Incidence rate trends for colorectal cancer in Navarre (North of Spain) in the 1990-2005 period
Keywords:
Cáncer colorrectal. Incidencia. Tendencias. Modelo P-spline.Abstract
Background. In Spain, an increase in the incidence of colorectal cancer (CRC) has been observed in both sexes in recent years, probably due to an improved diagnostic, the westernization of dietary habits, and worse obesity levels, among others factors. In this work, the CRC incidence rate trends in different health areas in Navarre (northern Spain) are studied during the 1990-2005 period. Methods. An estimated incidence trend curve for each health area and the corresponding confidence bands were obtained for each gender using P-spline models. Results. These results show an increasing trend of CRC in most of the areas in both sexes, being less pronounced in women than in men. In the central area of Pamplona (the capital) a decreasing trend has been observed for men during the period studied. Conclusions. Primary prevention is the best strategy to change the increasing trend observed in most areas of the province of Navarre. However, a healthy lifestyle has long-term results, so it is important to have an early detection program that would serve as a short-term prevention strategy.Downloads
References
1. PARKIN DM. International variation. Oncogene 2004; 23: 6329-6340.
https://doi.org/10.1038/sj.onc.1207726
2. PARKIN DM, BRAY F, FERLAY J, PISANI P. Global cancer statistics, 2002. CA Cancer J Clin 2005; 55: 74-108.
https://doi.org/10.3322/canjclin.55.2.74
3. FERLAY J, SHIN HR, BRAY F, FORMAN D, MATHERS C, PARKIN DM. GLOBOCAN 2008, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10. Lyon, France: International Agency for Research on Cancer; 2010.
4. BÉJAR PRADO LM, GILI M, RAMÍREZ G, LÓPEZ J, CABANILLAS JL. Dietary changes and colorrectal cancer trends in Spain during 1951-2007. Rev Esp Enferm Dig 2010; 102: 159-168.
https://doi.org/10.4321/S1130-01082010000300002
5. EDWARDS, BK, WARD E, KOHLER BA, EHEMAN C, ZAUBER AG, ANDERSON RN et al. Annual report to the nation on the status of cancer, 1975-2006, featuring colorrectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates. Cancer 2010; 116: 544-573.
https://doi.org/10.1002/cncr.24760
6. CENTER MM, JEMAL A, WARD E. International trends in colorrectal cancer incidence rates. Cancer Epidemiol. Biomarkers Prev 2009; 18: 1688-1694.
https://doi.org/10.1158/1055-9965.EPI-09-0090
7. CURADO MP, EDWARDS B, SHIN HR, STORM H, FERLAY J, HEANUE M et al. Cancer incidence in five continents. Vol. IX. Lyon: IARC Press; 2007.
8. REGISTRO DE CÁNCER DE NAVARRA. Incidencia y mortalidad por cáncer en Navarra, 1993-1997. Tendencias en los últimos 25 años. An Sist Sanit Navar 2001; 24: 339-362.
https://doi.org/10.23938/ASSN.0403
9. ARDANAZ E, MORENO-IRIBAS C, PÉREZ DE RADA ME, EZPONDA C, FLORISTÁN Y, NAVARIDAS N et al. Incidencia y mortalidad por cáncer en Navarra, 1998-2002: Evolución en los últimos 30 años. An Sist Sanit Navar. 2007 30: 245-270.
https://doi.org/10.4321/S1137-66272007000300009
10. BOYLE P, LANGMAN JS. ABC of colorectal cancer: Epidemiology. BMJ 2000; 321: 805-808.
https://doi.org/10.1136/bmj.321.7264.805
11. ARDANAZ E, BARRICARTE A, PÉREZ DE RADA ME. EZPONDA C, NAVARIDAS N. Cancer incidence in Navarra 1998-2002. En: Curado MP, Edwards B, Shin HR, Storm H, Ferlay J, Heanue M et al., editores. Cancer incidence in five continents. Vol. IX. Lyon: IARC Press; 2007.
12. International Organization Health. ICD-10a. International Statistical Classification of Diseases and related Health problems.
13. LEY FORAL 22/1985, de 13 de noviembre, por la que se establece la zonificación sanitaria de Navarra. (BON 110 de 20 de noviembre de 1985).
14. UGARTE MD, GOICOA T, MILITINO AF AND DURBÁN M. Spline smoothing in small area trend estimation and forecasting. Comput Stat Data Anal 2009; 53: 3616-3629.
https://doi.org/10.1016/j.csda.2009.02.027
15. R Development Core Team. A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria 2011. http://www.r-project.org/
16. UGARTE MD, ETXEBERRIA J, GOICOA T, ARDANAZ E. Gender-specific spatio-temporal patterns of colorectal cancer incidence in Navarre, Spain (1990-2005). Cancer Epidemiology. (En prensa).
