array:23 [
  "pii" => "S1578219010705783"
  "issn" => "15782190"
  "doi" => "10.1016/S1578-2190(10)70578-3"
  "estado" => "S300"
  "fechaPublicacion" => "2010-01-01"
  "aid" => "70578"
  "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
  "copyrightAnyo" => "2010"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Actas Dermosifiliogr. 2010;101:39-46"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2308
    "formatos" => array:3 [
      "EPUB" => 48
      "HTML" => 1529
      "PDF" => 731
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219010705795"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(10)70579-5"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "aid" => "70579"
    "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2010;101:47-53"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2454
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 1718
        "PDF" => 693
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
      "titulo" => "Long-term Safety and Efficacy of Etanercept in the Treatment of Psoriasis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "47"
          "paginaFinal" => "53"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Seguridad y eficacia de etanercept a largo plazo en el tratamiento de la psoriasis"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "V&#46; Zaragoza, A&#46; P&#233;rez, J&#46;L&#46; S&#225;nchez, V&#46; Oliver, L&#46; Mart&#237;nez, V&#46; Alegre"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Zaragoza"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "P&#233;rez"
            ]
            2 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "S&#225;nchez"
            ]
            3 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Oliver"
            ]
            4 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Mart&#237;nez"
            ]
            5 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Alegre"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010705795?idApp=UINPBA000044"
    "url" => "/15782190/0000010100000001/v1_201304241512/S1578219010705795/v1_201304241512/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1578219010705771"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(10)70577-1"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "aid" => "70577"
    "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2010;101:31-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3439
      "formatos" => array:3 [
        "EPUB" => 40
        "HTML" => 2021
        "PDF" => 1378
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Practical dermatology</span>"
      "titulo" => "Lichen Sclerosus"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "31"
          "paginaFinal" => "38"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Liquen escleroso"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "V&#46; Mons&#225;lvez, R&#46; Rivera, F&#46; Vanaclocha"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Mons&#225;lvez"
            ]
            1 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Rivera"
            ]
            2 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Vanaclocha"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010705771?idApp=UINPBA000044"
    "url" => "/15782190/0000010100000001/v1_201304241512/S1578219010705771/v1_201304241512/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
    "titulo" => "Changes in the Incidence of Skin Cancer Between 1978 and 2002"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "39"
        "paginaFinal" => "46"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "P&#46; Aceituno-Madera, A&#46; Buend&#237;a-Eisman, S&#46; Arias-Santiago, S&#46; Serrano-Ortega"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "P&#46;"
            "apellidos" => "Aceituno-Madera"
            "email" => array:1 [
              0 => "pedroaceituno40&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "A&#46;"
            "apellidos" => "Buend&#237;a-Eisman"
          ]
          2 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Arias-Santiago"
          ]
          3 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Serrano-Ortega"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "&#193;rea de Dermatolog&#237;a&#44; Facultad de Medicina&#44; Universidad de Granada&#44; Granada&#44; Spain"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Evoluci&#243;n de la incidencia del c&#225;ncer de piel en el per&#237;odo 1978-2002"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-02-02"
    "fechaAceptado" => "2009-05-25"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec84660"
          "palabras" => array:5 [
            0 => "Melanoma"
            1 => "Basal cell carcinoma"
            2 => "Squamous cell carcinoma"
            3 => "Epidemiology"
            4 => "Cancer registry"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84661"
          "palabras" => array:5 [
            0 => "Melanoma"
            1 => "Carcinoma basocelular"
            2 => "Carcinoma espinocelular"
            3 => "Epidemiolog&#237;a"
            4 => "Registro de c&#225;ncer"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Ultraviolet radiation is the main risk factor for skin cancer&#46; Changes in lifestyle over recent decades have led to greater exposure to ultraviolet radiation&#59; this phenomenon&#44; coupled with aging of the population&#44; increases the risk of developing skin cancer&#46; Our objective was to analyze the trends in the incidence of skin cancer worldwide&#44; in Europe&#44; and in Spain during the period 1978 to 2002&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Both skin cancer incidence and trends were investigated during the period 1978 to 2002 using the publication Cancer Incidence in Five Continents&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The incidence of cutaneous melanoma increased progressively throughout the period&#44; with higher rates among women&#46; The highest incidence was found in Australia&#46; In Spain&#44; the standardized rates of melanoma had tripled in both sexes by the end of the study period&#46; The incidence of nonmelanoma skin cancer &#40;NMSC&#41; increased throughout the study period&#44; with higher rates among men&#46; The highest incidences were found in Australia&#44; Brazil&#44; and among the European inhabitants of Zimbabwe&#46; Within Spain&#44; the standardized rates of NMSC doubled or tripled in both sexes by the end of the study period&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">The rise in the incidence of skin cancer leads us to conclude that measures of primary prevention are failing or insufficient&#44; or that it is still too soon to evaluate their efficacy&#46; There are certain limitations to this study&#44; such as the fact that it was imposible to analyze the most recent period&#44; from 2003 to 2007&#44; and that cancer registries are not available for all populations&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">La radiaci&#243;n ultravioleta es el principal factor de riesgo en el desarrollo del c&#225;ncer de piel&#46; En las &#250;ltimas d&#233;cadas se ha producido un cambio en los estilos de vida que conlleva mayores exposiciones a la radiaci&#243;n ultravioleta&#44; lo que unido a un mayor envejecimiento de la poblaci&#243;n aumenta el riesgo de desarrollar c&#225;ncer de piel&#46; Nuestro objetivo es analizar la tendencia temporal en la incidencia del c&#225;ncer de piel a nivel mundial&#44; europeo y espa&#241;ol