Mortalidad por cáncer de mama: evolución en España y sus comunidades autónomas durante el período 1980-2005

Vidal, Carmen; Martínez‐Sánchez, Jose M.; Mazón, Marta Mateos; Tuser, Mercè Peris

doi:10.1590/s1135-57272010000100006

Cited by 10 publications

(6 citation statements)

References 18 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…La reducción de las tasas de mortalidad ha tenido un ritmo uniforme a lo largo del tiempo en todas las regiones, con la única excepción de la región Centre, que tuvo un descenso más marcado durante la primera mitad del periodo estudiado. Esto permite asumir que la tendencia decreciente observada para el conjunto de Cataluña a principios de los años noventa, antes de la puesta en marcha de los programas de criba do poblacional, y que ya ha sido señalada en otros estudios 6,21 , se produjo de forma homogénea en las regiones.…”

Section: Discussionunclassified

Evolución de la mortalidad por cáncer de mama y diseminación de la mamografía de cribado en Cataluña: un análisis por regiones sanitarias

Lacasta¹,

Gomis²,

Lavila³

et al. 2010

Rev. Esp. Salud Publica

View full text Add to dashboard Cite

Section: Discussionunclassified

Evolución de la mortalidad por cáncer de mama y diseminación de la mamografía de cribado en Cataluña: un análisis por regiones sanitarias

Lacasta¹,

Gomis²,

Lavila³

et al. 2010

Rev. Esp. Salud Publica

View full text Add to dashboard Cite

“…In the scientific literature, the decrease in mortality since the 1990s has been attributed to the combination of several factors: (1) early detection, (2) improvements in treatment, and (3) enhanced efficiency in health systems [6,7]. However, the specific weight that each factor has in improving the survival data of the disease is still unknown [4,8].…”

Section: Improvement In Survival Rates: Early Detection Improvements ...mentioning

confidence: 99%

“…In contrast, mortality data reflect an opposite tendency [3][4][5][6]. This trend is reproduced in Spain with a decrease in breast cancer mortality from 1992 onwards [7].…”

Section: Introduction 1epidemiologic Approach To Breast Cancermentioning

confidence: 99%

Breast Cancer Treatment in Integrated Care Process in Andalusia: The Challenge of Multidisciplinarity

Reinado

Delgado-Parrilla

Ojeda

2022

IJERPH

View full text Add to dashboard Cite

Despite the increasing trend in the incidence of breast cancer in recent decades, mortality has decreased in developed countries. The general objective of the study is to analyse the functioning and organisation of the care process for breast cancer treatment in Andalusia (Spain) in order to identify possible barriers and facilitators that may be affecting its effectiveness and, therefore, the survival of the disease. A qualitative method was adopted based on 19 semi-structured interviews with health professionals from different specialities in two Andalusian provinces: Huelva (mortality rate higher than the national average) and Granada (mortality rate similar to the national average). Results show the existence of barriers (seasonal delays, low frequency of multidisciplinary meetings, lack of human and technical resources, difficulties in accessing treatment in certain populations, etc.) and facilitators (creation of multidisciplinary units and committees for breast pathology, standardisation of treatments, assignment of professionals with preferential attention to breast pathology, etc.) in the care process of breast cancer treatment. The combination of these barriers can have an impact on the accessibility, quality, and efficacy of the treatment, and in the long term, on survival from the disease.

show abstract

“…Among younger women, the incidence is increasing, probably reflecting lifestyle changes in these generations [5]. On the other hand, mortality has declined since the 1990s mainly due to earlier detection of tumors and therapeutic advances [6, 7]. …”

Section: Introductionmentioning

confidence: 99%

Trends in the surgical procedures of women with incident breast cancer in Catalonia, Spain, over a 7-year period (2005–2011)

Escribà¹,

Pareja²,

Esteban³

et al. 2014

BMC Res Notes

View full text Add to dashboard Cite

BackgroundBreast cancer (BC) is the most frequent cancer in women, accounting for 28% of all tumors among women in Catalonia (Spain). Mastectomy has been replaced over time by breast-conserving surgery (BCS) although not as rapidly as might be expected. The aim of this study was to assess the evolution of surgical procedures in incident BC cases in Catalonia between 2005 and 2011, and to analyze variations based on patient and hospital characteristics.MethodsWe processed data from the Catalonian Health Service’s Acute Hospital Discharge database (HDD) using ASEDAT software (Analysis, Selection and Extraction of Tumor Data) to identify all invasive BC incident cases according to the codes 174.0-174.9 of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) that were attended for the one-year periods in 2005, 2008 and 2011. Patients were classified according to surgical procedures (BCS vs mastectomy, and immediate vs delayed reconstruction), and results were compared among periods according to age, stage, comorbidity and hospital level.ResultsBC surgical procedures were performed in more than 80% of patients. Surgical cases showed a significant increasing trend in the proportion of women aged 50–69 years, more advanced disease stages, higher comorbidity and they were attended in hospitals of less complexity level throughout the study period. Similar pattern was found for patients treated with BCS, which increased significantly from 67.9% in 2005 to 74.0% in 2011.Simple lymph node removal increased significantly (from 48.8% to 71.4% and from 63.6% to 67.8% for 2005 and 2011 in conservative and radical surgery, respectively). A slightly increase in the proportion of mastectomized young women (from 28% in 2005 to 34% in 2011) was detected, due to multiple factors. About 22% of women underwent post-mastectomy breast reconstruction, this being mostly immediate.ConclusionsThe use of HDD linked to the ASEDAT allowed us to evaluate BC surgical treatment in Catalonia. A consolidating increasing trend of BCS was observed in women aged 50–69 years, which corresponds with the pattern in most European countries. Among the mastectomized patients, immediate breast reconstructions have risen significantly over the period 2005–2011.Electronic supplementary materialThe online version of this article (doi:10.1186/1756-0500-7-587) contains supplementary material, which is available to authorized users.

show abstract

Mortalidad por cáncer de mama: evolución en España y sus comunidades autónomas durante el período 1980-2005

Cited by 10 publications

References 18 publications

Evolución de la mortalidad por cáncer de mama y diseminación de la mamografía de cribado en Cataluña: un análisis por regiones sanitarias

Evolución de la mortalidad por cáncer de mama y diseminación de la mamografía de cribado en Cataluña: un análisis por regiones sanitarias

Breast Cancer Treatment in Integrated Care Process in Andalusia: The Challenge of Multidisciplinarity

Trends in the surgical procedures of women with incident breast cancer in Catalonia, Spain, over a 7-year period (2005–2011)

Contact Info

Product

Resources

About