17. FOURNEL I, COTTET V, BINQUET C, JOOSTE V, FAIVRE J, BOUVIER AM et al. Rural-urban inequalities in detection rates of colorectal tumours in the population, Digestive and Liver Disease, Available online
(www.sciencedirect.com/science/article/pii/S1590865811003641)
18. SCHOOTMAN M, LIAN M, DESHPANDE A, MCQUEEN A, PRUITT S, JEFFE D. Temporal trends in geographic disparities in small-area-level colorectal cancer incidence and mortality in the United States. Cancer Causes Control 2011; 22: 1-9.
https://doi.org/10.1007/s10552-011-9796-6
19. GIOVANNUCCI E, WU K. Cancers of the colon and rectum. In Schottenfeld D, Fraumeni JF (eds): Cancer Epidemiology and Prevention. New York, NY: Oxford University Press 2006; 809-829.
https://doi.org/10.1093/acprof:oso/9780195149616.003.0042
20. BÉJAR L, GILI M, DÍAZ V, RAMÍREZ G, LÓPEZ J, CABANILLAS JL et al. Incidence and mortality by colorrectal cancer in Spain during 1951-2006 and its relationship with behavioural factors. Eur J Cancer Prev 2009; 18: 436-444.
https://doi.org/10.1097/CEJ.0b013e328330eb2f
21. LÓPEZ-ABENTE G, ARDANAZ E, TORRELLA-RAMOS A, MATEOS A, DELGADO-SANZ C, CHIRLAQUE MD et al. Changes in colorrectal cancer incidence and mortality trends in Spain. Ann Oncol 2010; 21: 76-82.
https://doi.org/10.1093/annonc/mdq091
22. National Cancer Institute. Colorectal Cancer Prevention.
www.cancer.gov/cancerinfo/pdq/prevention/colorectal/healthprofessional
23. KARIM-KOS HE, DE VRIES E, SOERJOMATARAM I, LEMMENS V, SIESLING S, COEBERGH JWW. Recent trends of cancer in Europe: a combined approach of incidence, survival and mortality for 17 cancer sites since the 1990s. Eur J Cancer 2008; 44: 1345-1389.
https://doi.org/10.1016/j.ejca.2007.12.015
24. GARCIA-CLOSAS R, BERENGUER A, GONZÁLEZ CA. Changes in food supply in Mediterranean countries from 1961 to 2001. Public Health Nutr 2006; 9: 53-60.
https://doi.org/10.1079/PHN2005757
25. VIÑES JJ, ARDANAZ E, ARRAZOLA A, GAMINDE I. Population-based epidemiology of colorrectal cancer: causality review. An Sist Sanit Navar 2003; 26: 79-97.
https://doi.org/10.4321/S1137-66272003000100007
26. SANT M, ALLEMANI C, SANTAQUILANI M, KNIJN A, MARCHESI F, CAPOCACCIA R et al. EUROCARE-4. Survival of cancer patients diagnosed in 1995-1999. Results and commentary. Eur J Cancer 2009; 45: 931-991.
https://doi.org/10.1016/j.ejca.2008.11.018
27. RIBES J, NAVARRO M, CLÈRIES R, ESTEBAN L, PAREJA L, BINEFA G et al. Colorrectal cancer mortality in Spain: trends and projections for 1985-2019. Eur J Gastroenterol Hepatol 2009; 21: 92-100.
https://doi.org/10.1097/MEG.0b013e32830b5f39
28. CICCOLALLO L, HAKULINEN T, LEMMENS VE and EUROCARE - Working Group. Evaluation of standard of care for colorrectal cancer patients using EUROCARE high resolution data 2007.
29. UGARTE MD, GOICOA T, ETXEBERRIA J, MILITINO AF, POLLÁN M, Age-specific spatio-temporal patterns of female breast cancer mortality in Spain (1975-2005). Ann Epidemiol 2010; 20: 906-916.
https://doi.org/10.1016/j.annepidem.2010.07.102
30. El Consejo de la Unión Europea. Recomendación del Consejo de 2 de Diciembre de 2003 sobre el cribado del cáncer. Diario Oficial de la Unión Europea 2003; 327: 34-37.
31. BORRÀS JM, COLOMER C, SORIA P, LÓPEZ R. Priorities for cancer control in Spain Ann Oncol 2010; 21: 111-114.
https://doi.org/10.1093/annonc/mdq099
32. LÓPEZ-ABENTE G, POLLÁN M, VERGARA A, ARDANAZ E, MOREO P, MORENO C et al. Tendencia temporal de la incidencia de cáncer en Navarra y Zaragoza. Gac Sanit 2000; 14: 100-109.
https://doi.org/10.1016/S0213-9111(00)71442-7
33. NAVARRO C, MARTOS C, ARDANAZ E, GALCERAN J, IZARZUGAZA I, PERIS-BONET R et al. Population-based cancer registries in Spain and their role in cancer control. Ann Onc 2010 21: 3-13.
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