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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar la incidencia del c&#225;ncer de vejiga en la comarca del Vall&#232;s Occidental &#40;Barcelona&#41;&#44; describir sus caracter&#237;sticas histopatol&#243;gicas y comparar su incidencia con la de otras &#225;reas espa&#241;olas y europeas&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron los casos nuevos de c&#225;ncer de vejiga diagnosticados entre 1992 y 1994 en el Vall&#232;s Occidental&#44; &#225;rea muy industrializada de Catalu&#241;a &#40;Espa&#241;a&#41;&#46; Se ajustaron por edad las tasas de incidencia y se compararon con las de los datos publicados en los registros de otras &#225;reas espa&#241;olas y europeas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se identificaron 485 casos de c&#225;ncer de vejiga&#44; el 95&#44;5&#37; de los cuales eran carcinomas de c&#233;lulas transicionales&#46; La mayor&#237;a de los tumores &#40;75&#44;9&#37;&#41; eran superficiales y ten&#237;an un grado de diferenciac&#243;n I o II &#40;62&#44;6&#37;&#41;&#46; El c&#225;ncer de vejiga fue m&#225;s frecuente en los varones&#46; Las mujeres presentaron tumores de peor pron&#243;stico y una edad media en el momento del diagn&#243;stico significativamente superior a la de los varones &#40;71 frente a 66 a&#241;os&#59; p &#61; 0&#44;03&#41;&#46; La tasa de incidencia ajustada para los varones &#40;52&#44;2 casos&#47;100&#46;000&#41; fue de las m&#225;s altas&#44; mientras que en las mujeres &#40;5&#44;4 casos&#47; 100&#46;000&#41; fue relativamente baja&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La incidencia de c&#225;ncer de vejiga en la poblaci&#243;n del Vall&#232;s Occidental se encuentra para los varones entre las m&#225;s altas de Europa&#44; y en cambio para las mujeres ocupa un lugar bajo&#46; La elevada raz&#243;n var&#243;n&#47;mujer observada podr&#237;a ser debida a que las mujeres espa&#241;olas han estado menos expuestas a los factores de riesgo&#44; o bien lo han hecho m&#225;s recientemente&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To identify all incident cases of bladder cancer in the county of Vall&#232;s Occidental &#40;Spain&#41;&#44; describe their histopathological characteristics&#44; and make comparisons with other Spanish and European areas&#46;</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The study was carried out from the Corporaci&#243; Parc Taul&#237; &#40;Sabadell&#41;&#46; All new cases of bladder cancer in residents of the county Vall&#232;s Occidental&#44; a highly industrialised area of Catalonia &#40;Spain&#41;&#44; were included between 1992 and 1994&#46; Incidence rates of bladder cancer were adjusted and were compared with adjusted incidence rates reported by registries in other Spanish and European countries&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">485 new cases were identified&#46; Transitional cell carcinomas predominated &#40;95&#46;5&#37;&#41;&#46; The majority of tumours were diagnosed in their initial stages&#44; 75&#46;9&#37; being superficial and 62&#46;6&#37; well to moderately differentiated&#46; Bladder cancer was more common in men than in women&#44; but women presented tumours of worse prognosis&#46; The mean age at diagnosis was also higher in women than men &#40;71 vs&#46; 66 years&#44; p &#61; 0&#46;03&#41;&#46; The adjusted incidence rate in men &#40;52&#46;2 cases&#47;100&#44;000&#41; was among the highest of the observed areas&#44; whereas for women &#40;5&#46;4 cases&#47;100&#44;000&#41; was relatively low&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The incidence of bladder cancer among men in Vall&#232;s Occidental is among the highest in Europe&#44; and intermediate for women&#46; The high male&#47;female ratio seen in all Spanish areas could be attributed to the fact that women in Spain have been less exposed than men to the risk factors&#44; or their exposure occurred more recently&#46;</p>"
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Vol. 16. Núm. 4.
Páginas 291-297 (julio - agosto 2002)
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Vol. 16. Núm. 4.
Páginas 291-297 (julio - agosto 2002)
Open Access
Incidencia del cáncer de vejiga urinaria en un área industrializada de España
(Incidence of urinary bladder cancer in an industrialized area of Spain)
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6779
G. Urrutiaa, C. Serrab,
Autor para correspondencia
cserra@cspt.es

