Evidence map›Paper›PMID 40281345›Full record

ArticleBreast cancer research and treatment2025

Population-based analysis of breast cancer incidence and mortality: overall and age-specific temporal trends over 40-year period in Girona, Spain.

Arantza Sanvisens, Anna Vidal-Vila, Montse Puigdemont, Gemma Viñas, Ariadna Roqué-Lloveras, Sonia Del Barco, Ferran Pérez-Bueno, Jan Trallero, Rafael Marcos-Gragera, Gemma Renart

Abstract read
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Article in Breast cancer research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Early- versus late-onset mortality trends in breast and female genital cancers in Spain, 1999-2024.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Arantza SanvisensUnitat d'Epidemiologia i Registre del Càncer de Girona, Institut Català d'Oncologia, Pla Director d'Oncologia, c/ del Sol 15, 1era planta, 17004, Girona, Spain.
Anna Vidal-VilaUnitat d'Epidemiologia i Registre del Càncer de Girona, Institut Català d'Oncologia, Pla Director d'Oncologia, c/ del Sol 15, 1era planta, 17004, Girona, Spain.
Montse PuigdemontUnitat d'Epidemiologia i Registre del Càncer de Girona, Institut Català d'Oncologia, Pla Director d'Oncologia, c/ del Sol 15, 1era planta, 17004, Girona, Spain.
Gemma ViñasDepartament d'Oncologia Mèdica, Institut Català d'Oncologia, Hospital Universitari Dr. Josep Trueta, Girona, Spain.
Ariadna Roqué-LloverasDepartament d'Oncologia Mèdica, Institut Català d'Oncologia, Hospital Universitari Dr. Josep Trueta, Girona, Spain.
Sonia Del BarcoDescriptive Epidemiology, Genetic and Cancer Prevention Group, Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta (IDIBGI-CERCA), Girona, Spain.
Ferran Pérez-BuenoDepartament d'Anatomia Patològica, Hospital Universitari Dr. Josep Trueta, Girona, Spain.
Jan TralleroUnitat d'Epidemiologia i Registre del Càncer de Girona, Institut Català d'Oncologia, Pla Director d'Oncologia, c/ del Sol 15, 1era planta, 17004, Girona, Spain.
Rafael Marcos-GrageraUnitat d'Epidemiologia i Registre del Càncer de Girona, Institut Català d'Oncologia, Pla Director d'Oncologia, c/ del Sol 15, 1era planta, 17004, Girona, Spain. rmarcos@iconcologia.net.
Gemma RenartGrup de Recerca en Estadística, Econometria i Salut (GRECS), Universitat de Girona, Girona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBreast cancer (BC) incidence and mortality in women have changed over time. This study aims to analyze population-level incidence and mortality trends over 40 years of observation.

methodsPopulation-based study of BC conducted by Girona Cancer Registry covering the period 1980-2019. Age-standardized incidence and mortality rates were calculated. Poisson change-point regression models were used to analyze trends, calculating the annual percentage change (APC).

resultsA total of 12,283 diagnoses of invasive BC between 1980 and 2019. The overall age-standardized incidence rate was 109.9 (95% confidence intervals (CI) 104.4; 115.4) cases per 100,000 women-years. Trend analyses showed a statistically significant incidence increase of 4.2% per year from 1980 to 1994 (95%CI 3.3; 5.1), and a stabilization between 1994 and 2019, with an APC of 0.28% (95%CI - 0.04; 0.56). These trends were similar for the age groups 0-49 years and 50-69 years. In women over 69 years of age, an increase in incidence of 4.4% (95%CI 2.8; 6.0) per year was observed between 1980 and 1995 followed by a non-statistically significant decrease of - 0.35% (95%CI - 0.86; 0.15) between 1995 and 2019. The overall age-standardized mortality rate was 30.3 (95%CI 29.3; 31.3) cases per 100,000 women-years. Mortality rate trends showed a statistically significant decrease of - 1.87% (95%CI - 2.38; - 1.37) per year since 1992.

conclusionThere has been a stabilization in the incidence of BC and a gradual decline in BC mortality in women. The introduction of mammography in the mid-1990s, alongside early detection and treatment due to screening programs may play a significant role in the reduction of BC burden in women of all ages.

Indexed as

Breast NeoplasmsAdolescentAdultAgedAged, 80 and overAge DistributionAge FactorsChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornMiddle AgedMortalityBreast cancerEpidemiologyIncidenceMortalityTemporal trends

Identifiers

PMID40281345
PMCPMC12086112

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.