocetti E, Martos C, Dyba T, Voti L, Giusti F, Rooney R, Carvalho R, Bettio M, Katalinic A. The ENCR-JRC project on Incidence and Mortality in Europe. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw168.069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- G Randi
- Joint Research Centre, European Commission
| | - E Crocetti
- Joint Research Centre, European Commission
| | - C Martos
- Joint Research Centre, European Commission
| | - T Dyba
- Joint Research Centre, European Commission
| | - L Voti
- Joint Research Centre, European Commission
| | - F Giusti
- Joint Research Centre, European Commission
| | - R Rooney
- Joint Research Centre, European Commission
| | - R Carvalho
- Joint Research Centre, European Commission
| | - M Bettio
- Joint Research Centre, European Commission
| | - A Katalinic
- European Network of Cancer Registries (ENCR)
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19
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Giusti F, Martos C, Randi G, Crocetti E, Dyba T, Voti L, Rooney R, Carvalho R, Nicholson N, Bettio M. Evaluation of European Cancer Registries' Data Quality within the ENCR-JRC Project. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw168.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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20
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González-Del Vecchio M, Catalán P, de Egea V, Rodríguez-Borlado A, Martos C, Padilla B, Rodríguez-Sanchez B, Bouza E. An algorithm to diagnose influenza infection: evaluating the clinical importance and impact on hospital costs of screening with rapid antigen detection tests. Eur J Clin Microbiol Infect Dis 2015; 34:1081-5. [PMID: 25620782 DOI: 10.1007/s10096-015-2328-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Accepted: 01/13/2015] [Indexed: 10/24/2022]
Abstract
Rapid antigen detection tests (RADTs) are immunoassays that produce results in 15 min or less, have low sensitivity (50 %), but high specificity (95 %). We studied the clinical impact and laboratory savings of a diagnostic algorithm for influenza infection using RADTs as a first-step technique during the influenza season. From January 15th to March 31st 2014, we performed a diagnostic algorithm for influenza infection consisting of an RADT for all respiratory samples received in the laboratory. We studied all the patients with positive results for influenza infection, dividing them into two groups: Group A with a negative RADT but positive reference tests [reverse transcription polymerase chain reaction (RT-PCR) and/or culture] and Group B with an initial positive RADT. During the study period, we had a total of 1,156 patients with suspicion of influenza infection. Of them, 217 (19 %) had a positive result for influenza: 132 (11 %) had an initial negative RADT (Group A) and 85 (7 %) had a positive RADT (Group B). When comparing patients in Group A and Group B, we found significant differences, as follows: prescribed oseltamivir (67 % vs. 82 %; p = 0.02), initiation of oseltamivir before 24 h (89 % vs. 97 %; p = 0.03), antibiotics prescribed (89 % vs. 67 %; p = <0.01), intensive care unit (ICU) admissions after diagnosis (23 % vs. 14 %; p = 0.05), and need for supplementary oxygen (61 % vs. 47 %; p = 0.01). An influenza algorithm including RADTs as the first step improves the time of administration of proper antiviral therapy, reduces the use of antibiotics and ICU admissions, and decreases hospital costs.
