Spatial gender-age-period-cohort analysis of pancreatic cancer mortality in Spain (1990-2013)
Fecha
2017Autor
Versión
Acceso abierto / Sarbide irekia
Tipo
Artículo / Artikulua
Versión
Versión publicada / Argitaratu den bertsioa
Impacto
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10.1371/journal.pone.0169751
Resumen
Recently, the interest in studying pancreatic cancer mortality has increased due to its high
lethality. In this work a detailed analysis of pancreatic cancer mortality in Spanish provinces
was performed using recent data. A set of multivariate spatial gender-age-period-cohort
models was considered to look for potential candidates to analyze pancreatic cancer mortality
rates. The selected mode ...
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Recently, the interest in studying pancreatic cancer mortality has increased due to its high
lethality. In this work a detailed analysis of pancreatic cancer mortality in Spanish provinces
was performed using recent data. A set of multivariate spatial gender-age-period-cohort
models was considered to look for potential candidates to analyze pancreatic cancer mortality
rates. The selected model combines features of APC (age-period-cohort) models with
disease mapping approaches. To ensure model identifiability sum-to-zero constraints were
applied. A fully Bayesian approach based on integrated nested Laplace approximations
(INLA) was considered for model fitting and inference. Sensitivity analyses were also conducted.
In general, estimated average rates by age, cohort, and period are higher in males
than in females. The higher differences according to age between males and females correspond
to the age groups [65, 70), [70, 75), and [75, 80). Regarding the cohort, the greatest
difference between men and women is observed for those born between the forties and the
sixties. From there on, the younger the birth cohort is, the smaller the difference becomes.
Some cohort differences are also identified by regions and age-groups. The spatial pattern
indicates a North-South gradient of pancreatic cancer mortality in Spain, the provinces in
the North being the ones with the highest effects on mortality during the studied period.
Finally, the space-time evolution shows that the space pattern has changed little over time. [--]
Materias
Pancreatic cancer mortality,
Spain
Editor
Public Library of Science
Publicado en
Plos One, 12(2):e0169751
Departamento
Universidad Pública de Navarra. Departamento de Estadística e Investigación Operativa /
Nafarroako Unibertsitate Publikoa. Estatistika eta Ikerketa Operatiboa Saila /
Universidad Pública de Navarra/Nafarroako Unibertsitate Publikoa. Institute for Advanced Materials and Mathematics - INAMAT2
Versión del editor
Entidades Financiadoras
This work was supported by Spanish Ministry of Economy and Competitiveness (Project MTM 2014-51992-R) (Ugarte, Etxeberria, Goicoa) and Health Department of the Navarre Government (Project 113, Res.2186/2014) (Ugarte, Etxeberria, Goicoa).