ArticleBMC cancer2014
Time trends in municipal distribution patterns of cancer mortality in Spain.
Article in BMC cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 68 citations in OpenAlex.
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- Implications of Lifestyle and Occupational Factors on the Risk of Breast Cancer in Shiftwork Nurses.Healthcare (Basel, Switzerland) · 2021Article
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- Impact of air pollution on breast cancer incidence and mortality: a nationwide analysis in South Korea.Scientific reports · 2020Article
- Geographical variations in cancer mortality and social inequalities in southern Spain (Andalusia). 2002-2013.PloS one · 2020Article
- Geographical patterns of the incidence and mortality of colorectal cancer in mainland Portugal municipalities (2007-2011).BMC cancer · 2019Article
- Spatial and temporal variations in Spain in the standardised ratio of in-hospital mortality due to colorectal cancer, 2008-2014.BMC cancer · 2019Article
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- Cytotoxic Effects of Compounds Isolated fromMolecules (Basel, Switzerland) · 2019Article
- Different spatial pattern of municipal prostate cancer mortality in younger men in Spain.PloS one · 2019Article
- Economic Crisis and Amenable Mortality in Spain.International journal of environmental research and public health · 2018Article
- Risk patterns of lung cancer mortality in northern Thailand.BMC public health · 2018Article
- Compositional analysis of topsoil metals and its associations with cancer mortality using spatial misaligned data.Environmental geochemistry and health · 2018Article
- Spatial distribution of breast cancer mortality: Socioeconomic disparities and access to treatment in the state of Parana, Brazil.PloS one · 2018Article
- Association between heavy metal and metalloid levels in topsoil and cancer mortality in Spain.Environmental science and pollution research international · 2017Article
- Frequency of breast cancer with hereditary risk features in Spain: Analysis from GEICAM "El Álamo III" retrospective study.PloS one · 2017Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNew disease mapping techniques widely used in small-area studies enable disease distribution patterns to be identified and have become extremely popular in the field of public health. This paper reports on trends in the geographical mortality patterns of the most frequent cancers in Spain, over a period of 20 years.
methodsWe studied the municipal spatial pattern of stomach, colorectal, lung, breast, prostate and urinary bladder cancer mortality in Spain across four quinquennia, spanning the period 1989-2008. Case data were broken down by town (8073 municipalities), period and sex. Expected cases for each town were calculated using reference rates for each five-year period. For map plotting purposes, smoothed municipal relative risks were calculated using the conditional autoregressive model proposed by Besag, York and Mollié, with independent data for each quinquennium. We evaluated the presence of spatial patterns in maps on the basis of models, calculating the variance in relative risk corresponding to the structured spatial component and the unstructured component, as well as the proportion of variance explained by the structured spatial component.
resultsThe mortality patterns observed for stomach, colorectal and lung cancer were maintained over the 20 years covered by the study. Prostate cancer and the tumours studied in women showed no defined spatial pattern, with the single exception of stomach cancer. The trend in spatial fractional variance indicated the possibility of a change in the spatial pattern in breast, bladder and colorectal cancer in women during the last five-year period. The paper goes on to discuss ways in which spatio-temporal data are depicted in the case of cancer, and review the risk factors that may possibly influence the respective tumours' spatial patterns.
conclusionIn men, the marked geographical patterns of stomach, colorectal, lung and bladder cancer remained stable over time. Breast, colorectal and bladder cancer in women show signs of the possible appearance of a spatial pattern in Spain and should therefore be monitored.
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