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Affiliation(s)
- M González-Del Vecchio
- Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain,
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21
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Cavero C, Estarlich M, Martinez-Beneito MA, García-Pérez J, Ramis R, López-Abente G, Ballester F, Zurriaga O, Martos C. Industrial Pollution and Congenital Heart Anomalies in the Valencia Region, Spain. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku166.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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22
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Puig-Vives M, Sánchez MJ, Sánchez-Cantalejo J, Torrella-Ramos A, Martos C, Ardanaz E, Chirlaque MD, Perucha J, Díaz JM, Mateos A, Machón M, Marcos-Gragera R. Distribution and prognosis of molecular breast cancer subtypes defined by immunohistochemical biomarkers in a Spanish population-based study. Gynecol Oncol 2013; 130:609-14. [PMID: 23747837 DOI: 10.1016/j.ygyno.2013.05.039] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2013] [Revised: 05/28/2013] [Accepted: 05/30/2013] [Indexed: 11/19/2022]
Abstract
BACKGROUND The objective of this study is to analyze the distribution, clinicopathological features, relative survival rate and excess risk of death among females diagnosed with invasive breast cancer and classified by molecular subtype from ten Spanish cancer registries. METHOD Three thousand four hundred and eighty incident cases of women - mostly diagnosed in 2005 - were classified into five molecular subtypes according to immunohistochemical status of hormonal receptors and HER2 (human epidermal growth factor receptor 2): estrogen receptor (ER) and/or progesterone receptor (PR)+ and HER2-, ER+ and/or PR+ and HER2+, HER2-overexpressed (ER-, PR- and HER2+), triple negative (ER, PR and HER2-) and unclassified (hormonal receptor or/and HER2 unknown). Relative survival rates at 1, 3 and 5years and relative excess risks (RER) of death adjusting for molecular subtype, age, stage and histological grade were estimated. RESULTS Marked differences in clinicopathological characteristics and relative survival rate were observed between molecular subtypes. Compared with women with ER+ and/or PR+ and HER2-, ER+ and/or PR+ and HER2+ cases had an RER of 1.00 (95% CI: 0.66 to 1.52) after adjusting for age, stage and histological grade, whereas HER2-overexpressed, triple negative and women with unclassified subtypes presented an RER of 1.72 (95% CI: 1.15 to 2.57), 3.16 (95% CI: 2.26 to 4.41) and 2.55 (95% CI: 1.96 to 3.32), respectively. CONCLUSION The prognostic value of molecular subtype persists when adjusting for age, stage and histological grade. Hormone receptor-positive tumors were associated with a better prognosis when compared with HER2-overexpressed and triple negative subtypes. Further research is required to improve triple negative prognosis.
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Affiliation(s)
- M Puig-Vives
- Epidemiology Unit and Girona Cancer Registry, Girona, Spain.
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23
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Gascon E, Carrera P, Martos C, Rabanaque MJ. Violence against children in Spain: a population-based epidemiological approach. Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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24
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Navarro C, Martos C, Ardanaz E, Galceran J, Izarzugaza I, Peris-Bonet R, Martínez C. Population-based cancer registries in Spain and their role in cancer control. Ann Oncol 2010; 21 Suppl 3:iii3-13. [DOI: 10.1093/annonc/mdq094] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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25
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Chuang SC, Scélo G, Lee YCA, Friis S, Pukkala E, Brewster DH, Hemminki K, Tracey E, Weiderpass E, Tamaro S, Pompe-Kirn V, Kliewer EV, Chia KS, Tonita JM, Martos C, Jonasson JG, Boffetta P, Brennan P, Hashibe M. Risks of second primary cancer among patients with major histological types of lung cancers in both men and women. Br J Cancer 2010; 102:1190-5. [PMID: 20354532 PMCID: PMC2853101 DOI: 10.1038/sj.bjc.6605616] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2009] [Revised: 01/20/2010] [Accepted: 02/22/2010] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Patterns of second primary cancers (SPCs) following first primary lung cancers (FPLCs) may provide aetiological insights into FPLC. METHODS Cases of FPLCs in 13 cancer registries in Europe, Australia, Canada, and Singapore were followed up from the date of FPLC diagnosis to the date of SPC diagnosis, date of death, or end of follow-up. Standardised incidence ratios (SIRs) were calculated to estimate the magnitude of SPC development following squamous cell carcinoma (SCC), small cell lung carcinoma (SCLC), and adenocarcinoma (ADC). RESULTS Among SCC patients, male SIR=1.58 (95% confidence interval (CI)=1.50-1.66) and female SIR=2.31 (1.94-2.72) for smoking-related SPC. Among SCLC patients, the respective ratios were 1.39 (1.20-1.60) and 2.28 (1.73-2.95), and among ADC patients, they were 1.73 (1.57-1.90) and 2.24 (1.91-2.61). We also observed associations between first primary lung ADC and second primary breast cancer in women (SIR=1.25, 95% CI=1.05-1.48) and prostate cancer (1.56, 1.39-1.79) in men. CONCLUSION The FPLC patients carried excess risks of smoking-related SPCs. An association between first primary lung ADC and second primary breast and ovarian cancer in women at younger age and prostate cancers in men may reflect an aetiological role of hormones in lung ADC.
