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脑癌发病率趋势与手机使用情况:西班牙癌症登记网络(REDECAN)分析

Trends in the incidence of brain cancer and the use of mobile phones: analysis of the Spanish Network of Cancer Registries (REDECAN).

作者信息

Galceran Jaume, Ameijide Alberto, Cañete Adela, Peris-Bonet Rafael, López de Munain Arantza, Aizpurúa Amaia, de la Cruz Marta, Sanvisens Arantza, Sánchez María José, Palacios Isabel, Franch Paula, Sánchez Antonia, Guevara Marcela, Carulla Marià, Gutiérrez Pilar, Sáez Isabel, Rodríguez Marta, Alemán Araceli, Sabater Consol

机构信息

Tarragona Cancer Registry, Cancer Epidemiology and Prevention Service, Sant Joan de Reus University Hospital, Reus, Tarragona, Spain.

Pere Virgili Health Research Institute (IISPV), Reus, Tarragona, Spain.

出版信息

Clin Transl Oncol. 2025 May 14. doi: 10.1007/s12094-025-03932-y.

Abstract

PURPOSE

The association between the use of mobile phones use and the risk of brain cancer remains controversial. The aim of this study is to describe trends in the incidence of central nervous system (CNS) cancers in Spain and its possible relationship with mobile phone use.

METHODS

Trends and trend changes from 1985 to 2015 in adjusted incidence rates of CNS cancers by sex, age (adults and children), site, and histological type were assessed using data from 14 general and paediatric cancer registries.

RESULTS

The study included 20,325 CNS malignancies in adults and 2,372 in children. For adults, the overall rate of malignant brain tumours showed a slight increase of 0.2% (95% CI: 0.1 - 0.4) per year. This increase was concentrated in the early years up to 1996 (1.7% per year, 95% CI: 0.9 - 2.6) followed by 20 years of a non-significant slight decline of -0.1% (95% CI: -0.4 - 0.1) per year until 2015. In children, an increase of 7.6% (95% CI: 2.4 - 13.1) per year until 1991 followed by a decrease of -1.0% (95%CI: -1.7 - -0.3) per year until 2015 was observed. This increase in the incidence in 1980s and early 1990s could be explained by diagnostic improvements especially in imaging techniques implemented during these years.

CONCLUSION

The present findings do not support a possible relationship between the use of mobile phones and the incidence of malignant brain tumours. However, the possibility of the presence of a weak correlation or that a longer latency period would be needed to observe a possible ecological correlation cannot be discarded.

摘要

目的

使用手机与患脑癌风险之间的关联仍存在争议。本研究的目的是描述西班牙中枢神经系统(CNS)癌症的发病率趋势及其与手机使用的可能关系。

方法

利用14个普通和儿科癌症登记处的数据,评估了1985年至2015年按性别、年龄(成人和儿童)、部位和组织学类型调整后的CNS癌症发病率趋势及趋势变化。

结果

该研究纳入了20325例成人CNS恶性肿瘤和2372例儿童CNS恶性肿瘤。对于成人,恶性脑肿瘤的总体发病率每年略有上升0.2%(95%置信区间:0.1 - 0.4)。这种上升集中在1996年之前的早期(每年1.7%,95%置信区间:0.9 - 2.6),随后在20年里每年有不显著的轻微下降,为-0.1%(95%置信区间:-0.4 - 0.1),直至2015年。在儿童中,观察到直到1991年每年上升7.6%(95%置信区间:2.4 - 13.1),随后直到2015年每年下降-1.0%(95%置信区间:-1.7 - -0.3)。20世纪80年代和90年代初发病率的上升可以用诊断技术的改进来解释,特别是这些年实施的成像技术。

结论

目前的研究结果不支持手机使用与恶性脑肿瘤发病率之间存在可能的关系。然而,不能排除存在弱相关性或需要更长的潜伏期才能观察到可能的生态相关性这种可能性。

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