Cáncer de pulmón y tabaco en Asturias. Un estudio de casos y controles

Caicoya, M.; Mirón, J.A.

doi:10.1016/S0213-9111(03)71732-4

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Ríos, C. Murillo, G. Carrasco, C. Humet" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Ríos" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Murillo" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Carrasco" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Humet" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911103717312?idApp=WGSE" "url" => "/02139111/0000001700000003/v1_201310251612/S0213911103717312/v1_201310251612/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Cáncer de pulmón y tabaco en Asturias. Un estudio de casos y controles" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "226" "paginaFinal" => "230" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Caicoya, J.A. Mirón" "autores" => array:2 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Caicoya" "email" => array:1 [ 0 => "mcaicoya@hmn.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.A." "apellidos" => "Mirón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Prevención de Riesgos Laborales. Hospital Monte Naranco. Oviedo" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Medicina Preventiva y Salud Pública. Facultad de Medicina. Universidad de Salamanca. Salamanca. España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. M. Caicoya. Servicio de Prevención de Riesgos Laborales. Hospital Monte Naranco. Avda. Doctores Fernández Vega 107. 33012 Oviedo. España" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lung cancer and smoking in Asturias, Spain. A case-control study" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-07-09" "fechaAceptado" => "2003-03-11" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268758" "palabras" => array:6 [ 0 => "Cáncer de pulmón" 1 => "Estudio de casos y controles" 2 => "Tabaco" 3 => "Edad" 4 => "Dosis-respuesta" 5 => "Efecto del abandono del tabaco" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268757" "palabras" => array:6 [ 0 => "Lung cancer" 1 => "Case-control" 2 => "Smoking" 3 => "Age" 4 => "Doseresponse" 5 => "Effect of smoking cessation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "ObjetivoExaminar la relación entre el consumo de tabaco y cáncer de pulmón en Asturias. Material y métodosSe realizó un estudio de casos y controles de base hospitalaria. Los casos fueron pacientes con diagnóstico nuevo de cáncer de pulmón (casos incidentes) y los controles procedían de los servicios quirúrgicos. La información obtenida incluyó el consumo de tabaco, las exposiciones ocupacionales y las variables demográficas. ResultadosSe incluyeron en el análisis 197 casos y 196 controles. La odds ratio (OR) ajustada de cáncer de pulmón fue de 5,77 (intervalo de confianza [IC] del 95%, 2,96-11,22) para el consumo de cigarrillos. El riesgo aumentaba con la cantidad de cigarrillos fumados por día, el número de paquetes/ día, la edad de inicio del hábito, y disminuía con el número de años desde el abandono. ConclusionesLa relación entre el tabaco y el cáncer de pulmón en Asturias es similar a la encontrada en otros estudios llevados a cabo en el mundo occidental. La magnitud de la asociación puede explicar la frecuencia de cáncer de pulmón en Asturias." ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "ObjectiveLung cancer in Asturias is 1.4-fold greater than the Spanish average, while the proportion of smokers is similar. The objective of this study was to examine the relationship between lung cancer and smoking in Asturias. Material and methodsWe performed a hospital-based, incident case control study. The cases were newly diagnosed lung cancer patients and controls were patients from the surgical wards. Information was sought on smoking, occupational exposures, and demographic variables. The analysis was performed by means of odds ratios (OR). ResultsOne hundred ninety-seven cases and 196 controls were included in the analysis. The adjusted OR of cigarette smoking was 5.77 (95% CI, 2.96-11.22). The risk increased with the number of cigarettes smoked per day (χ2 = 56.3), the number of packs/year (χ2 = 48.4), and the age at which smoking started (χ2 = 76.5). The OR diminished with the number of years of cessation (χ2 = 39.9). ConclusionsThe relationship between smoking and lung cancer in Asturias is similar to that found in other studies carried out in other parts of the western world. The magnitude of the OR may explain the frequency of lung cancer in Asturias. Greater efforts should be devoted to controlling this problem." ] ] "bibliografia" => array:2 [ "titulo" => "Biblografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Situación del cáncer en Asturias. 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Gaceta Sanitaria

ISSN: 0213-9111

Gaceta Sanitaria es la revista científica y órgano de expresión de la Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS).
Gaceta Sanitaria acepta para su publicación artículos en español e inglés. Es una revista Open Access (OA); todos sus artículos son accesibles libremente sin cargo para el usuario y se distribuyen con la licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional

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Call for papers: Special Issue on Health Economics

Open and permanent call to incorporate Associate Editors to the Editorial Committee of Gaceta Sanitaria

Indexada en:

Web of Science (Science Citation Index, SCI, y Social Sciences Citation Index, SSCI), Medline/PubMed, Index Medicus, Scopus, Scielo, IBECS, Índice Médico Español, Toxline, Cancerlit, Aidsline, Cab Health, Bibliomed, Cuiden, Eventline y Healthstar

Se realizó un estudio de casos y controles de base hospitalaria. Los casos fueron pacientes con diagnóstico nuevo de cáncer de pulmón (casos incidentes) y los controles procedían de los servicios quirúrgicos. La información obtenida incluyó el consumo de tabaco, las exposiciones ocupacionales y las variables demográficas.

Resultados

Se incluyeron en el análisis 197 casos y 196 controles. La odds ratio (OR) ajustada de cáncer de pulmón fue de 5,77 (intervalo de confianza [IC] del 95%, 2,96-11,22) para el consumo de cigarrillos. El riesgo aumentaba con la cantidad de cigarrillos fumados por día, el número de paquetes/ día, la edad de inicio del hábito, y disminuía con el número de años desde el abandono.

Conclusiones

La relación entre el tabaco y el cáncer de pulmón en Asturias es similar a la encontrada en otros estudios llevados a cabo en el mundo occidental. La magnitud de la asociación puede explicar la frecuencia de cáncer de pulmón en Asturias.

Palabras clave:

Cáncer de pulmón

Estudio de casos y controles

Tabaco

Edad

Dosis-respuesta

Efecto del abandono del tabaco

Abstract

Objective

Lung cancer in Asturias is 1.4-fold greater than the Spanish average, while the proportion of smokers is similar. The objective of this study was to examine the relationship between lung cancer and smoking in Asturias.

Material and methods

We performed a hospital-based, incident case control study. The cases were newly diagnosed lung cancer patients and controls were patients from the surgical wards. Information was sought on smoking, occupational exposures, and demographic variables. The analysis was performed by means of odds ratios (OR).

Results

One hundred ninety-seven cases and 196 controls were included in the analysis. The adjusted OR of cigarette smoking was 5.77 (95% CI, 2.96-11.22). The risk increased with the number of cigarettes smoked per day (χ2 = 56.3), the number of packs/year (χ2 = 48.4), and the age at which smoking started (χ2 = 76.5). The OR diminished with the number of years of cessation (χ2 = 39.9).

Conclusions

The relationship between smoking and lung cancer in Asturias is similar to that found in other studies carried out in other parts of the western world. The magnitude of the OR may explain the frequency of lung cancer in Asturias. Greater efforts should be devoted to controlling this problem.

Key words:

Lung cancer

Case-control

Smoking

Age

Doseresponse

Effect of smoking cessation

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