durante el per&#237;odo comprendido entre 1978-2002&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estudiaron la incidencia y la tendencia del c&#225;ncer de piel en el per&#237;odo 1978-2002 a trav&#233;s de la publicaci&#243;n Cancer Incidence in Five Continents&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La incidencia del melanoma cut&#225;neo aument&#243; de forma continua durante todo el per&#237;odo&#44; con tasas m&#225;s elevadas en mujeres&#46; Las incidencias m&#225;ximas se registraron en Australia&#46; En Espa&#241;a&#44; las tasas estandarizadas de melanoma llegaron a triplicarse en ambos sexos al final del per&#237;odo de estudio&#46; La incidencia del c&#225;ncer cut&#225;neo no melanoma &#40;CCNM&#41; aument&#243; durante el per&#237;odo de estudio &#40;1978-2002&#41;&#44; con tasas m&#225;s elevadas en varones&#46; Las incidencias m&#225;ximas se registraron en Australia&#44; Brasil y en la poblaci&#243;n europea de Zimbabue&#46; En Espa&#241;a&#44; las tasas estandarizadas de CCNM llegaron a duplicarse o triplicarse en ambos sexos al final del per&#237;odo&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El aumento de la incidencia del c&#225;ncer de piel nos hace pensar que las medidas de prevenci&#243;n primaria est&#225;n fallando&#44; son insuficientes o que a&#250;n no ha llegado el momento de evaluar su eficacia&#46; Como limitaciones a nuestro estudio&#44; cabe se&#241;alar que no se ha podido analizar el per&#237;odo m&#225;s actual 2003-2007 y el hecho de que no todas las poblaciones tienen un registro de c&#225;ncer&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:30 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The epidemiology of skin cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;L&#46; Diepgen"
                            1 => "V&#46; Mahler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2002"
                        "volumen" => "146"
                        "paginaInicial" => "1"
                        "paginaFinal" => "6"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11966724"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016510711000046"
                          "estado" => "S300"
                          "issn" => "00165107"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predictions of skin cancer incidence in the Netherlands up to 2015"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "E&#46; De Vries"
                            1 => "L&#46;V&#46; Van de Poll-Franse"
                            2 => "W&#46;J&#46; Louwman"
                            3 => "F&#46;R&#46; De Gruijl"
                            4 => "J&#46;W&#46; Coebergh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2005.06386.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2005"
                        "volumen" => "152"
                        "paginaInicial" => "481"
                        "paginaFinal" => "488"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15787817"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Non-melanoma skin cancer in Australia&#58; The 2002 national survey and trends since 1985"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46;P&#46; Staples"
                            1 => "M&#46; Elwood"
                            2 => "R&#46;C&#46; Burton"
                            3 => "J&#46;L&#46; Williams"
                            4 => "R&#46; Marks"
                            5 => "G&#46;G&#46; Giles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med J Aust"
                        "fecha" => "2006"
                        "volumen" => "184"
                        "paginaInicial" => "6"
                        "paginaFinal" => "10"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16398622"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin cancer trends in Northern Ireland and consequences for provision of dermatology services"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;E&#46; Hoey"
                            1 => "C&#46;E&#46; Devereux"
                            2 => "L&#46; Murray"
                            3 => "D&#46; Catney"
                            4 => "A&#46; Gavin"
                            5 => "S&#46; Kumar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2007.07936.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2007"
                        "volumen" => "156"
                        "paginaInicial" => "1301"
                        "paginaFinal" => "1307"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17535230"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiolog&#237;a del melanoma en Espa&#241;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; S&#225;enz"
                            1 => "J&#46; Conejo-Mir"
                            2 => "A&#46; Cayuela"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2005"
                        "volumen" => "96"
                        "paginaInicial" => "411"
                        "paginaFinal" => "418"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16476268"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "El c&#225;ncer de piel en la provincia de Granada"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Buend&#237;a"
                            1 => "M&#46; Rodr&#237;guez"
                            2 => "M&#46;J&#46; S&#225;nchez"
                            3 => "R&#46; Ortega"
                            4 => "S&#46; Serrano"
                            5 => "C&#46; Mart&#237;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliograf"
                        "fecha" => "2000"
                        "volumen" => "91"
                        "paginaInicial" => "435"
                        "paginaFinal" => "441"
                        "itemHostRev" => array:3 [
                          "pii" => "S0016508508021859"
                          "estado" => "S300"
                          "issn" => "00165085"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous malignant melanoma in Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; De Vries"
                            1 => "J&#46;W&#46; Coebergh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejca.2004.06.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Cancer"
                        "fecha" => "2004"
                        "volumen" => "40"
                        "paginaInicial" => "2355"
                        "paginaFinal" => "2366"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15519506"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meta-analysis of risk factors for cutaneous melanoma&#58; II&#46; Sun exposure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Gandini"
                            1 => "F&#46; Sera"
                            2 => "M&#46;S&#46; Cattaruzza"
                            3 => "P&#46; Pasquini"
                            4 => "O&#46; Picconi"
                            5 => "P&#46; Boyle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejca.2004.10.016"
                      "Revista" => array:7 [
                        "tituloSerie" => "Eur J Cancer"
                        "fecha" => "2005"
                        "volumen" => "41"
                        "paginaInicial" => "45"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15617990"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016508509019520"
                          "estado" => "S300"
                          "issn" => "00165085"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous squamous-cell carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Alam"