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Affiliation(s)
- S-C Chuang
- International Agency for Research on Cancer (IARC), Lyon, France
- Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK
| | - G Scélo
- International Agency for Research on Cancer (IARC), Lyon, France
| | - Y-C A Lee
- International Agency for Research on Cancer (IARC), Lyon, France
- Department of Epidemiology, School of Public Health, University of California, Los Angeles, CA, USA
| | - S Friis
- Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
| | - E Pukkala
- Finnish Cancer Registry, Institute for Statistical and Epidemiology Cancer Research, Helsinki, Finland
| | - D H Brewster
- Scottish Cancer Registry, Information Services, NHS National Services Scotland, Edinburgh, Scotland, UK
| | - K Hemminki
- Division of Molecular Genetic Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
- Center for Family and Community Medicine, Karolinska Institutet, Huddinge, Sweden
| | - E Tracey
- New South Wales Cancer Registry, Eveleigh, New South Wales, Australia
| | - E Weiderpass
- The Cancer Registry of Norway, Oslo, Norway
- Department of Community Medicine, University of Tromso, Tromso, Norway
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- Department of Genetic Epidemiology, Samfundet Folkhalsan, Helsinki, Finland
| | - S Tamaro
- British Columbia Cancer Agency, Vancouver, British Columbia, Canada
| | - V Pompe-Kirn
- Cancer Registry of Slovenia, Institute of Oncology, Ljubljana, Slovenia
| | - E V Kliewer
- British Columbia Cancer Agency, Vancouver, British Columbia, Canada
- Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manibota, Canada
- Department of Community Health Sciences, University of Manitoba, Winnipeg, Manibota, Canada
| | - K-S Chia
- Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manibota, Canada
- Center for Molecular Epidemiology, Singapore
| | - J M Tonita
- Singapore Cancer Registry, Singapore
- Saskatchewan Cancer Agency, Regina, Saskatchewan, Canada
| | - C Martos
- Cancer Registry of Zaragoza, Aragon Health Science Institute, Zaragoza, Spain
| | - J G Jonasson
- Icelandic Cancer Registry, Icelandic Cancer Society, Reykjavik, Iceland
- Faculty of Medicine, University of Iceland, Reykjavik, Iceland
| | - P Boffetta
- International Agency for Research on Cancer (IARC), Lyon, France
- The Tisch Cancer Institute, Mount Sinai School of Medicine, New York, NY, USA
- International Prevention Research Institute, Lyon, France
| | - P Brennan
- International Agency for Research on Cancer (IARC), Lyon, France
| | - M Hashibe
- International Agency for Research on Cancer (IARC), Lyon, France
- University of Utah School of Medicine, Salt Lake City, UT, USA
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26
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Chuang S, Scelo G, Tonita J, Tamaro S, Jonasson J, Kliewer E, Hemminki K, Weiderpass E, Pukkala E, Tracey E, Friis S, Pompe-Kirn V, Brewster D, Martos C, Chia K, Boffetta P, Brennan P, Hashibe M. Risk of second primary cancer among patients with head and neck cancers: a pooled analysis of 13 cancer registries. EJC Suppl 2008. [DOI: 10.1016/s1359-6349(08)71864-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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27
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Maule M, Scélo G, Pastore G, Brennan P, Hemminki K, Pukkala E, Weiderpass E, Olsen J, Tracey E, McBride M, Brewster D, Pompe-Kirn V, Tonita J, Kliewer E, Chia K, Jonasson J, Martos C, Magnani C, Boffetta P. Risk of second malignant neoplasms after childhood central nervous system malignant tumours: An international study. Eur J Cancer 2008; 44:830-9. [DOI: 10.1016/j.ejca.2008.02.012] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2008] [Revised: 02/08/2008] [Accepted: 02/12/2008] [Indexed: 11/25/2022]
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van Grieken R, Calleja G, Serrano D, Martos C, Melgares A, Suarez I. The Role of the Hydroxyl Groups on the Silica Surface When Supporting Metallocene/MAO Catalysts. ACTA ACUST UNITED AC 2007. [DOI: 10.1081/pre-120018583] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- R. van Grieken
- a ESCET , Universidad Rey Juan Carlos , C/Tulipán s/n, 28933 , Móstoles , Madrid , Spain
| | - G. Calleja
- a ESCET , Universidad Rey Juan Carlos , C/Tulipán s/n, 28933 , Móstoles , Madrid , Spain
| | - D. Serrano
- a ESCET , Universidad Rey Juan Carlos , C/Tulipán s/n, 28933 , Móstoles , Madrid , Spain
| | - C. Martos
- a ESCET , Universidad Rey Juan Carlos , C/Tulipán s/n, 28933 , Móstoles , Madrid , Spain
