Cancer in children and adolescents in Spain: incidence, treatment setting and provider specialty

Data de publicació: 01/01/2016

Autors de IIS La Fe

Pablo Berlanga Charriel

Autor
Adela Cañete Nieto

Autor
Victoria Castel Sánchez

Autor

Autors aliens a IIS La Fe

Vicente, M. L.
Alberich, C.

Grups d'Investigació

Investigación Clínica y Traslacional en Cáncer

Leader

José Gómez Codina

Abstract

Purpose To analyze cancer incidence, distribution of malignancy, treatment setting and provider specialty of cancer patients, 0-19 years old, in the Comunitat Valenciana, Spain. Methods/patients All incident childhood and adolescent (0-19 years) cancer cases registered in the population-based Comunitat Valenciana Childhood Cancer Registry (RTICV) from 2007 to 2010 were included. Pathological and hematological diagnoses were recoded using the International Classification of Childhood Cancer Third Edition (ICCC-3). Treatment setting and provider specialty were analyzed. Results 696 patients <20 years were diagnosed with cancer: 513 cases were children (0-14 years) and 183 were adolescents (15-19 years). Overall age-adjusted incidence for 2007-2010 was 176.0 cases per million (95 % CI 162.8-189.2), with incidence being the highest among infants (287.4), followed by 1-4 years (205.5), adolescents (179.9), 10-14 years (150.2) and 5-9 years (140.6). Among adolescents aged 14-19 years, the treatment setting differed by cancer type; 87 % of them were never seen at pediatric oncology units, while 40 % were treated in up to 20 different medical oncology departments in institutions without pediatric oncology expertise. Conclusions This is the first population-based epidemiological study carried out in Spain on children and adolescents with cancer. Centralization of care to a small number of specialized centers and thorough pediatric and oncology team collaboration are needed to improve care and survival for adolescents with cancer in our country. We suggest the creation of specific adolescent tumor boards in main tertiary care hospitals, in which adolescents with cancer can benefit from the shared expertise of medical and pediatric specialists.

Dades de la publicació

ISSN/ISSNe:: 1699-048X, 1699-3055
Tipus:: Article
Pàgines:: 27-32
DOI:: 10.1007/s12094-015-1330-y
PubMed:: 26108409
Factor d'Impacte:: 0,774 SCImago ℠
Quartil:: Q2 SCImago ℠

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Filiacions

Berlanga, P.:: Hosp La Fe, Pediat Oncol Unit, Avda Fernando Abril Martorell 106, Valencia 46026, Spain

Instituto de Investigación. Hlth Res Inst La Fe, Canc Clin & Translat Res Grp, Valencia, Spain
Vicente, M. L.:: Valencian Govt Hlth Dept, Publ Hlth Directorate Gen, Valencia, Spain
Canete, A.:: Hosp La Fe, Pediat Oncol Unit, Avda Fernando Abril Martorell 106, Valencia 46026, Spain

Instituto de Investigación. Hlth Res Inst La Fe, Canc Clin & Translat Res Grp, Valencia, Spain
Alberich, C.:: Valencian Govt Hlth Dept, Publ Hlth Directorate Gen, Valencia, Spain
Castel, V.:: Instituto de Investigación. Hlth Res Inst La Fe, Canc Clin & Translat Res Grp, Valencia, Spain