                            1 => "D&#46; Ratner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM200103293441306"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2001"
                        "volumen" => "344"
                        "paginaInicial" => "975"
                        "paginaFinal" => "983"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11274625"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma in the 21st century&#44; part 1&#58; Epidemiology&#44; risk factors&#44; screening&#44; prevention&#44; and diagnosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;N&#46; Markovic"
                            1 => "L&#46;A&#46; Erickson"
                            2 => "R&#46;D&#46; Rao"
                            3 => "R&#46;H&#46; Weenig"
                            4 => "B&#46;A&#46; Pockaj"
                            5 => "A&#46; Bardia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4065/82.3.364"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mayo Clin Proc"
                        "fecha" => "2007"
                        "volumen" => "82"
                        "paginaInicial" => "364"
                        "paginaFinal" => "380"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17352373"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Years of potential life lost&#58; Another indicator of the impact of cutaneous malignant melanoma on society"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "V&#46;A&#46; Albert"
                            1 => "H&#46;K&#46; Koh"
                            2 => "A&#46;C&#46; Geller"
                            3 => "D&#46;R&#46; Miller"
                            4 => "M&#46;N&#46; Prout"
                            5 => "R&#46;A&#46; Lew"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1990"
                        "volumen" => "23"
                        "paginaInicial" => "308"
                        "paginaFinal" => "310"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2212128"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of cancer registries in cancer control"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;M&#46; Parkin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s10147-008-0762-6"
                      "Revista" => array:7 [
                        "tituloSerie" => "Int J Clin Oncol"
                        "fecha" => "2008"
                        "volumen" => "13"
                        "paginaInicial" => "102"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18463952"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016510710018316"
                          "estado" => "S300"
                          "issn" => "00165107"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "C&#46;S&#46;MuirJ&#46;WaterhouseT&#46;MackJ&#46;PowellS&#46;L&#46;Whelan"
                        "serieVolumen" => "Vol&#46; V"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 88"
                        "serieFecha" => "1987"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "D&#46;M&#46;ParkinC&#46;S&#46;MuirS&#46;L&#46;WhelanY&#46;T&#46;GaoJ&#46;FerlayJ&#46;Powell"
                        "serieVolumen" => "Vol&#46; VI"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 120"
                        "serieFecha" => "1992"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "D&#46;M&#46;ParkinS&#46;L&#46;WhelanJ&#46;FerlayL&#46;RaymondJ&#46;Young"
                        "serieVolumen" => "Vol&#46; VII"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 143"
                        "serieFecha" => "1997"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "D&#46;M&#46;ParkinS&#46;L&#46;WhelanJ&#46;FerlayL&#46;TeppoD&#46;B&#46;Thomas"
                        "serieVolumen" => "Vol&#46; VIII"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 155"
                        "serieFecha" => "2002"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "M&#46;P&#46;CuradoB&#46;EdwardsH&#46;R&#46;ShinH&#46;StormJ&#46;FerlayM&#46;Heanue"
                        "serieVolumen" => "Vol&#46; IX"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 160"
                        "serieFecha" => "2007"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nonmelanoma skin cancer in the United States&#58; Incidence"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;L&#46; Miller"
                            1 => "M&#46;A&#46; Weinstock"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1994"
                        "volumen" => "30"
                        "paginaInicial" => "774"
                        "paginaFinal" => "778"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8176018"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changing patterns in incidence of nonmelanoma skin cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Green"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Epithelial Cell Biol"
                        "fecha" => "1992"
                        "volumen" => "1"
                        "paginaInicial" => "47"
                        "paginaFinal" => "51"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1307938"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recent trends in incidence of nonmelanoma skin cancers in the East of Scotland&#44; 1992-2003"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;H&#46; Brewster"
                            1 => "L&#46;A&#46; Bhatti"
                            2 => "J&#46;H&#46; Inglis"
                            3 => "E&#46;R&#46; Nairn"
                            4 => "V&#46;R&#46; Doherty"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2007.07892.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2007"
                        "volumen" => "156"
                        "paginaInicial" => "1295"
                        "paginaFinal" => "1300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17535229"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Variations in registration of skin cancer in the United Kingdom"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;G&#46; Goodwin"
                            1 => "S&#46;A&#46; Holme"
                            2 => "D&#46;L&#46; Roberts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2230.2004.01523.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "2004"
                        "volumen" => "29"
                        "paginaInicial" => "328"
                        "paginaFinal" => "330"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15115532"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma and nonmelanoma skin cancers in Northrhine-Westphalia&#44; Germany&#58; A patient- vs&#46; diagnosis-based incidence approach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Stang"
                            1 => "S&#46; Ziegler"
                            2 => "U&#46; B&#252;chner"
                            3 => "B&#46; Ziegler"
                            4 => "K&#46;H&#46; J&#246;ckel"
                            5 => "V&#46; Ziegler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-4632.2006.03056.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "2007"
                        "volumen" => "46"
                        "paginaInicial" => "564"
                        "paginaFinal" => "570"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17550552"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recurrent nonmelanoma skin cancer in Southern Australia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Czarnecki"
