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dc.contributor.authorRodríguez Barranco, Miguel
dc.contributor.authorExpósito Hernández, José
dc.identifier.citationRodríguez-Barranco, M., Salamanca-Fernández, E., Fajardo, M.L. et al. Patient, tumor, and healthcare factors associated with regional variability in lung cancer survival: a Spanish high-resolution population-based study. Clin Transl Oncol 21, 621–629 (2019). []es_ES
dc.description.abstractPurpose The third most frequently diagnosed cancer in Europe in 2018 was lung cancer; it is also the leading cause of cancer death in Europe. We studied patient and tumor characteristics, and patterns of healthcare provision explaining regional variability in lung cancer survival in southern Spain. Methods A population-based cohort study included all 1196 incident first invasive primary lung cancer (C33–C34 according to ICD-10) cases diagnosed between 2010 and 2011 with follow-up until April 2015. Data were drawn from local population-based cancer registries and patients’ hospital medical records from all public and private hospitals from two regions in southern Spain. Results There was evidence of regional differences in lung cancer late diagnosis (58% stage IV in Granada vs. 65% in Huelva, p value < 0.001). Among patients with stage I, only 67% received surgery compared with 0.6% of patients with stage IV. Patients treated with a combination of radiotherapy, chemotherapy, and surgery had a 2-year mortality risk reduction of 94% compared with patients who did not receive any treatment (excess mortality risk 0.06; 95% CI 0.02–0.16). Geographical differences in survival were observed between the two regions: 35% vs. 26% at 1-year since diagnosis. Conclusions The observed geographic differences in survival between regions are due in part to the late cancer diagnosis which determines the use of less effective therapeutic options. Results from our study justify the need for promoting lung cancer early detection strategies and the harmonization of the best practice in lung cancer management and treatment.es_ES
dc.description.sponsorshipMaria Jose Sanchez Perez is supported by the Andalusian Department of Health: Research, Development, and Innovation Office project grant PI-0152/2017. Miguel Angel Luque-Fernandez is supported by the Spanish National Institute of Health, Carlos III Miguel Servet I Investigator Award (CP17/00206).es_ES
dc.rightsAtribución 3.0 España*
dc.subjectLung canceres_ES
dc.subjectPopulation-based cancer epidemiologyes_ES
dc.subjectHospital medical recordses_ES
dc.subjectSurvival analysis es_ES
dc.subjectExcess riskes_ES
dc.subjectCancer treatmentes_ES
dc.titlePatient, tumor, and healthcare factors associated with regional variability in lung cancer survival: a Spanish high‑resolution population‑based studyes_ES

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Atribución 3.0 España
Except where otherwise noted, this item's license is described as Atribución 3.0 España