title: Cancer surveillance in Spain: regional inequalities and peculiarities of temporal trends.
abstract: Despite the tendency to confluence that shows the frequency of cancer in European countries, Spain presents some peculiarities that are discussed briefly. On the basis of low rates of incidence and mortality by most common tumours in men and women, in women, lung cancer mortality, from 1994 shows a 3% annual increase. Bladder cancer mortality in men is a somewhat special case. While in most European countries, there is a clear decrease in their rates, in Spain the evolution pattern is different, showing the highest rates since 2000. Geographical distribution of mortality patterns is very marked and shows great stability to over the years. However, there are some changes that are discussed briefly, as well as the possible influence of industrial pollution in these patterns.
authors.affiliation: National Centre for Epidemiology, Carlos III Institute of Health, Cancer and Environmental Epidemiology Unit, Monforte de Lemos 5, 28029 Madrid, Spain. glabente@isciii.es
authors.forename: Gonzalo
authors.initials: G
authors.lastname: López-Abente
mesh_terms: D002423:Cause of Death; D004787:Environmental Pollution / Q000009:adverse effects; D005260:Female; D062306:Geography, Medical; D006801:Humans; D015994:Incidence; D008175:Lung Neoplasms / Q000453:epidemiology / Q000401:mortality; D008297:Male; D009026:Mortality / Q000639:trends; D009369:Neoplasms / Q000453:epidemiology* / Q000401:mortality; D013029:Space-Time Clustering; D013030:Spain / Q000453:epidemiology; D001749:Urinary Bladder Neoplasms / Q000453:epidemiology / Q000401:mortality
keywords: Spain; cancer epidemiology; cancer mortality; mortality trends