| | - A. Melgares
- a ESCET , Universidad Rey Juan Carlos , C/Tulipán s/n, 28933 , Móstoles , Madrid , Spain
| | - I. Suarez
- a ESCET , Universidad Rey Juan Carlos , C/Tulipán s/n, 28933 , Móstoles , Madrid , Spain
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29
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Coebergh JWW, Reedijk AMJ, de Vries E, Martos C, Jakab Z, Steliarova-Foucher E, Kamps WA. Leukaemia incidence and survival in children and adolescents in Europe during 1978–1997. Report from the Automated Childhood Cancer Information System project. Eur J Cancer 2006; 42:2019-36. [PMID: 16919768 DOI: 10.1016/j.ejca.2006.06.005] [Citation(s) in RCA: 88] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2006] [Accepted: 06/16/2006] [Indexed: 12/31/2022]
Abstract
Leukaemias constitute approximately one-third of cancers in children (age 0-14 years) and 10% in adolescents (age 15-19 years). Geographical patterns (1988-1997) and time trends (1978-1997) of incidence and survival from leukaemias in children (n=29,239) and adolescents (n=1929) were derived from the ACCIS database, including data from 62 cancer registries in 19 countries across Europe. The overall incidence rate of leukaemia in children was 44 per million person-years during 1988-1997. Lymphoid leukaemia (LL) accounted for 81%, acute non-lymphocytic leukaemia (ANLL) for 15%, chronic myeloid leukaemia (CML) for 1.5% and unspecified leukaemia for 1.3% of cases. Adjusted for sex and age, incidence of childhood LL was significantly lower in the East and higher in the North than in the British Isles. The overall incidence among adolescents was 22.6 per million person-years. The incidence of LL was rising in children (0.6% per year) and adolescents (1.9% per year). During 1988-1997 5-year survival of children with leukaemias was 73% (95% CI 72-74) and approximately 44% for infants and adolescents. Similar differences in survival between children and adolescents were observed for LL, much less so for ANLL. Survival differed between regions; prognosis was better in the North and West than the East. Remarkable improvements in survival occurred in most of the subgroups of patients defined by diagnostic subgroup, age, sex and geographic categories during the period 1978-1997. For children with ANLL most improvements in survival were observed in the 1990s.
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Affiliation(s)
- J W W Coebergh
- Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
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30
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Brennan P, Scélo G, Hemminki K, Mellemkjaer L, Tracey E, Andersen A, Brewster DH, Pukkala E, McBride ML, Kliewer EV, Tonita JM, Seow A, Pompe-Kirn V, Martos C, Jonasson JG, Colin D, Boffetta P. Second primary cancers among 109 000 cases of non-Hodgkin's lymphoma. Br J Cancer 2005; 93:159-66. [PMID: 15970927 PMCID: PMC2361473 DOI: 10.1038/sj.bjc.6602654] [Citation(s) in RCA: 85] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
An analysis of other primary cancers in individuals with non-Hodgkin's lymphoma (NHL) can help to elucidate this cancer aetiology. In all, 109 451 first primary NHL were included in a pooled analysis of 13 cancer registries. The observed numbers of second cancers were compared to the expected numbers derived from the age-, sex-, calendar period- and registry-specific incidence rates. We also calculated the standardised incidence ratios for NHL as a second primary after other cancers. There was a 47% (95% confidence interval 43–51%) overall increase in the risk of a primary cancer after NHL. A strongly significant (P<0.001) increase was observed for cancers of the lip, tongue, oropharynx*, stomach, small intestine, colon*, liver, nasal cavity*, lung, soft tissues*, skin melanoma*, nonmelanoma skin*, bladder*, kidney*, thyroid*, Hodgkin's lymphoma*, lymphoid leukaemia* and myeloid leukaemia. Non-Hodgkin's lymphoma as a second primary was increased after cancers marked with an asterisk. Patterns of risk indicate a treatment effect for lung, bladder, stomach, Hodgkin's lymphoma and myeloid leukaemia. Common risk factors may be involved for cancers of the lung, bladder, nasal cavity and for soft tissues, such as pesticides. Bidirectional effects for several cancer sites of potential viral origin argue strongly for a role for immune suppression in NHL.
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Affiliation(s)
- P Brennan
- International Agency for Research on Cancer, 69008 Lyon, France.
