Incidence Patterns and Trends of non-Central Nervous System Solid Tumours in Children and Adolescents. A Collaborative Study of the Spanish Population Based Cancer Registries

Objective: To describe incidence patterns and trends in children (0-14 years) and adolescents (15-19 age-range) with solid tumours, except those of central nervous system (CNS), in Spain. Methods: Cases were drawn from eleven Spanish population-based cancer registries. Incidence was estimated for the period 1983-2007 and trends were evaluated using Joinpoint regression analysis. Results: The studied tumour groups accounted for 36% of total childhood cancers and 47.6% of those diagnosed in adolescence with annual rates per million of 53.5 and 89.3 respectively. In children 0 to 14 years of age, Neuroblastoma (NB) was the commonest (7.8%) followed by Soft-tissue sarcomas (STS) (6.3%), bone tumours (BT) (6.2%) and renal tumours (RT) (4.5%). NB was the most frequently diagnosed tumour before the 5th birthday, while STS and BT were the commonest at 5-9 years of age, and BT and Carcinoma and other epithelial tumours (COET) at 10-14. COET presented the highest incidence in adolescents, followed by germ-cell tumours (GCT), BT and STS. These four diagnostic groups accounted for 94% of total non-CNS solid tumours, in adolescents. Overall incidence rates increased significantly in children up to 1996 with an annual percentage change (APC) of 2.6% (95% CI: 1.7; 3.6). NB and COET showed significant time trend (APCs: 1.4% and 3.8% respectively) while other tumour groups such as RT, STS, BT or GCT had no significant changes over time. A significant increase was present in NB under the age of 5 and in BT and STS in children aged 10-14 years. In adolescents there were significant increases for all tumours combined (APC=2.7; 95% CI: 1.8-3.6) and for STS, GCT and COET (APCs: 3.2%, 4.4% and 3.5% respectively), while other tumour groups such as hepatic tumours, BT or thyroid carcinomas showed a decreasing trend or no increase. Conclusions: Overall, the incidence of the studied cancers in children increased along the period 1983-1996 with no posterior significant rise, while the incidence in adolescents increased significantly over the whole period 1983-2007. Several specific tumour groups showed significant rises or decrements in childhood or adolescence, although the small number of cases precludes showing significant trends or inflexion points

Inverse-probability weighting and multiple imputation for evaluating selection bias in the estimation of childhood obesity prevalence using data from electronic health records

Background and objectives: Height and weight data from electronic health records are increasingly being used to estimate the prevalence of childhood obesity. Here, we aim to assess the selection bias due to missing weight and height data from electronic health records in children older than five. Methods: Cohort study of 10,811 children born in Navarra (Spain) between 2002 and 2003, who were still living in this region by December 2016. We examined the differences between measured and non-measured children older than 5 years considering weight-associated variables (sex, rural or urban residence, family income and weight status at 2–5 yrs). These variables were used to calculate stabilized weights for inverse-probability weighting and to conduct multiple imputation for the missing data. We calculated complete data prevalence and adjusted prevalence considering the missing data using inverse-probability weighting and multiple imputation for ages 6 to 14 and group ages 6 to 9 and 10 to 14. Results: For 6–9 years, complete data, inverse-probability weighting and multiple imputation obesity age-adjusted prevalence were 13.18% (95% CI: 12.54–13.85), 13.22% (95% CI: 12.57–13.89) and 13.02% (95% CI: 12.38–13.66) and for 10–14 years 8.61% (95% CI: 8.06–9.18), 8.62% (95% CI: 8.06–9.20) and 8.24% (95% CI: 7.70–8.78), respectively. Conclusions: Ages at which well-child visits are scheduled and for the 6 to 9 and 10 to 14 age groups, weight status estimations are similar using complete data, multiple imputation and inverse-probability weighting. Readily available electronic health record data may be a tool to monitor the weight status in children

Physical activity of subjects aged 50–64 years involved in the European Prospective Investigation into Cancer and Nutrition (EPIC)

Objective: To describe physical activity of participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). Design: A cross-sectional analysis of baseline data of a European prospective cohort study. Subjects: This analysis was restricted to participants in the age group 50-64 years, which was represented in all EPIC centres. It involved 236 386 participants from 25 centres in nine countries. In each EPIC centre, physical activity was assessed by standardised and validated questions. Frequency distribution of type of professional activity and participation in non-professional activities, and age-adjusted means, medians and percentiles of time dedicated to non-professional activities are presented for men and women from each centre. Results: Professional activity was most frequently classified as sedentary or standing in all centres. There was a wide variation regarding participation in different types of non-professional activities and time dedicated to these activities across EPIC centres. Over 80% of all EPIC participants engaged in walking, while less than 50% of the subjects participated in sport. Total time dedicated to recreational activities was highest among the Dutch participants and lowest among men from Malmo (Sweden) and women from Naples (Italy). In all centres, total time dedicated to recreational activity in the summer was higher than in the winter. Women from southern Europe spent the most time on housekeeping. Conclusions: There is a considerable variation of physical activity across EPIC centres. This variation was especially evident for recreational activities in both men and women