                            1 => "M&#46; Staples"
                            2 => "A&#46; Mar"
                            3 => "G&#46; Giles"
                            4 => "C&#46; Meehan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "1996"
                        "volumen" => "35"
                        "paginaInicial" => "410"
                        "paginaFinal" => "412"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8737875"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Melanoma epidemiology and trends"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46; Garbe"
                            1 => "U&#46; Leiter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clindermatol.2008.09.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Dermatol"
                        "fecha" => "2009"
                        "volumen" => "27"
                        "paginaInicial" => "3"
                        "paginaFinal" => "9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19095149"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recent trends in cutaneous malignant melanoma in the Yorkshire region of England&#59; incidence&#44; mortality and survival in relation to stage of disease&#44; 1993-2003"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Downing"
                            1 => "J&#46;A&#46; Newton-Bishop"
                            2 => "D&#46; Forman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/sj.bjc.6603216"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Cancer"
                        "fecha" => "2006"
                        "volumen" => "95"
                        "paginaInicial" => "91"
                        "paginaFinal" => "95"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16755289"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incidence&#44; mortality and survival in cutaneous melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;V&#46; Giblin"
                            1 => "J&#46;M&#46; Thomas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.bjps.2006.05.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Plast Reconstr Aesthet Surg"
                        "fecha" => "2007"
                        "volumen" => "60"
                        "paginaInicial" => "32"
                        "paginaFinal" => "40"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17126264"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiolog&#237;a y supervivencia del melanoma cut&#225;neo en Espa&#241;a&#58; estudio de 552 casos &#40;1994-2003&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;A&#46; Avil&#233;s"
                            1 => "P&#46; L&#225;zaro"
                            2 => "M&#46; Lecona"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Clin Esp"
                        "fecha" => "2006"
                        "volumen" => "206"
                        "paginaInicial" => "319"
                        "paginaFinal" => "325"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16831378"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Under-registration of melanoma in Belgium&#58; An analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Brochez"
                            1 => "E&#46; Verhaeghe"
                            2 => "L&#46; Bleyen"
                            3 => "K&#46; Myny"
                            4 => "G&#46; De Backer"
                            5 => "J&#46;M&#46; Naeyaert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Melanoma Res"
                        "fecha" => "1999"
                        "volumen" => "9"
                        "paginaInicial" => "413"
                        "paginaFinal" => "418"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10504062"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1470204509703298"
                          "estado" => "S300"
                          "issn" => "14702045"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mortality from cutaneous malignant melanoma in Europe&#46; Has the epidemic levelled off&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Bosetti"
                            1 => "C&#46; La Vecchia"
                            2 => "L&#46; Naldi"
                            3 => "F&#46; Lucchini"
                            4 => "E&#46; Negri"
                            5 => "F&#46; Levi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Melanoma Res"
                        "fecha" => "2004"
                        "volumen" => "14"
                        "paginaInicial" => "301"
                        "paginaFinal" => "309"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15305162"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Time trends of cutaneous melanoma in Queensland&#44; Australia and Central Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Garbe"
                            1 => "G&#46;R&#46; McLeod"
                            2 => "P&#46;G&#46; Buettner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "2000"
                        "volumen" => "89"
                        "paginaInicial" => "1269"
                        "paginaFinal" => "1278"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11002222"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010100000001/v1_201304241512/S1578219010705783/v1_201304241512/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6155"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original Articles"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010100000001/v1_201304241512/S1578219010705783/v1_201304241512/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010705783?idApp=UINPBA000044"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Original article
Changes in the Incidence of Skin Cancer Between 1978 and 2002
Evolución de la incidencia del cáncer de piel en el período 1978-2002
P. Aceituno-Madera
Corresponding author
pedroaceituno40@hotmail.com

Corresponding author.
, A. Buendía-Eisman, S. Arias-Santiago, S. Serrano-Ortega
Área de Dermatología, Facultad de Medicina, Universidad de Granada, Granada, Spain
Read
5699
Times
was read the article
2364
Total PDF
3335
Total HTML
Share statistics
 array:23 [
  "pii" => "S1578219010705783"
  "issn" => "15782190"
  "doi" => "10.1016/S1578-2190(10)70578-3"
  "estado" => "S300"
  "fechaPublicacion" => "2010-01-01"
  "aid" => "70578"
  "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
  "copyrightAnyo" => "2010"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Actas Dermosifiliogr. 2010;101:39-46"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2308
    "formatos" => array:3 [
      "EPUB" => 48
      "HTML" => 1529
      "PDF" => 731
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219010705795"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(10)70579-5"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "aid" => "70579"
    "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2010;101:47-53"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2454
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 1718
        "PDF" => 693
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
      "titulo" => "Long-term Safety and Efficacy of Etanercept in the Treatment of Psoriasis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "47"
