Servicio de Medicina Interna, Hospital Severo Ochoa, Leganés, Madrid, España.
Servicio de Urología y Nefrología, Unidad de Uro-oncología, Hospital Universitario Virgen del Rocío, Sevilla, España; Unidad de Salud Pública, Prevención y Promoción de la Salud, Área de Gestión Sanitaria Sur de Sevilla, Sevilla, España.
Actas Urol Esp (Engl Ed). 2023 Oct;47(8):517-526. doi: 10.1016/j.acuroe.2023.06.006. Epub 2023 Jun 22.
We propose to update bladder cancer mortality rates in Spain from 1980 to 2021, by sex and age-group, by autonomous community (AC).
The public online databases of the National Statistical Institute were used to obtain data on population and bladder cancer mortality. Age-standardised mortality rates (ASMRs), all ages and truncated (<75 and ≥75) were estimated and reported as rates per 100,000 persons. Joinpoint regression software was used for estimation and trend analysis of ASMRs bladder cancer.
In the last decade, the ASMR for bladder cancer (all ages, <75 years and ≥75 years) decreased significantly in Spain for both sexes. This trend was observed in 12 ACs for men and in 4 ACs (Andalusia, Canary Islands, Catalonia and Madrid) for women, although to different degrees. For men, ASMR remained stable in Castilla-León and La Rioja (<75 years), Cantabria, Castilla-La Mancha and Valencia (≥75 years) and the 2 Castilian regions (all ages). For women, ASMR also decreased in Valencia (<75 and ≥75), Castilla-León (≥75), Galicia (≥75 and all ages) and Navarre (<75 and all ages).
Our results reveal significant variations in trends by AC, sex and age group, emphasizing the need for continued follow-up and targeted interventions to further reduce bladder cancer mortality rates in Spain.
我们提议根据性别和年龄组更新西班牙 1980 年至 2021 年的膀胱癌死亡率,按自治区(AC)划分。
使用国家统计局的公共在线数据库获取人口和膀胱癌死亡率数据。计算了年龄标准化死亡率(ASMR),所有年龄和截断年龄(<75 岁和≥75 岁),并报告为每 100,000 人发病率。使用 Joinpoint 回归软件对膀胱癌的 ASMR 进行估计和趋势分析。
在过去十年中,西班牙两性的膀胱癌(所有年龄、<75 岁和≥75 岁)的 ASMR 显著下降。这一趋势在 12 个自治区的男性和 4 个自治区(安达卢西亚、加那利群岛、加泰罗尼亚和马德里)的女性中均有观察到,但程度不同。对于男性,在卡斯蒂利亚-莱昂和拉里奥哈(<75 岁)、坎塔布里亚、卡斯蒂利亚-拉曼恰和瓦伦西亚(≥75 岁)以及两个卡斯蒂利亚地区(所有年龄),ASMR 保持稳定。对于女性,瓦伦西亚(<75 岁和≥75 岁)、卡斯蒂利亚-莱昂(≥75 岁)、加利西亚(≥75 岁和所有年龄)和纳瓦拉(<75 岁和所有年龄)的 ASMR 也有所下降。
我们的结果显示,各自治区、性别和年龄组的趋势存在显著差异,强调需要继续监测并采取有针对性的干预措施,以进一步降低西班牙的膀胱癌死亡率。