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        "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>"
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        "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>"
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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
Autor para correspondencia
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
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        "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>"
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        "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>"
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