1. The Spanish Society of Pulmonology and Thoracic Surgery Lung Cancer Cooperative Group-II registry. A descriptive study.
- Author
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Sánchez de Cos Escuín J, Serra Mitjans M, Hernández Hernández J, Hernández Rodríguez H, Abal Arca J, Parente Lamelas I, León Atance P, Núñez Ares A, Miravet Sorribes L, Blanco Orozco AI, Melchor ĺñiguez R, García Arangüena L, Arnau Obrer A, Guijarro Jorge R, Padilla Alarcón J, Peñalver Cuesta JC, Mariñán Gorospe M, Fernández Araujo E, Francisco Corral G, Cerezo González S, González Casaurrán G, Naranjo Gozalo S, Álvarez de Arriba C, Núñez Delgado M, González Budiño MT, Magaroles R, de Esteban Júlvez L, Pavón Fernández MJ, Gullón Blanco JA, de Olaiz Navarro B, Escobar Campuzano I, Macía Vidueira I, García Barajas S, Herrero Collantes J, Freixenet Gilabert J, and Saura Vinuesa A
- Subjects
- Adenocarcinoma epidemiology, Adenocarcinoma pathology, Adenocarcinoma surgery, Aged, Carcinoma, Non-Small-Cell Lung epidemiology, Carcinoma, Non-Small-Cell Lung pathology, Carcinoma, Non-Small-Cell Lung surgery, Carcinoma, Squamous Cell epidemiology, Carcinoma, Squamous Cell pathology, Carcinoma, Squamous Cell surgery, Comorbidity, Databases, Factual, Female, Humans, Lung Neoplasms epidemiology, Lung Neoplasms pathology, Lung Neoplasms surgery, Lung Neoplasms therapy, Male, Middle Aged, Multimodal Imaging, Neoplasm Staging, Pneumonectomy methods, Positron-Emission Tomography, Prognosis, Prospective Studies, Smoking epidemiology, Tomography, X-Ray Computed, Lung Neoplasms classification, Pulmonary Medicine, Registries, Societies, Medical, Thoracic Surgery
- Abstract
Introduction and Objectives: The seventh edition of the TNM classification, together with undeniable advantages, has limitations. The International Association for the Study of Lung Cancer (IASLC) Staging Committee has designed an international prospective study to improve this classification. A group of thoracic surgeons and pulmonologists was established in the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) Oncology area, and created a registry of new lung cancer (LC) cases to participate in this project. The aim of this paper is to describe the main characteristics of the patients included., Materials and Methods: Prospective, observational, multicentre, multiregional data collection (epidemiological, clinical, therapeutic and, especially, anatomical extension) study, according to the IASLC protocol, to analyse its prognostic value., Results: Two thousand, four hundred and nineteen patients (83.6% men) from 28 hospitals were included. Ninety-six percent of the men and 54% of the women were smokers or ex-smokers. Chest/abdominal computed tomography (CT) scanning was performed in over 90% and positron emission tomography (PET)/CT scanning in 51.5% of cases. Among the 1035 patients who underwent surgery, 77% had early stages (ia to iib), and 61.6% of those treated using other methods had stage iv. Respiratory comorbidity was higher in men (47.9% versus 21.4%). The most common histological subtype was adenocarcinoma (34%), especially in non-smoking women (69.5%)., Conclusions: The proportion of women and adenocarcinomas, as well as those resected at an early stage, increased among LC cases in Spain., (Copyright © 2013 SEPAR. Published by Elsevier Espana. All rights reserved.)
- Published
- 2013
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