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31
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Hemminki K, Scélo G, Boffetta P, Mellemkjaer L, Tracey E, Andersen A, Brewster DH, Pukkala E, McBride M, Kliewer EV, Chia KS, Pompe-Kirn V, Martos C, Jonasson JG, Li X, Brennan P. Second primary malignancies in patients with male breast cancer. Br J Cancer 2005; 92:1288-92. [PMID: 15798766 PMCID: PMC2361970 DOI: 10.1038/sj.bjc.6602505] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
An international multicentre study of first and second primary neoplasms associated with male breast cancer was carried out by pooling data from 13 cancer registries. Among a total of 3409 men with primary breast cancer, 426 (12.5%) developed a second neoplasia; other than breast cancer, a 34% overall excess risk of second primary neoplasia, affecting the small intestine (standardised incidence ratio, 4.95, 95% confidence interval, 1.35–12.7), rectum (1.78, 1.20–2.54), pancreas (1.93, 1.14–3.05), skin (nonmelanoma, 1.65, 1.16–2.29), prostate (1.61, 1.34–1.93) and lymphohaematopoietic system (1.63, 1.12–2.29). A total of 225 male breast cancers was recorded after cancers other than breast cancer, but an increase was found only after lymphohaematopoietic neoplasms. BRCA2 (and to some extent BRCA1) mutations may explain the findings for pancreatic and prostate cancers. Increases at other sites may be related to unknown factors or to chance. This large study shows that the risks for second discordant tumours after male breast cancer pose only a moderate excess risk.
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Affiliation(s)
- K Hemminki
- Division of Molecular Genetic Epidemiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 580, Heidelberg D-69120, Germany.
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32
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Rubio-Martínez A, Recasens V, Martos C, Montañés A, García-Carpintero G, Gómez-López L, Rubio-Félix D, Giraldo P. Predictive factors to develop a second neoplasia in a Hodgkin disease cohort patients. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.6707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- A. Rubio-Martínez
- Miguel Servet University Hospital, Zaragoza, Spain; Aragon Health Service, Zaragoza, Spain
| | - V. Recasens
- Miguel Servet University Hospital, Zaragoza, Spain; Aragon Health Service, Zaragoza, Spain
| | - C. Martos
- Miguel Servet University Hospital, Zaragoza, Spain; Aragon Health Service, Zaragoza, Spain
| | - A. Montañés
- Miguel Servet University Hospital, Zaragoza, Spain; Aragon Health Service, Zaragoza, Spain
| | - G. García-Carpintero
- Miguel Servet University Hospital, Zaragoza, Spain; Aragon Health Service, Zaragoza, Spain
| | - L. Gómez-López
- Miguel Servet University Hospital, Zaragoza, Spain; Aragon Health Service, Zaragoza, Spain
| | - D. Rubio-Félix
- Miguel Servet University Hospital, Zaragoza, Spain; Aragon Health Service, Zaragoza, Spain
| | - P. Giraldo
- Miguel Servet University Hospital, Zaragoza, Spain; Aragon Health Service, Zaragoza, Spain
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Van Grieken R, Sotelo J, Martos C, Fierro J, López-Granados M, Mariscal R. Surface modified amorphous titanosilicate catalysts for liquid phase epoxidation. Catal Today 2000. [DOI: 10.1016/s0920-5861(00)00373-4] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Sotelo JL, Van Grieken R, Martos C. Catalytic aerogel-like materials dried at ambient pressure for liquid-phase epoxidation. Chem Commun (Camb) 1999. [DOI: 10.1039/a809012b] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Boneu M, Gómez-Quirante A, Feijóo N, Martos C, Foz G. [Eating habits and the frequency of food consumption in 8th-grade schoolchildren from a Basic Health Area of Mataró]. Aten Primaria 1994; 14:591-5. [PMID: 8068823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
OBJECTIVE To find the food habits and the qualitative food consumption of 8th-year school students, covered by a Base Health Area in Mataró (Barcelona), as the basis for a programme of health education. DESIGN A descriptive study, carried out by means of an open questionnaire on the frequency of food consumption over three consecutive days in a week, on an individual basis, self-filled and of a prospective character. SETTING The schools within the catchment area of a Base Health Area in Mataró (Barcelona). PARTICIPANTS All the 8th-year EGB students of those schools (216). MEASUREMENTS AND MAIN RESULTS 180 students answered the questionnaire. Four were excluded for not meeting the conditions laid out. There were 81.4% of valid questionnaires. 98.2% did not have a healthy diet. 64% consumed milk products or derivatives once or less per day. 88.6% consumed raw vegetables less than once a day. 86.9% consumed cooked vegetables less than once per day. 40% consumed fresh fruit less than once per day and 55.1% consumed animal proteins less than once per day. 34.6% consumed two or more units per day of cakes or buns and 21.6% consumed three or more units per day of sweets. 31% did not vary their breakfast and 12% took nothing solid for breakfast on at least one of the study's three days. 13.1% did not vary their evening meal and 17% took nothing solid for their evening meal on at least one of the three days. CONCLUSIONS The results of this study show not very healthy eating habits, with insufficient consumption of milk products, vegetables and fruit and a an insufficient breakfast.