          "paginaFinal" => "53"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Seguridad y eficacia de etanercept a largo plazo en el tratamiento de la psoriasis"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "V&#46; Zaragoza, A&#46; P&#233;rez, J&#46;L&#46; S&#225;nchez, V&#46; Oliver, L&#46; Mart&#237;nez, V&#46; Alegre"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Zaragoza"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "P&#233;rez"
            ]
            2 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "S&#225;nchez"
            ]
            3 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Oliver"
            ]
            4 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Mart&#237;nez"
            ]
            5 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Alegre"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010705795?idApp=UINPBA000044"
    "url" => "/15782190/0000010100000001/v1_201304241512/S1578219010705795/v1_201304241512/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1578219010705771"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(10)70577-1"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "aid" => "70577"
    "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2010;101:31-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3439
      "formatos" => array:3 [
        "EPUB" => 40
        "HTML" => 2021
        "PDF" => 1378
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Practical dermatology</span>"
      "titulo" => "Lichen Sclerosus"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "31"
          "paginaFinal" => "38"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Liquen escleroso"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "V&#46; Mons&#225;lvez, R&#46; Rivera, F&#46; Vanaclocha"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Mons&#225;lvez"
            ]
            1 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Rivera"
            ]
            2 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Vanaclocha"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010705771?idApp=UINPBA000044"
    "url" => "/15782190/0000010100000001/v1_201304241512/S1578219010705771/v1_201304241512/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
    "titulo" => "Changes in the Incidence of Skin Cancer Between 1978 and 2002"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "39"
        "paginaFinal" => "46"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "P&#46; Aceituno-Madera, A&#46; Buend&#237;a-Eisman, S&#46; Arias-Santiago, S&#46; Serrano-Ortega"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "P&#46;"
            "apellidos" => "Aceituno-Madera"
            "email" => array:1 [
              0 => "pedroaceituno40&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "A&#46;"
            "apellidos" => "Buend&#237;a-Eisman"
          ]
          2 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Arias-Santiago"
          ]
          3 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Serrano-Ortega"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "&#193;rea de Dermatolog&#237;a&#44; Facultad de Medicina&#44; Universidad de Granada&#44; Granada&#44; Spain"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Evoluci&#243;n de la incidencia del c&#225;ncer de piel en el per&#237;odo 1978-2002"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-02-02"
    "fechaAceptado" => "2009-05-25"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec84660"
          "palabras" => array:5 [
            0 => "Melanoma"
            1 => "Basal cell carcinoma"
            2 => "Squamous cell carcinoma"
            3 => "Epidemiology"
            4 => "Cancer registry"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84661"
          "palabras" => array:5 [
            0 => "Melanoma"
            1 => "Carcinoma basocelular"
            2 => "Carcinoma espinocelular"
            3 => "Epidemiolog&#237;a"
            4 => "Registro de c&#225;ncer"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Ultraviolet radiation is the main risk factor for skin cancer&#46; Changes in lifestyle over recent decades have led to greater exposure to ultraviolet radiation&#59; this phenomenon&#44; coupled with aging of the population&#44; increases the risk of developing skin cancer&#46; Our objective was to analyze the trends in the incidence of skin cancer worldwide&#44; in Europe&#44; and in Spain during the period 1978 to 2002&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Both skin cancer incidence and trends were investigated during the period 1978 to 2002 using the publication Cancer Incidence in Five Continents&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The incidence of cutaneous melanoma increased progressively throughout the period&#44; with higher rates among women&#46; The highest incidence was found in Australia&#46; In Spain&#44; the standardized rates of melanoma had tripled in both sexes by the end of the study period&#46; The incidence of nonmelanoma skin cancer &#40;NMSC&#41; increased throughout the study period&#44; with higher rates among men&#46; The highest incidences were found in Australia&#44; Brazil&#44; and among the European inhabitants of Zimbabwe&#46; Within Spain&#44; the standardized rates of NMSC doubled or tripled in both sexes by the end of the study period&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">The rise in the incidence of skin cancer leads us to conclude that measures of primary prevention are failing or insufficient&#44; or that it is still too soon to evaluate their efficacy&#46; There are certain limitations to this study&#44; such as the fact that it was imposible to analyze the most recent period&#44; from 2003 to 2007&#44; and that cancer registries are not available for all populations&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">La radiaci&#243;n ultravioleta es el principal factor de riesgo en el desarrollo del c&#225;ncer de piel&#46; En las &#250;ltimas d&#233;cadas se ha producido un cambio en los estilos de vida que conlleva mayores exposiciones a la radiaci&#243;n ultravioleta&#44; lo que unido a un mayor envejecimiento de la poblaci&#243;n aumenta el riesgo de desarrollar c&#225;ncer de piel&#46; Nuestro objetivo es analizar la tendencia temporal en la incidencia del c&#225;ncer de piel a nivel mundial&#44; europeo y espa&#241;ol durante el per&#237;odo comprendido entre 1978-2002&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se estudiaron la incidencia y la tendencia del c&#225;ncer de piel en el per&#237;odo 1978-2002 a trav&#233;s de la publicaci&#243;n Cancer Incidence in Five Continents&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La incidencia del melanoma cut&#225;neo aument&#243; de forma continua durante todo el per&#237;odo&#44; con tasas m&#225;s elevadas en mujeres&#46; Las incidencias m&#225;ximas se registraron en Australia&#46; En Espa&#241;a&#44; las tasas estandarizadas de melanoma llegaron a triplicarse en ambos sexos al final del per&#237;odo de estudio&#46; La incidencia del c&#225;ncer cut&#225;neo no melanoma &#40;CCNM&#41; aument&#243; durante el per&#237;odo de estudio &#40;1978-2002&#41;&#44; con tasas m&#225;s elevadas en varones&#46; Las incidencias m&#225;ximas se registraron en Australia&#44; Brasil y en la poblaci&#243;n europea de Zimbabue&#46; En Espa&#241;a&#44; las tasas estandarizadas de CCNM llegaron a duplicarse o triplicarse en ambos sexos al final del per&#237;odo&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El aumento de la incidencia del c&#225;ncer de piel nos hace pensar que las medidas de prevenci&#243;n primaria est&#225;n fallando&#44; son insuficientes o que a&#250;n no ha llegado el momento de evaluar su eficacia&#46; Como limitaciones a nuestro estudio&#44; cabe se&#241;alar que no se ha podido analizar el per&#237;odo m&#225;s actual 2003-2007 y el hecho de que no todas las poblaciones tienen un registro de c&#225;ncer&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:30 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The epidemiology of skin cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;L&#46; Diepgen"
