Bladder cancer mortality trends in Spain: 1980-2021

Actas Urol Esp (Engl Ed). 2023 Oct;47(8):517-526. doi: 10.1016/j.acuroe.2023.06.006. Epub 2023 Jun 22.
[Article in English, Spanish]

Abstract

Objective: We propose to update bladder cancer mortality rates in Spain from 1980 to 2021, by sex and age-group, by autonomous community (AC).

Materials and methods: The public online databases of the National Statistical Institute were used to obtain data on population and bladder cancer mortality. Age-standardised mortality rates (ASMRs), all ages and truncated (<75 and ≥75) were estimated and reported as rates per 100,000 persons. Joinpoint regression software was used for estimation and trend analysis of ASMRs bladder cancer.

Results: In the last decade, the ASMR for bladder cancer (all ages, <75 years and ≥75 years) decreased significantly in Spain for both sexes. This trend was observed in 12 ACs for men and in 4 ACs (Andalusia, Canary Islands, Catalonia and Madrid) for women, although to different degrees. For men, ASMR remained stable in Castilla-León and La Rioja (<75 years), Cantabria, Castilla-La Mancha and Valencia (≥75 years) and the 2 Castilian regions (all ages). For women, ASMR also decreased in Valencia (<75 and ≥75), Castilla-León (≥75), Galicia (≥75 and all ages) and Navarre (<75 and all ages).

Conclusion: Our results reveal significant variations in trends by AC, sex and age group, emphasizing the need for continued follow-up and targeted interventions to further reduce bladder cancer mortality rates in Spain.

Keywords: Análisis joinpoint; Bladder cancer; Cáncer de vejiga; España; Joinpoint analysis; Mortalidad; Mortality; Spain; Tendencia; Trend.

MeSH terms

  • Aged
  • Female
  • Humans
  • Male
  • Spain / epidemiology
  • Urinary Bladder Neoplasms* / epidemiology