Correspondencia: Dra. Consol Serra. Unidad de Epidemiología e Investigación. Instituto Universitario Parc Taulí. Corporació Parc Taulí. Parc Taulí, s/n. 08208 Sabadell (Barcelona).
, X. Bonfillc, R. Bastúsd, Grupo de Trabajo para el Estudio del Cáncer de Vejiga Urinaria en la Comarca del Vallès Occidental
a Centro Cochrane Iberoamericano. Servicio de Epidemiología Clínica y Salud Pública. Hospital de la Santa Creu y Sant Pau. Barcelona
b Unidad de Epidemiología e Investigación. Instituto Universitario Parc Taulí (UAB). Sabadell
c Universidad Pompeu Fabra. Barcelona
d Servicio de Oncología. Hospital Mútua de Terrassa. Terrassa
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Resumen
Objetivo

Determinar la incidencia del cáncer de vejiga en la comarca del Vallès Occidental (Barcelona), describir sus características histopatológicas y comparar su incidencia con la de otras áreas españolas y europeas.

Método

Se incluyeron los casos nuevos de cáncer de vejiga diagnosticados entre 1992 y 1994 en el Vallès Occidental, área muy industrializada de Cataluña (España). Se ajustaron por edad las tasas de incidencia y se compararon con las de los datos publicados en los registros de otras áreas españolas y europeas.

Resultados

Se identificaron 485 casos de cáncer de vejiga, el 95,5% de los cuales eran carcinomas de células transicionales. La mayoría de los tumores (75,9%) eran superficiales y tenían un grado de diferenciacón I o II (62,6%). El cáncer de vejiga fue más frecuente en los varones. Las mujeres presentaron tumores de peor pronóstico y una edad media en el momento del diagnóstico significativamente superior a la de los varones (71 frente a 66 años; p = 0,03). La tasa de incidencia ajustada para los varones (52,2 casos/100.000) fue de las más altas, mientras que en las mujeres (5,4 casos/ 100.000) fue relativamente baja.

Conclusiones

La incidencia de cáncer de vejiga en la población del Vallès Occidental se encuentra para los varones entre las más altas de Europa, y en cambio para las mujeres ocupa un lugar bajo. La elevada razón varón/mujer observada podría ser debida a que las mujeres españolas han estado menos expuestas a los factores de riesgo, o bien lo han hecho más recientemente.

Palabras clave:
Cáncer de vejiga
Incidencia
Urología
Factores de riesgo
Abstract
Aim

To identify all incident cases of bladder cancer in the county of Vallès Occidental (Spain), describe their histopathological characteristics, and make comparisons with other Spanish and European areas.

Method

The study was carried out from the Corporació Parc Taulí (Sabadell). All new cases of bladder cancer in residents of the county Vallès Occidental, a highly industrialised area of Catalonia (Spain), were included between 1992 and 1994. Incidence rates of bladder cancer were adjusted and were compared with adjusted incidence rates reported by registries in other Spanish and European countries.

Results

485 new cases were identified. Transitional cell carcinomas predominated (95.5%). The majority of tumours were diagnosed in their initial stages, 75.9% being superficial and 62.6% well to moderately differentiated. Bladder cancer was more common in men than in women, but women presented tumours of worse prognosis. The mean age at diagnosis was also higher in women than men (71 vs. 66 years, p = 0.03). The adjusted incidence rate in men (52.2 cases/100,000) was among the highest of the observed areas, whereas for women (5.4 cases/100,000) was relatively low.

Conclusions

The incidence of bladder cancer among men in Vallès Occidental is among the highest in Europe, and intermediate for women. The high male/female ratio seen in all Spanish areas could be attributed to the fact that women in Spain have been less exposed than men to the risk factors, or their exposure occurred more recently.

Key words:
Bladder cancer
Incidence
Urology
Risk factors
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Copyright © 2002. Sociedad Española de Salud Pública y Administración Sanitaria
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