Correspondence: Servicio de Dermatología, Hospital Rafael Méndez, C/ Floridablanca s/n, 30800 Lorca, Murcia, Spain.
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Casanova, V. Sanmartín, X. Soria, M. Baradad, R.M. Martí, A. Font" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Casanova" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Sanmartín" ] 2 => array:2 [ "nombre" => "X." "apellidos" => "Soria" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Baradad" ] 4 => array:2 [ "nombre" => "R.M." "apellidos" => "Martí" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Font" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702105?idApp=UINPBA000044" "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702105/v1_201304241426/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>" "titulo" => "Sociodemographic Characteristics of Spanish Skin Cancer Patients" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "119" "paginaFinal" => "126" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "B. Pérez-Suárez, A. Guerra-Tapia" "autores" => array:2 [ 0 => array:4 [ "nombre" => "B." "apellidos" => "Pérez-Suárez" "email" => array:1 [ 0 => "bpesuarez@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Guerra-Tapia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Rafael Méndez, Lorca, Murcia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital 12 de Octubre, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Servicio de Dermatología, Hospital Rafael Méndez, C/ Floridablanca s/n, 30800 Lorca, Murcia, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Características Sociodemográficas del Cáncer Cutáneo en España" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2007-05-24" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84120" "palabras" => array:3 [ 0 => "epidemiology" 1 => "skin cancer" 2 => "Spain" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84119" "palabras" => array:3 [ 0 => "epidemiología" 1 => "cáncer cutáneo" 2 => "España" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Most epidemiological studies of skin cancer have been performed in countries with very different population and geographic characteristics to Spain. Investigation of this disease in the Spanish population would therefore be of interest.</p> <span class="elsevierStyleSectionTitle">Method</span><p class="elsevierStyleSimplePara elsevierViewall">Over a 12-month period, this prospective study recorded the types of skin cancer in consecutive patients who attended a dermatology clinic for the first time in health care area 3 of the health service of the Spanish autonomous community of Murcia. The demographic and social characteristics of these patients were determined. The results obtained were analyzed with the SPSS program, version 11.5, and compared with other studies conducted in other countries.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Malignant tumors were the third most common presenting complaint (16.9%) and the fourth most common secondary complaint (8%). The patients with skin cancer were older (69.52 years; 95% confidence interval [CI], 67.82-71.21 years) than the other patients in the sample (34.52 years; 95% CI, 33.23-33.81 years), and there were more men (51.7%) than women (48.3%). These individuals had a low level of schooling, which varied according to the type of tumor, and most had outdoor jobs, with a significantly higher exposure to sunlight (3.35 h/d; 95% CI, 3.08-3.62 h/d) than the other patients (2.72 h/d; 95% CI, 2.58-2.86 h/d). Furthermore, fewer malignant cutaneous tumors were found in patients with a higher phototype. The length of time since onset of the presenting complaints was shorter for skin cancer (11.37 months; 95% CI, 7.47-15.26 months) than for other skin diseases (25.83 months; 95% CI, 22.87-28.80). Also, there were no seasonal peaks in consultations for skin cancer, and treatment was essentially based on surgery and cryotherapy. In addition, more of these patients had follow-up visits (84%) than other dermatology patients (33%).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Malignant or premalignant skin lesions are a common presenting skin complaint in the Mediterranean region, with differences in terms of attendance rates and predominant tumor type compared to other countries. This is probably due to the high sun exposure and predominance of skin phototype III. Similar studies for the whole of Spain would be of interest.