                            1 => "V&#46; Mahler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2002"
                        "volumen" => "146"
                        "paginaInicial" => "1"
                        "paginaFinal" => "6"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11966724"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016510711000046"
                          "estado" => "S300"
                          "issn" => "00165107"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Predictions of skin cancer incidence in the Netherlands up to 2015"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "E&#46; De Vries"
                            1 => "L&#46;V&#46; Van de Poll-Franse"
                            2 => "W&#46;J&#46; Louwman"
                            3 => "F&#46;R&#46; De Gruijl"
                            4 => "J&#46;W&#46; Coebergh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2005.06386.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2005"
                        "volumen" => "152"
                        "paginaInicial" => "481"
                        "paginaFinal" => "488"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15787817"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Non-melanoma skin cancer in Australia&#58; The 2002 national survey and trends since 1985"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46;P&#46; Staples"
                            1 => "M&#46; Elwood"
                            2 => "R&#46;C&#46; Burton"
                            3 => "J&#46;L&#46; Williams"
                            4 => "R&#46; Marks"
                            5 => "G&#46;G&#46; Giles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med J Aust"
                        "fecha" => "2006"
                        "volumen" => "184"
                        "paginaInicial" => "6"
                        "paginaFinal" => "10"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16398622"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin cancer trends in Northern Ireland and consequences for provision of dermatology services"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;E&#46; Hoey"
                            1 => "C&#46;E&#46; Devereux"
                            2 => "L&#46; Murray"
                            3 => "D&#46; Catney"
                            4 => "A&#46; Gavin"
                            5 => "S&#46; Kumar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2007.07936.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2007"
                        "volumen" => "156"
                        "paginaInicial" => "1301"
                        "paginaFinal" => "1307"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17535230"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiolog&#237;a del melanoma en Espa&#241;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; S&#225;enz"
                            1 => "J&#46; Conejo-Mir"
                            2 => "A&#46; Cayuela"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2005"
                        "volumen" => "96"
                        "paginaInicial" => "411"
                        "paginaFinal" => "418"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16476268"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "El c&#225;ncer de piel en la provincia de Granada"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Buend&#237;a"
                            1 => "M&#46; Rodr&#237;guez"
                            2 => "M&#46;J&#46; S&#225;nchez"
                            3 => "R&#46; Ortega"
                            4 => "S&#46; Serrano"
                            5 => "C&#46; Mart&#237;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliograf"
                        "fecha" => "2000"
                        "volumen" => "91"
                        "paginaInicial" => "435"
                        "paginaFinal" => "441"
                        "itemHostRev" => array:3 [
                          "pii" => "S0016508508021859"
                          "estado" => "S300"
                          "issn" => "00165085"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous malignant melanoma in Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; De Vries"
                            1 => "J&#46;W&#46; Coebergh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejca.2004.06.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Cancer"
                        "fecha" => "2004"
                        "volumen" => "40"
                        "paginaInicial" => "2355"
                        "paginaFinal" => "2366"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15519506"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Meta-analysis of risk factors for cutaneous melanoma&#58; II&#46; Sun exposure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Gandini"
                            1 => "F&#46; Sera"
                            2 => "M&#46;S&#46; Cattaruzza"
                            3 => "P&#46; Pasquini"
                            4 => "O&#46; Picconi"
                            5 => "P&#46; Boyle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejca.2004.10.016"
                      "Revista" => array:7 [
                        "tituloSerie" => "Eur J Cancer"
                        "fecha" => "2005"
                        "volumen" => "41"
                        "paginaInicial" => "45"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15617990"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016508509019520"
                          "estado" => "S300"
                          "issn" => "00165085"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous squamous-cell carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Alam"
                            1 => "D&#46; Ratner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM200103293441306"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2001"
                        "volumen" => "344"
                        "paginaInicial" => "975"
                        "paginaFinal" => "983"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11274625"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma in the 21st century&#44; part 1&#58; Epidemiology&#44; risk factors&#44; screening&#44; prevention&#44; and diagnosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;N&#46; Markovic"
                            1 => "L&#46;A&#46; Erickson"
                            2 => "R&#46;D&#46; Rao"
                            3 => "R&#46;H&#46; Weenig"
                            4 => "B&#46;A&#46; Pockaj"
                            5 => "A&#46; Bardia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4065/82.3.364"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mayo Clin Proc"
                        "fecha" => "2007"
                        "volumen" => "82"
                        "paginaInicial" => "364"