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Muñoz N, Bosch FX, de Sanjosé S, Tafur L, Izarzugaza I, Gili M, Viladiu P, Navarro C, Martos C, Ascunce N. The causal link between human papillomavirus and invasive cervical cancer: a population-based case-control study in Colombia and Spain. Int J Cancer 1992; 52:743-9. [PMID: 1330933 DOI: 10.1002/ijc.2910520513] [Citation(s) in RCA: 369] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
To evaluate the association between human papillomavirus (HPV) and cervical cancer, we performed a population-based case-control study in Columbia and Spain, the former country having an incidence rate of cervical cancer about 8 times higher than the latter. It included 436 cases of histologically confirmed invasive cervical cancer and 387 randomly selected population controls. Information on demographic variables, sexual behaviour and other risk factors was obtained by interview. HPV-DNA was measured in cervical-swab specimens with 3 hybridization assays: ViraPap, Southern hybridization (SH) and polymerase chain reaction (PCR). The presence of HPV-DNA and detection of types 16, 18, 31, 33 and 35 were strongly associated with cervical cancer in each country regardless of the assay used. For both countries combined the adjusted odds ratios and 95% confidence intervals were: ViraPap OR = 25.9 (10.0-66.7); SH OR = 6.8 (3.4-13.4); and PCR OR = 28.8 (15.7-52.6). HPV-16 was the most common type detected in both cases and controls. Our results indicate that there is a very strong association between HPV 16, 18, 31, 33 and 35 and invasive cervical cancer and that this association is probably causal.
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Affiliation(s)
- N Muñoz
- Unit of Field and Intervention Studies, International Agency for Research on Cancer, Lyon, France
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Jiménez Alvarez C, Martos C, Ruiz Montes AM, Benito E, Martínez Martínez L, Blesa Sánchez E. [Obstacle removal syndrome in the postoperative period of obstructive uropathy]. Cir Pediatr 1991; 4:23-5. [PMID: 2043430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Eighty patients to operated upon secondary hidronephrosis to pieloureteral or ureterovesical stenosis are studied. Diary diuresis and excretion of sodium of the operated kidney and the healthy kidney are valorated. We analyse the differences between age groups, grade of parenquima afectation or kind of pathology that cause the obstruction. Results show that the desobstruction of the urinary tract is accompanied by a increase of diuresis (p less than 0.001) and by a lost of sodium (p less than 0.001) in the operated kidney. Poliury is bigger in neonatal period than in other age groups.
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Abstract
Starvation, diabetes and insulin did not alter the concentration of casein kinases in rat liver cytosol. However, the Km for casein of casein kinase 2 from diabetic rats was about 2-fold lower than that from control animals. Administration of insulin to control rats did not alter this parameter, but increased the Km for casein of casein kinase 2 in diabetic rats. Starvation did not affect the kinetic constants of casein kinases. The effect of diabetes on casein kinase 2 persisted after partial purification of the enzyme by glycerol-density-gradient centrifugation and affected also its activity on other protein substrates such as phosvitin, high-mobility-group protein 14 and glycogen synthase. The results indicate that rat liver cytosol casein kinase 2 is under physiological control.
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Abstract
Casein kinase 1 phosphorylated human fibrinogen, in a reaction that did not use GTP as phosphoryl donor and was neither stimulated by cyclic AMP or Ca2+, nor inhibited by the cyclic AMP-dependent protein kinase inhibitor protein. Maximal incorporation averaged 4 mol of phosphate per mol of fibrinogen, most of it in the largest CNBr-fragment of the alpha-chain. Phosphoamino acid analysis revealed that phosphorylation occurred only at seryl residues. The phosphorylation of fibrinogen by casein kinase 1 was reverted by alkaline phosphatase.
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