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">La mayoría de los estudios epidemiológicos acerca del cáncer cutáneo están realizados en países con características tanto poblacionales como geográficas muy diferentes a las españolas, por lo que resulta interesante conocer cómo aparecen estas lesiones en nuestra población.</p> <span class="elsevierStyleSectionTitle">Método</span><p class="elsevierStyleSimplePara elsevierViewall">En este estudio se han descrito de manera prospectiva y durante un período de 12 meses consecutivos los tipos de cáncer cutáneo en los pacientes que acudieron por vez primera a la consulta de Dermatología en el área sanitaria 3 del Servicio Murciano de Salud y las características tanto demográficas como sociales de estos pacientes. Los resultados obtenidos se han analizado mediante el programa SPSS versión 11.5 y se han comparado con los de otros estudios llevados a cabo en otros países.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha encontrado que los tumores malignos constituyen el tercer motivo primario de consulta más frecuente (16,9%) y el cuarto motivo secundario de consulta dermatológica (8%). Los pacientes que acudieron por dicho motivo eran de mayor edad (69,52 años, intervalo de confianza de 95% [IC 95%]: 67,82-71,21) que el resto de los sujetos de la muestra (34,52 años, IC 95%: 33,23-33,81), predominando los varones (51,7%) frente a las mujeres (48,3%). Estos individuos poseen un bajo nivel de estudios, que además varía según el tipo de tumor desarrollado, y sus trabajos se efectúan predominantemente al aire libre, con una fotoexposición significativamente más alta (3,35 h/d, IC 95%: 3,08-3,62) que el resto de pacientes (2,72 h/d, IC 95%: 2,58-2,86). Además, a medida que aumenta el fototipo disminuye la aparición de tumores malignos de piel. Las lesiones que motivan la consulta al dermatólogo tienen menor tiempo de evolución (11,37 meses, IC 95%: 7,47-15,26) que la del resto de patología (25,83 meses, IC 95%: 22,87-28,80), no presentan picos estacionales y el tratamiento que reciben se fundamenta en la cirugía y la crioterapia. Además, estos pacientes se revisan más (84%) que el resto de pacientes dermatológicos (33%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Las lesiones cutáneas malignas o premalignas constituyen un motivo frecuente de consulta dermatológica en el área mediterránea, con unas tasas de frecuentación y un predominio de tipo tumoral diferente al de otros países, probablemente debido al elevado índice de insolación y al fototipo III predominante. Resultaría interesante la realización de estudios similares a nivel nacional.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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2019 January | 0 | 1 | 1 |
2018 December | 0 | 8 | 8 |
2018 May | 0 | 2 | 2 |
2018 April | 0 | 3 | 3 |
2018 February | 12 | 4 | 16 |
2018 January | 16 | 8 | 24 |
2017 December | 11 | 5 | 16 |
2017 November | 13 | 5 | 18 |
2017 October | 11 | 3 | 14 |
2017 September | 13 | 5 | 18 |
2017 August | 36 | 7 | 43 |
2017 July | 26 | 8 | 34 |
2017 June | 15 | 10 | 25 |
2017 May | 31 | 9 | 40 |
2017 April | 32 | 9 | 41 |
2017 March | 15 | 13 | 28 |
2017 February | 9 | 14 | 23 |
2017 January | 11 | 5 | 16 |
2016 December | 16 | 4 | 20 |
2016 November | 22 | 2 | 24 |
2016 October | 25 | 8 | 33 |
2016 September | 25 | 7 | 32 |
2016 August | 20 | 7 | 27 |
2016 July | 21 | 5 | 26 |
2016 June | 8 | 4 | 12 |
2016 May | 4 | 9 | 13 |
2016 April | 6 | 6 | 12 |
2016 March | 5 | 7 | 12 |
2016 February | 4 | 11 | 15 |
2016 January | 6 | 9 | 15 |
2015 December | 10 | 9 | 19 |
2015 November | 14 | 5 | 19 |
2015 October | 8 | 1 | 9 |
2015 September | 12 | 4 | 16 |
2015 August | 8 | 3 | 11 |
2015 July | 16 | 7 | 23 |
2015 June | 29 | 4 | 33 |
2015 May | 59 | 8 | 67 |
2015 April | 40 | 13 | 53 |
2015 March | 46 | 4 | 50 |
2015 February | 29 | 7 | 36 |
2015 January | 18 | 12 | 30 |
2014 December | 28 | 8 | 36 |
2014 November | 20 | 16 | 36 |
2014 October | 30 | 16 | 46 |
2014 September | 26 | 13 | 39 |
2014 August | 34 | 22 | 56 |
2014 July | 41 | 23 | 64 |
2014 June | 40 | 11 | 51 |
2014 May | 45 | 14 | 59 |
2014 April | 36 | 12 | 48 |
2014 March | 44 | 9 | 53 |
2014 February | 24 | 10 | 34 |
2014 January | 40 | 12 | 52 |
2013 December | 31 | 17 | 48 |
2013 November | 40 | 18 | 58 |
2013 October | 28 | 22 | 50 |
2013 September | 35 | 20 | 55 |
2013 August | 26 | 19 | 45 |
2013 July | 33 | 51 | 84 |
2013 June | 27 | 30 | 57 |
2013 May | 18 | 22 | 40 |
2013 April | 13 | 24 | 37 |
2013 March | 23 | 21 | 44 |
2013 February | 34 | 12 | 46 |
2013 January | 11 | 4 | 15 |