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Lung Cancer |

Lung Cancer in the Province of Ávila (Spain): Incidence, Basic Epidemiology of 2012, and Trends in the Past Two Decades FREE TO VIEW

Jesus Hernandez-Hernandez, MD; MBelen Moreno de Vega-Herrero, PhD; Miguel Iglesias-Heras, PhD; Ruth García-García, PhD; JAngel Tapias del Pozo, MD; José Alonso-Muñoz, MD; Elena Filipovich Vegas, PhD; José Celdrán Gil, MD; Fernando Hernandez-Terciado; Raquel Tur González, PhD
Author and Funding Information

Complejo Asistencial de Ávila, Avila, Spain


Chest. 2014;145(3_MeetingAbstracts):338A. doi:10.1378/chest.1789652
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Abstract

SESSION TITLE: Lung Cancer Posters I

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: In the last decades, major changes are in the habit of tobacco consumption. We analyze key epidemiological data for lung cancer (LC) diagnosed in 2012 in the province of Ávila (Spain) and compared with previous available for trends in the past 20 years.

METHODS: Inclusion: prospective search of patients diagnosed with LC in Avila in 2012. We studied incidence rates, age, smoking and histology, comparing these data with those obtained with the same methodology in previous prospective studies since 1992, every five years. We lack the data age-adjusted rates of 1992.

RESULTS: In 2012: 81 LC (70 men-11 women); crude incidence rates and age-adjusted rates to world standard population, respectively: 47.3 and 18.16. By gender, respectively: men 80.99 and 31.23 per 100.000, women 12.97 and 5.68 per 100.000. Previous years, respectively crude and adjusted rates, in men: 1992: 60.42 and -, 1997: 71.82 and 36.89; 2002: 89.92 and 39.76; 2007: 84.81 and 32.28. In women: 1992: 1.73 and -, 1997: 10.38 and 5.93; 2002: 15.93 and 14.96 and in 2007: 9.55 and 4.75. Average age in 2012 was 72.1 years (± 10.3) and previous studies: 1992: 67.4, 1997: 68, 2002: 68.04 and 2007: 71.6 years. In 2012 had been smokers 65 patients (80.25%), 63 men (90%) and 2 women (18.2%). The percentage of smokers, overall, men and women respectively were: 1992: 97.2%, 100%, 0%, 1997: 88.9%, 98.4%, 11.1%, 2002: 87.3% , 98.6%, 23.1% and 2007: 92.3%, 97.2%, 33.33%. In 2012, diagnosed by cytology or histology 72 (88.9%): adenocarcinoma (37.5%), squamous (33.3%), small cell (13.9%), non-small cell undifferentiated (11.1%), large cell (2.8%) and carcinoid tumor (1.4%). In previous studies, adenocarcinomas, squamous, and small cell respectively: 1992: 13.2%, 59.4%, 24.3%, 2007: 25.4%, 47.6%, 20.6%, 2002: 17.1% 38.1% 30.2% 2007 11.3%, 50%, 17.7%.

CONCLUSIONS: Males: a climb in the LC incidence rates between 1992 and 2002. After, remained high appreciating just a slight decrease. Women: lower rates, grew until 2002 but after are relatively stable. We can see a rise in the age at diagnosis and the percentage of adenocarcinomas and decrease of smokers and squamous and small cell histology.

CLINICAL IMPLICATIONS: LC is still a major clinical problem in Avila (Spain)

DISCLOSURE: The following authors have nothing to disclose: Jesus Hernandez-Hernandez, MBelen Moreno de Vega-Herrero, Miguel Iglesias-Heras, Ruth García-García, JAngel Tapias del Pozo, José Alonso-Muñoz, Elena Filipovich Vegas, José Celdrán Gil, Fernando Hernandez-Terciado, Raquel Tur González

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