Alonso Gordo J M, Bárcena Marugán A, Jiménez Del Val D, Palacios Rojo J J, Royo Sánchez C, Urbina Torija J
Gerencia de Atención Primaria de Salud. Guadalajara. España.
Aten Primaria. 2003;32(3):150-7. doi: 10.1016/s0212-6567(03)79237-3.
To quantify the prevalence of cancerand its distribution in adults.
Descriptive study of point prevalence through research into primary and secondary sources.
Primary care, Guadalajara Health Region. 133 539 people over 14 years old.
Patients previously diagnosed with cancer, who had a health card in the health area in June 1999.
Demographic and diagnostic details (location according to CIE-9, date and diagnostic method).
primary care clinical records, cancer morbidity records and attendance orders. Overall crude and adjusted rates, in function of sex and age group, and specific to locations, were calculated. They were compared with data from other studies and data calculated for Spain on the basis of WHO information.
2717 tumours (2595 patients). Mean age, 68.2 (95% CI, 67.6-68.7); diagnostic age, 62.8 (95% CI, 62.1-63.5), in both cases higher in men (P<.01). Most common tumours: prostate, bladder, colon and lung (men); breast, colon, endometrium and ovaries (women). Crude prevalence: men, 2303.8/100 000; women, 1763.8. Adjusted to world population: 1394.2 and 1227.4/100 000, respectively (prevalence ratio, 1.14; 95% CI, 1.03-1.25). Truncated rate higher in women than in men (1638/100 000 against 1308). Five-year period with highest prevalence: 75-79 years old in men (8763.5/100 000) and 80-84 in women (4558.7/100 000).
Cancer prevalence in adults is slightly above 2%. Once adjusted for age, values are similar to other studies and as expected for our country. The most common tumours are in the digestive apparatus, breast and the genito-urinary system. The man/woman proportion is higher than that described in other studies.
量化成年人癌症的患病率及其分布情况。
通过对主要和次要资料来源进行研究的时点患病率描述性研究。
瓜达拉哈拉健康地区的初级保健。133539名14岁以上人群。
曾被诊断患有癌症且在1999年6月持有该健康地区医保卡的患者。
人口统计学和诊断细节（根据国际疾病分类第九版编码确定的位置、日期和诊断方法）。
初级保健临床记录、癌症发病记录和就诊医嘱。计算了总体粗率和校正率，按性别和年龄组划分，并按具体位置计算。将这些结果与其他研究的数据以及根据世界卫生组织信息为西班牙计算的数据进行比较。
2717例肿瘤（2595名患者）。平均年龄68.2岁（95%可信区间，67.6 - 68.7）；诊断时年龄62.8岁（95%可信区间，62.1 - 63.5），两种情况均男性更高（P <.01）。最常见的肿瘤：前列腺癌、膀胱癌、结肠癌和肺癌（男性）；乳腺癌、结肠癌、子宫内膜癌和卵巢癌（女性）。粗患病率：男性为2303.8/10万；女性为1763.8/10万。校正为世界人口后：分别为1394.2/10万和1227.4/10万（患病率比为1.14；95%可信区间，1.03 - 1.25）。女性的截短率高于男性（1638/10万对1308/10万）。患病率最高的五年期：男性为75 - 79岁（8763.5/10万），女性为80 - 84岁（4558.7/10万）。
成年人癌症患病率略高于2%。经年龄校正后，数值与其他研究相似，且符合我国预期情况。最常见的肿瘤位于消化系统、乳腺和生殖泌尿系统。男性与女性的比例高于其他研究中所描述的情况。
