Cáncer de pulmón y tabaco en Asturias. Un estudio de casos y controles
Lung cancer and smoking in Asturias, Spain. A case-control study
M. Caicoyaa,
, J.A. Mirónb
Autor para correspondencia
mcaicoya@hmn.es
Correspondencia: Dr. M. Caicoya. Servicio de Prevención de Riesgos Laborales. Hospital Monte Naranco. Avda. Doctores Fernández Vega 107. 33012 Oviedo. España
Correspondencia: Dr. M. Caicoya. Servicio de Prevención de Riesgos Laborales. Hospital Monte Naranco. Avda. Doctores Fernández Vega 107. 33012 Oviedo. España
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"apellidos" => "Caicoya" "email" => array:1 [ 0 => "mcaicoya@hmn.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.A." "apellidos" => "Mirón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "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" => "<span class="elsevierStyleItalic">Correspondencia</span>: 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" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Examinar la relación entre el consumo de tabaco y cáncer de pulmón en Asturias.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">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).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">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 (χ<span class="elsevierStyleSup">2</span> = 56.3), the number of packs/year (χ<span class="elsevierStyleSup">2</span> = 48.4), and the age at which smoking started (χ<span class="elsevierStyleSup">2</span> = 76.5). The OR diminished with the number of years of cessation (χ<span class="elsevierStyleSup">2</span> = 39.9).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">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. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 7 | 4 | 11 |
| 2024 Octubre | 74 | 56 | 130 |
| 2024 Septiembre | 79 | 48 | 127 |
| 2024 Agosto | 64 | 47 | 111 |
| 2024 Julio | 38 | 73 | 111 |
| 2024 Junio | 38 | 47 | 85 |
| 2024 Mayo | 49 | 31 | 80 |
| 2024 Abril | 38 | 18 | 56 |
| 2024 Marzo | 43 | 45 | 88 |
| 2024 Febrero | 40 | 38 | 78 |
| 2024 Enero | 26 | 13 | 39 |
| 2023 Diciembre | 33 | 18 | 51 |
| 2023 Noviembre | 31 | 20 | 51 |
| 2023 Octubre | 31 | 13 | 44 |
| 2023 Septiembre | 49 | 26 | 75 |
| 2023 Agosto | 32 | 15 | 47 |
| 2023 Julio | 48 | 22 | 70 |
| 2023 Junio | 67 | 19 | 86 |
| 2023 Mayo | 42 | 23 | 65 |
| 2023 Abril | 56 | 21 | 77 |
| 2023 Marzo | 39 | 41 | 80 |
| 2023 Febrero | 24 | 16 | 40 |
| 2023 Enero | 44 | 24 | 68 |
| 2022 Diciembre | 38 | 29 | 67 |
| 2022 Noviembre | 46 | 41 | 87 |
| 2022 Octubre | 55 | 59 | 114 |
| 2022 Septiembre | 30 | 38 | 68 |
| 2022 Agosto | 41 | 62 | 103 |
| 2022 Julio | 37 | 45 | 82 |
| 2022 Junio | 27 | 34 | 61 |
| 2022 Mayo | 45 | 44 | 89 |
| 2022 Abril | 28 | 35 | 63 |
| 2022 Marzo | 37 | 40 | 77 |
| 2022 Febrero | 33 | 35 | 68 |
| 2022 Enero | 29 | 44 | 73 |
| 2021 Diciembre | 29 | 48 | 77 |
| 2021 Noviembre | 31 | 53 | 84 |