                        "paginaFinal" => "380"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17352373"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Years of potential life lost&#58; Another indicator of the impact of cutaneous malignant melanoma on society"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "V&#46;A&#46; Albert"
                            1 => "H&#46;K&#46; Koh"
                            2 => "A&#46;C&#46; Geller"
                            3 => "D&#46;R&#46; Miller"
                            4 => "M&#46;N&#46; Prout"
                            5 => "R&#46;A&#46; Lew"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1990"
                        "volumen" => "23"
                        "paginaInicial" => "308"
                        "paginaFinal" => "310"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2212128"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of cancer registries in cancer control"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;M&#46; Parkin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s10147-008-0762-6"
                      "Revista" => array:7 [
                        "tituloSerie" => "Int J Clin Oncol"
                        "fecha" => "2008"
                        "volumen" => "13"
                        "paginaInicial" => "102"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18463952"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0016510710018316"
                          "estado" => "S300"
                          "issn" => "00165107"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "C&#46;S&#46;MuirJ&#46;WaterhouseT&#46;MackJ&#46;PowellS&#46;L&#46;Whelan"
                        "serieVolumen" => "Vol&#46; V"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 88"
                        "serieFecha" => "1987"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "D&#46;M&#46;ParkinC&#46;S&#46;MuirS&#46;L&#46;WhelanY&#46;T&#46;GaoJ&#46;FerlayJ&#46;Powell"
                        "serieVolumen" => "Vol&#46; VI"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 120"
                        "serieFecha" => "1992"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "D&#46;M&#46;ParkinS&#46;L&#46;WhelanJ&#46;FerlayL&#46;RaymondJ&#46;Young"
                        "serieVolumen" => "Vol&#46; VII"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 143"
                        "serieFecha" => "1997"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "D&#46;M&#46;ParkinS&#46;L&#46;WhelanJ&#46;FerlayL&#46;TeppoD&#46;B&#46;Thomas"
                        "serieVolumen" => "Vol&#46; VIII"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 155"
                        "serieFecha" => "2002"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "editores" => "M&#46;P&#46;CuradoB&#46;EdwardsH&#46;R&#46;ShinH&#46;StormJ&#46;FerlayM&#46;Heanue"
                        "serieVolumen" => "Vol&#46; IX"
                        "serieTitulo" => "Cancer incidence in five continents&#46; IARC Scientific Publications No&#46; 160"
                        "serieFecha" => "2007"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nonmelanoma skin cancer in the United States&#58; Incidence"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;L&#46; Miller"
                            1 => "M&#46;A&#46; Weinstock"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1994"
                        "volumen" => "30"
                        "paginaInicial" => "774"
                        "paginaFinal" => "778"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8176018"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changing patterns in incidence of nonmelanoma skin cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Green"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Epithelial Cell Biol"
                        "fecha" => "1992"
                        "volumen" => "1"
                        "paginaInicial" => "47"
                        "paginaFinal" => "51"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1307938"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recent trends in incidence of nonmelanoma skin cancers in the East of Scotland&#44; 1992-2003"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;H&#46; Brewster"
                            1 => "L&#46;A&#46; Bhatti"
                            2 => "J&#46;H&#46; Inglis"
                            3 => "E&#46;R&#46; Nairn"
                            4 => "V&#46;R&#46; Doherty"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2007.07892.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2007"
                        "volumen" => "156"
                        "paginaInicial" => "1295"
                        "paginaFinal" => "1300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17535229"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Variations in registration of skin cancer in the United Kingdom"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;G&#46; Goodwin"
                            1 => "S&#46;A&#46; Holme"
                            2 => "D&#46;L&#46; Roberts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2230.2004.01523.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "2004"
                        "volumen" => "29"
                        "paginaInicial" => "328"
                        "paginaFinal" => "330"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15115532"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma and nonmelanoma skin cancers in Northrhine-Westphalia&#44; Germany&#58; A patient- vs&#46; diagnosis-based incidence approach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Stang"
                            1 => "S&#46; Ziegler"
                            2 => "U&#46; B&#252;chner"
                            3 => "B&#46; Ziegler"
                            4 => "K&#46;H&#46; J&#246;ckel"
                            5 => "V&#46; Ziegler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-4632.2006.03056.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "2007"
                        "volumen" => "46"
                        "paginaInicial" => "564"
                        "paginaFinal" => "570"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17550552"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recurrent nonmelanoma skin cancer in Southern Australia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Czarnecki"
                            1 => "M&#46; Staples"
                            2 => "A&#46; Mar"
                            3 => "G&#46; Giles"
                            4 => "C&#46; Meehan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "1996"
                        "volumen" => "35"
                        "paginaInicial" => "410"
                        "paginaFinal" => "412"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8737875"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Melanoma epidemiology and trends"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46; Garbe"
                            1 => "U&#46; Leiter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clindermatol.2008.09.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Dermatol"
                        "fecha" => "2009"
                        "volumen" => "27"
                        "paginaInicial" => "3"
                        "paginaFinal" => "9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19095149"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recent trends in cutaneous malignant melanoma in the Yorkshire region of England&#59; incidence&#44; mortality and survival in relation to stage of disease&#44; 1993-2003"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Downing"
