Josep M. Borràs

A study carried out by the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) has estimated the proportion of passive smokers in Spain in 2024. The study allows for a comparison of trends with three previous editions and, for the first time, includes information on non-smokers’ exposure to smoke on outdoor terraces, as well as to e-cigarette products. The results indicate that exposure has stopped falling and appear to show, for the first time in the data series, an upward trend in the number of passive smokers. Bar terraces are identified as the main location of exposure. The study is published in the journal Tobacco Control, part of the BMJ group.

An international team has used a type of artificial intelligence (AI) to identify the most important factors influencing cancer survival in almost every country in the world. The study provides information on policy improvements or changes that could be implemented in each nation to have the greatest impact. In general, access to radiotherapy, universal health coverage, and economic strength emerged as common and important factors. Furthermore, information for each country, including Spain, can be accessed through an online tool. The results are published in  Annals of Oncology. 

An international team has analysed cancer incidence and mortality worldwide using data available since 1990. Between then and 2023, there was an increase of almost 75% in deaths from this cause, with more than 40% of all deaths associated with preventable risk factors. Estimates indicate that by 2050 there will be a similar increase in mortality, due in part to the ageing of the population. The increase will be particularly pronounced in low- and middle-income countries. The results are published in The Lancet.

In the US, the incidence of colorectal cancer increased in people aged 45-49 years in the period 2019-2022, after advancing the screening age from 50 to 45 years, according to a study published in JAMA. The use of mailed faecal tests made it possible to reach people in this age group, without affecting screening rates in people over 50, says another paper published in the same journal.

Coinciding with the World Conference on Tobacco Control - to be held June 23-25 in Dublin, Ireland - the World Health Organization (WHO) is releasing its report on the global tobacco epidemic, responsible for more than seven million deaths worldwide each year. The WHO warns that "action is needed to maintain and accelerate progress in tobacco control, as increasing industry interference calls into question tobacco control policies and efforts.

An international team has analysed data on the incidence and mortality of breast cancer in 185 countries. In 2022, 2.3 million new cases and 670,000 deaths were recorded and, with this trend, it is predicted that by 2050 these figures will increase by 38% and 68% respectively, particularly affecting low-income countries. Although the mortality rate fell in 30 of the 46 countries studied over the last ten years, only seven of them met the WHO targets of reducing it by at least 2.5% each year. The results are published in the journal Nature Medicine.

A paper published in The Lancet Respiratory Medicine has analyzed new cases of lung cancer worldwide during the year 2022. While the incidence in women continues to approach that of men, the decrease in tobacco consumption in many countries causes the proportion of cases in non-smokers to increase. This increase is associated with air pollution, especially in countries such as China. 

According to a meta-analysis of 14 studies involving more than 25,000 people, drinking more than four cups of coffee per day was associated with a lower incidence of head and neck tumors. Drinking between none and one cup of tea was also associated with a slightly decreased risk, although daily consumption of more than one cup of tea was associated with an increased risk of developing laryngeal cancer. The results are published in the journal Cancer. 

A team of researchers has analyzed data from the World Health Organization to estimate the incidence of colorectal cancer in 50 countries around the world. Their conclusions, based on records up to 2017, are that in most high-income countries its incidence continues to increase in young people (under 50 years of age). This increase, however, is not observed in Spain. The results are published in the journal The Lancet Oncology.   

A study conducted in several Spanish provinces has analysed the relationship between breast cancer and obesity in more than 2,000 postmenopausal women. Its findings are that around 40% of estrogen receptor positive (ER+) cases - the most common type - can be attributed to excess body fat (above 40%). This is much higher than the 10% considered attributable when only a high body mass index is taken into account. The results are published in the Journal of Epidemiology and Community Health.