Mapping regional disparities in testicular cancer mortality across Spain (2004-2023)
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View abstract on PubMed
Summary
This summary is machine-generated.Testicular cancer mortality in Spain is stable but shows significant regional differences. High-risk areas identified suggest potential disparities in healthcare access and environmental factors.
Area Of Science
- Epidemiology
- Spatial Analysis
- Public Health
Background
- Investigates testicular cancer (TC) mortality trends and spatial patterns in Spain.
- Utilizes provincial-level spatial analysis to identify high-risk clusters.
Purpose Of The Study
- To analyze testicular cancer mortality trends and spatial distribution across Spanish provinces.
- To identify geographical areas with significantly higher TC mortality rates.
Main Methods
- Ecological study using national TC mortality data (ICD-10 C62) from 2004-2023.
- Calculated age-standardized mortality rates (ASMRs) and analyzed temporal trends using joinpoint regression.
- Employed Bayesian hierarchical models and spatial clustering tests (Tango's, Kulldorff's) to assess spatial patterns and identify clusters.
Main Results
- Recorded 909 TC deaths; ASMRs ranged from 0.14 to 0.26 per 1,000,000.
- No significant temporal trends observed; age-specific mortality showed a bimodal distribution.
- Identified elevated standardized mortality ratios (SMRs) in Zamora, Segovia, and Soria, and elevated relative risk in Badajoz, Huelva, and Sevilla. A high-mortality cluster was found in southwestern Spain.
Conclusions
- Testicular cancer mortality in Spain is stable but exhibits significant regional disparities.
- High-risk provinces and identified mortality clusters suggest potential inequalities in healthcare access, socioeconomic factors, and environmental exposures.
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