Perfil clínico y cambios epidemiológicos del carcinoma renal de células claras a lo largo de 12 años en un área de salud / Clinical profile and epidemiological changes of clear cell renal carcinoma during 12 years in our health area
Arch. esp. urol. (Ed. impr.)
; 65(9): 823-829, nov. 2012. tab, graf
Article
in Spanish
| IBECS
| ID: ibc-106528
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
OBJETIVO:
Investigar si se producen cambios en la epidemiología y en el perfil clínico de los pacientes diagnosticados de carcinoma renal de células claras (CRCC) en un área de salud a lo largo de 12 años.MÉTODOS:
Se realiza un análisis retrospectivo de las características epidemiológicas y del perfil clínico (sexo, edad, factores de riesgo, estadio tumoral y supervivencia) de los pacientes diagnosticados de CRCC en un área de salud de 353619 habitantes desde enero de 1999 hasta diciembre de 2010. Se utiliza estadística descriptiva, t de Student, test exacto de Fisher y Chi-Square. p<0.05 se aceptó como significativo(AU)ABSTRACT
OBJECTIVES:
To investigate changes in the epidemiology and clinical profile of patients diagnosed with renal clear cell carcinoma in a community health area over 12 years.METHODS:
Retrospective analysis of epidemiological characteristics and clinical profile of patients diagnosed with renal clear cell carcinoma in a health area composed of a population of 353.619 inhabitants from January 1999 to December 2010. Descriptive statistical and multivariate analysis, Fisher exact test and Chi-Square were utilized. p<0.05 was accepted as significant.RESULTS:
349 diagnoses of renal mass were reported; 165 of them were clear renal cell carcinoma. Median age was 70.41 years, and the Female/Male rate was 28% and 72%, respectively. 4% women and 30% men smoked ≥20cigarettes/day, more frequently during the period 1999-2001. 52% women and 30% men had hypertension. Hematuria was the most frequent symptom (23%), more frequent in the period 2007-2010, followed by abdominal pain (16%) and renal colic (13%). Weight loss (12%) was more frequent between 1999-2000. Asthenia appeared as the first symptom in 8% of cases. The tumor was incidentally diagnosed in 20% of cases, more frequently in the period between 2007-2010.Diagnosis was established in the Urology Department in 36% of the cases. Stages T1-2 N0 were more frequent between 2007-2010, and M1 between 1999-2000. G3 was more frequent in the entire series. The relative cancer specific mortality of patients who were surgically treated was less in the last 2 years of the period(AU)
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Collection:
National databases
/
Spain
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Kidney, Renal Pelvis and Ureter Cancer
Database:
IBECS
Main subject:
Carcinoma, Renal Cell
/
Kidney Neoplasms
Type of study:
Diagnostic study
/
Etiology study
/
Health technology assessment
/
Risk factors
/
Screening study
Limits:
Humans
Language:
Spanish
Journal:
Arch. esp. urol. (Ed. impr.)
Year:
2012
Document type:
Article
Institution/Affiliation country:
Complejo Asistencial Universitario de Salamanca/España