Cancer Survival in Adults in Spain: A Population-Based Study of the Spanish Network of Cancer Registries (REDECAN)

© 2022.This document is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by /4.0/ This document is the published version of a published work that appeared in final form in CancersThe assessment of cancer survival at the population level is essential for monitoring progress in cancer control. We aimed to assess cancer survival and its trends in adults in Spain. Individual records of 601,250 adults with primary cancer diagnosed during 2002-2013 and followed up to 2015 were included from 13 population-based cancer registries. We estimated net survival up to five years after diagnosis and analyzed absolute changes between 2002-2007 and 2008-2013. Estimates were age-standardized. Analyses were performed for 29 cancer groups, by age and sex. Overall, age-standardized five-year net survival was higher in women (61.7%, 95% CI 61.4-62.1%) than in men (55.3%, 95% CI 55.0-55.6%), and ranged by cancer from 7.2% (pancreas) to 89.6% (prostate) in men, and from 10.0% (pancreas) to 93.1% (thyroid) in women in the last period. Survival declined with age, showing different patterns by cancer. Between both periods, age-standardized five-year net survival increased overall by 3.3% (95% CI 3.0-3.7%) in men and 2.5% (95% CI 2.0-3.0%) in women, and for most cancer groups. Improvements were greater in patients younger than 75 years than in older patients. Chronic myeloid leukemia and myeloma showed the largest increases. Among the most common malignancies, the greatest absolute increases in survival were observed for colon (5.0%, 95% CI 4.0-6.0%) and rectal cancers (4.5%, 95% CI 3.2-5.9%). Survival improved even for some cancers with poor prognosis (pancreas, esophagus, lung, liver, and brain cancer). Further investigation of possible sociodemographic inequalities is warranted. This study contributes to the evaluation of cancer control and health services' effectiveness

Sustainable Development, Ecological Complexity, and Environmental Values

Sustainable Development, Ecological Complexity, and Environmental Values contributes to expanding the idea of sustainability by integrating different thematic issues related to sustainable development in its threefold consideration (economic, social, and environmental) with regard to the case of the Basque Country. On the global scale, changes have clearly accelerated; ecological and social sustainability are two facets of the same changing reality. First, social sustainability depends on ecological sustainability. If we continue degrading nature's capacity to produce the ecosystems' services (water filtration, climate stabilization, etc) and resources (food, materials), both individuals and nations will be affected by growing pressures and increasing conflicts, as well as by threats to public health and personal safety. Second, ecological sustainability depends on social sustainability, a socially unjust and unfair system wiht an ever-increasing population that is not able to have its needs met will necessarily lead to environmental collapse. In addition, human behavior and the social dynamic often lie at the heart of social and ecological problems. It must be, therefore, assumed that there will not be sustainable development if sustainable societies do not first exist. A sustainable society has the challenge of developing human capital. In this book, these global questions are treated as they relate to specific place and context, the Basque Country and its modern institutions.This book was published with generous financial support from the Basque Government.Introduction—Ignacio Ayestarán and Miren Onaindia ? 1. An Evaluation of Ecosystem Services as a Base for the Sustainable Management of a Region by Miren Onaindia and Gloria Rodríguez-Loinaz ? 2. An Evaluation of Millennium Ecosystems from the Basque Country by Igone Palacios, Izaskun Casada-Arzuaga, Iosu Madariaga, and Xabier Arana ? 3. Climate Change: Activities of the EOLO Group at the University of the Basque Country by Agustín Ezcurra, Jon Sáenz, and Gabriel Ibarra-Berastegi ? 4. The Environmental Value of the Karstic Landscape of the Urdaibai Biosphere Reserve: The Asnarre Promontory (Bizkaia) by Arantza Aranburu, Laura Damas-Mollá, Patxi García-Garmilla, Iñaki Yusta, M. Arriolabengoa, Peru Iridoy, and Eneko Iriarte ? 5. Recent Environmental Transformation of the Bilbao Estuary: Natural and Anthropogenic Processes by Alejandro Cearreta, Maria Jesús Irabien, and Eduardo Leorri ? 6. The Landscape of the Autonomous Community of the Basque Country: The Evolution of Forest Systems by Lorena Peña and Ibone Amezaga ? 7. Critical Theories of Sustainable Development by Eguzki Urteaga ? 8. Bases for the Transition toward a Sustainable Economy by Roberto Bermejo, David Hoyos, and Eneko Garmendia ? 9. Environmental Values, the Epistemology of Complex Problems, and Postnormal Science in the Face of Global Change by Ignacio Ayestáran ? 10. Science, Gender, and Sustainable Development by Teresa Nuño Angós ? 11. Environmental Education as Training: A Case Study at the University of the Basque Country by Araitz Uskola Ibarluzea ? 12. Social Values and Sustainable Practices among Basque Inshore Fishermen by Pío Pérez Aldasoro ? 13. Sustainable Development and the Values of Well-Being and Globalization by Eduardo Rubio Ardanaz, Juan Antonio Rubio-Ardanaz, and Xiao Fang ? Index ? List of Contributor