title: Melanoma incidence increases in the elderly of Catalonia but not in the younger population: effect of prevention or consequence of immigration?
abstract: All cases of MM diagnosed in 23 hospitals in Catalonia, from 2000 to 2007 were recorded and melanoma incidence calculated and adjusted for the European standard population via the direct method. The age standardised rate/100,000 inhabitants varied from 6.74 in 2000 to 8.64 in 2007 for all melanomas and from 4.79 to 5.80 for invasive MMs; the Breslow thickness was stable during the period. The increase in invasive melanoma incidence in the elderly was remarkable, the crude rate/100,000 inhabitants increasing from 11.04 (2000) to 15.49 (2007) in the 60-64 year population, while remaining more stable in the 30-34 year range, from 3.97 in 2000 to 4.55 in 2007, and with a tendency to decrease from 5.1 in 2000 to 2.5 in 2007 for the age range of 25-29 years. These lower age ranges are much more affected by immigration. Despite the large immigrant population (nearly one million immigrants arrived in Catalonia during the study period from countries with a low melanoma incidence), melanoma incidence in our region has risen considerably and this trend is likely to persist in the near future.
authors.affiliation: Melanoma Unit, Dermatology Department, Hospital Clinic of Barcelona, University of Barcelona, IDIBAPS, ES-08036 Barcelona,, Spain. spuig@clinic.ub.es, susipuig@gmail.com.
authors.forename: Susana
authors.initials: S
authors.lastname: Puig
authors.forename: Joaquim
authors.initials: J
authors.lastname: Marcoval
authors.forename: Cristina
authors.initials: C
authors.lastname: Paradelo
authors.forename: Antoni
authors.initials: A
authors.lastname: Azon
authors.forename: Ramon
authors.initials: R
authors.lastname: Bartralot
authors.forename: Susana
authors.initials: S
authors.lastname: Bel
authors.forename: Xavier
authors.initials: X
authors.lastname: Bigata
authors.forename: Aram
authors.initials: A
authors.lastname: Boada
authors.forename: Antoni
authors.initials: A
authors.lastname: Campoy
authors.forename: Cristina
authors.initials: C
authors.lastname: Carrera
authors.forename: Neus
authors.initials: N
authors.lastname: Curco
authors.forename: Joan
authors.initials: J
authors.lastname: Dalmau
authors.forename: Carlos
authors.initials: C
authors.lastname: Ferrándiz
authors.forename: Josep R
authors.initials: JR
authors.lastname: Ferreres
authors.forename: Manel
authors.initials: M
authors.lastname: Formigon
authors.forename: Fernando
authors.initials: F
authors.lastname: Gallardo
authors.forename: Alberto
authors.initials: A
authors.lastname: Gonzalez
authors.forename: Miquel
authors.initials: M
authors.lastname: Just
authors.forename: Enric
authors.initials: E
authors.lastname: Llistosella
authors.forename: Rosa M
authors.initials: RM
authors.lastname: Marti
authors.forename: M Elena
authors.initials: ME
authors.lastname: Nogues
authors.forename: Ramon
authors.initials: R
authors.lastname: Pedragosa
authors.forename: Josep A
authors.initials: JA
authors.lastname: Pujol
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Roldán-Marín
authors.forename: Mireia
authors.initials: M
authors.lastname: Sabat
authors.forename: Montserrat
authors.initials: M
authors.lastname: Salleras
authors.forename: Juan A
authors.initials: JA
authors.lastname: Smandia
authors.forename: Pedro
authors.initials: P
authors.lastname: Zaballos
authors.forename: Estel
authors.initials: E
authors.lastname: Plana
authors.forename: Josep
authors.initials: J
authors.lastname: Malvehy
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008545:Melanoma / Q000453:epidemiology*; D008875:Middle Aged; D012042:Registries; D012878:Skin Neoplasms / Q000453:epidemiology*; D013030:Spain / Q000453:epidemiology; D055815:Young Adult