                            1 => "J&#46;A&#46; Newton-Bishop"
                            2 => "D&#46; Forman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/sj.bjc.6603216"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Cancer"
                        "fecha" => "2006"
                        "volumen" => "95"
                        "paginaInicial" => "91"
                        "paginaFinal" => "95"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16755289"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Incidence&#44; mortality and survival in cutaneous melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;V&#46; Giblin"
                            1 => "J&#46;M&#46; Thomas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.bjps.2006.05.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Plast Reconstr Aesthet Surg"
                        "fecha" => "2007"
                        "volumen" => "60"
                        "paginaInicial" => "32"
                        "paginaFinal" => "40"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17126264"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiolog&#237;a y supervivencia del melanoma cut&#225;neo en Espa&#241;a&#58; estudio de 552 casos &#40;1994-2003&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;A&#46; Avil&#233;s"
                            1 => "P&#46; L&#225;zaro"
                            2 => "M&#46; Lecona"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Clin Esp"
                        "fecha" => "2006"
                        "volumen" => "206"
                        "paginaInicial" => "319"
                        "paginaFinal" => "325"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16831378"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Under-registration of melanoma in Belgium&#58; An analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Brochez"
                            1 => "E&#46; Verhaeghe"
                            2 => "L&#46; Bleyen"
                            3 => "K&#46; Myny"
                            4 => "G&#46; De Backer"
                            5 => "J&#46;M&#46; Naeyaert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Melanoma Res"
                        "fecha" => "1999"
                        "volumen" => "9"
                        "paginaInicial" => "413"
                        "paginaFinal" => "418"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10504062"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1470204509703298"
                          "estado" => "S300"
                          "issn" => "14702045"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mortality from cutaneous malignant melanoma in Europe&#46; Has the epidemic levelled off&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Bosetti"
                            1 => "C&#46; La Vecchia"
                            2 => "L&#46; Naldi"
                            3 => "F&#46; Lucchini"
                            4 => "E&#46; Negri"
                            5 => "F&#46; Levi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Melanoma Res"
                        "fecha" => "2004"
                        "volumen" => "14"
                        "paginaInicial" => "301"
                        "paginaFinal" => "309"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15305162"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Time trends of cutaneous melanoma in Queensland&#44; Australia and Central Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Garbe"
                            1 => "G&#46;R&#46; McLeod"
                            2 => "P&#46;G&#46; Buettner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "2000"
                        "volumen" => "89"
                        "paginaInicial" => "1269"
                        "paginaFinal" => "1278"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11002222"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010100000001/v1_201304241512/S1578219010705783/v1_201304241512/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6155"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original Articles"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010100000001/v1_201304241512/S1578219010705783/v1_201304241512/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010705783?idApp=UINPBA000044"
]
Article information
ISSN: 15782190
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 3 7 10
2024 October 70 39 109
2024 September 62 31 93
2024 August 91 69 160
2024 July 46 36 82
2024 June 64 21 85
2024 May 46 29 75
2024 April 45 27 72
2024 March 56 26 82
2024 February 46 30 76
2024 January 50 45 95
2023 December 54 36 90
2023 November 37 32 69
2023 October 33 36 69
2023 September 31 27 58
2023 August 25 16 41
2023 July 27 42 69
2023 June 46 34 80
2023 May 36 26 62
2023 April 34 14 48
2023 March 28 22 50
2023 February 24 17 41
2023 January 37 26 63
2022 December 34 38 72
2022 November 14 37 51
2022 October 13 11 24
2022 September 16 46 62
2022 August 13 42 55
2022 July 11 30 41
2022 June 14 24 38
2022 May 22 41 63
2022 April 23 40 63
2022 March 35 40 75
2022 February 20 30 50
2022 January 28 36 64
2021 December 32 38 70
2021 November 30 48 78
2021 October 30 41 71
2021 September 33 40 73
2021 August 29 24 53
2021 July 21 23 44
2021 June 14 18 32
2021 May 20 15 35
2021 April 27 39 66
2021 March 35 20 55
2021 February 43 23 66
2021 January 26 17 43
2020 December 30 11 41
2020 November 28 19 47
2020 October 27 9 36
2020 September 25 13 38
2020 August 21 16 37
2020 July 21 15 36
2020 June 18 29 47
2020 May 29 26 55
2020 April 16 20 36
2020 March 15 22 37
2020 February 2 5 7
2020 January 0 1 1
2019 December 0 1 1
2019 November 0 5 5
2019 October 0 6 6
2019 September 0 6 6
2019 August 0 4 4
2019 July 0 7 7
2019 June 0 5 5
2019 May 2 40 42
2019 April 0 1 1
2019 March 0 4 4
2019 February 0 3 3
2019 January 0 1 1
2018 December 0 1 1
2018 November 0 1 1
2018 June 0 1 1
2018 May 0 1 1
2018 March 4 1 5
2018 February 28 5 33
2018 January 13 5 18
2017 December 24 7 31
2017 November 16 4 20
2017 October 15 7 22
2017 September 22 6 28
2017 August 42 12 54
2017 July 28 5 33
2017 June 35 24 59
2017 May 28 6 34
2017 April 21 10 31
2017 March 22 19 41
2017 February 25 16 41
2017 January 12 12 24
2016 December 26 7 33
2016 November 22 6 28
2016 October 27 8 35
2016 September 26 6 32
2016 August 33 13 46
2016 July 25 6 31
2016 June 10 6 16
2016 May 10 13 23
2016 April 6 1 7
2016 March 5 0 5
2016 February 5 9 14
2016 January 10 0 10
2015 December 10 0 10
2015 November 5 2 7
2015 October 6 2 8
2015 September 4 5 9
2015 August 13 1 14
2015 July 43 7 50
2015 June 30 7 37
2015 May 68 16 84
2015 April 40 9 49
2015 March 26 18 44
2015 February 29 12 41
2015 January 20 8 28
2014 December 25 10 35
2014 November 16 14 30
2014 October 29 17 46
2014 September 23 15 38
2014 August 21 17 38
2014 July 28 16 44
2014 June 32 11 43
2014 May 35 11 46
2014 April 30 11 41
2014 March 55 15 70
2014 February 37 14 51
2014 January 36 13 49
2013 December 41 14 55
2013 November 23 18 41
2013 October 26 13 39
2013 September 37 17 54
2013 August 26 22 48
2013 July 42 22 64
2013 June 24 21 45
2013 May 31 9 40
2013 April 30 12 42
2013 March 31 17 48
2013 February 15 12 27
Show all

Follow this link to access the full text of the article

Idiomas
Actas Dermo-Sifiliográficas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?