| 2021 Octubre | 26 | 39 | 65 |
| 2021 Septiembre | 36 | 48 | 84 |
| 2021 Agosto | 20 | 19 | 39 |
| 2021 Julio | 24 | 29 | 53 |
| 2021 Junio | 28 | 30 | 58 |
| 2021 Mayo | 23 | 29 | 52 |
| 2021 Abril | 56 | 29 | 85 |
| 2021 Marzo | 42 | 21 | 63 |
| 2021 Febrero | 22 | 21 | 43 |
| 2021 Enero | 26 | 26 | 52 |
| 2020 Diciembre | 22 | 17 | 39 |
| 2020 Noviembre | 12 | 6 | 18 |
| 2020 Octubre | 15 | 37 | 52 |
| 2020 Septiembre | 11 | 11 | 22 |
| 2020 Agosto | 8 | 15 | 23 |
| 2020 Julio | 12 | 12 | 24 |
| 2020 Junio | 14 | 7 | 21 |
| 2020 Mayo | 14 | 15 | 29 |
| 2020 Abril | 15 | 13 | 28 |
| 2020 Marzo | 17 | 8 | 25 |
| 2020 Febrero | 18 | 28 | 46 |
| 2020 Enero | 10 | 12 | 22 |
| 2019 Diciembre | 16 | 12 | 28 |
| 2019 Noviembre | 19 | 7 | 26 |
| 2019 Octubre | 17 | 11 | 28 |
| 2019 Septiembre | 13 | 7 | 20 |
| 2019 Agosto | 8 | 8 | 16 |
| 2019 Julio | 10 | 4 | 14 |
| 2019 Junio | 10 | 12 | 22 |
| 2019 Mayo | 11 | 11 | 22 |
| 2019 Abril | 13 | 10 | 23 |
| 2019 Marzo | 13 | 11 | 24 |
| 2019 Febrero | 10 | 7 | 17 |
| 2019 Enero | 8 | 16 | 24 |
| 2018 Diciembre | 7 | 8 | 15 |
| 2018 Noviembre | 31 | 11 | 42 |
| 2018 Octubre | 63 | 31 | 94 |
| 2018 Septiembre | 33 | 19 | 52 |
| 2018 Agosto | 21 | 21 | 42 |
| 2018 Julio | 23 | 14 | 37 |
| 2018 Junio | 23 | 13 | 36 |
| 2018 Mayo | 23 | 15 | 38 |
| 2018 Abril | 27 | 11 | 38 |
| 2018 Marzo | 22 | 10 | 32 |
| 2018 Febrero | 9 | 8 | 17 |
| 2018 Enero | 8 | 6 | 14 |
| 2017 Diciembre | 20 | 10 | 30 |
| 2017 Noviembre | 14 | 10 | 24 |
| 2017 Octubre | 11 | 21 | 32 |
| 2017 Septiembre | 9 | 12 | 21 |
| 2017 Agosto | 9 | 10 | 19 |
| 2017 Julio | 21 | 24 | 45 |
| 2017 Junio | 24 | 29 | 53 |
| 2017 Mayo | 22 | 24 | 46 |
| 2017 Abril | 21 | 24 | 45 |
| 2017 Marzo | 24 | 42 | 66 |
| 2017 Febrero | 12 | 33 | 45 |
| 2017 Enero | 15 | 14 | 29 |
| 2016 Diciembre | 25 | 15 | 40 |
| 2016 Noviembre | 34 | 40 | 74 |
| 2016 Octubre | 41 | 25 | 66 |
| 2016 Septiembre | 36 | 12 | 48 |
| 2016 Agosto | 38 | 10 | 48 |
| 2016 Julio | 28 | 11 | 39 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 1 | 0 | 1 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Julio | 1 | 0 | 1 |
| 2015 Junio | 1 | 0 | 1 |
| 2015 Abril | 2 | 0 | 2 |
| 2015 Marzo | 1 | 0 | 1 |
| 2015 Febrero | 1 | 0 | 1 |
| 2015 Enero | 3 | 0 | 3 |
| 2014 Diciembre | 9 | 0 | 9 |
| 2014 Noviembre | 5 | 0 | 5 |
| 2014 Octubre | 9 | 0 | 9 |
| 2014 Septiembre | 5 | 1 | 6 |
| 2014 Agosto | 16 | 1 | 17 |
| 2014 Julio | 15 | 1 | 16 |
| 2014 Junio | 8 | 2 | 10 |
| 2014 Mayo | 9 | 1 | 10 |
| 2014 Abril | 12 | 1 | 13 |
| 2014 Marzo | 11 | 2 | 13 |
| 2014 Febrero | 10 | 2 | 12 |
| 2014 Enero | 14 | 0 | 14 |
| 2013 Diciembre | 15 | 2 | 17 |
| 2013 Noviembre | 48 | 2 | 50 |
| 2013 Octubre | 69 | 2 | 71 |
| 2013 Septiembre | 30 | 2 | 32 |
| 2013 Agosto | 35 | 1 | 36 |
| 2013 Julio | 27 | 1 | 28 |
| 2003 Abril | 1290 | 0 | 1290 |
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