Rafael Marcos Gragera

Rafael Marcos Gragera

Rafael Marcos Gragera
Cargo

Epidemiologist at the Girona Cancer Epidemiology and Registry Unit of the Catalan Institute of Oncology - Oncology Master Plan

Incidence of colon cancer continues to rise in young people in many high-income countries, although not in Spain

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.   

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Study warns of inequality between countries in accessing new cancer drugs

Despite considerable advances in the discovery and development of new cancer drugs, there are significant disparities in both the availability and timeliness of these medicines around the world, with the poorest countries being left out, according to an analysis published in the journal BMJ Global Health. According to the study, few new cancer drugs were launched in low- and lower-middle-income countries, and the gap between rich and poor countries widened over the three decades between 1990 and 2022.

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Clinical trial examines efficacy of prostate cancer screening with MRI to reduce overdiagnosis

Prostate cancer screening tests using PSA (Prostate Specific Antigen) are associated with overdiagnosis, which calls into question their use. A clinical trial in men aged 50-60 years published in the journal NEJM has studied the possibility of adding an MRI test in those with an elevated PSA level and dispensing with biopsy if imaging finds no suspicious lesions. The results indicate that the procedure avoids more than half of clinically irrelevant cancer diagnoses that would not need treatment and only slightly increases the risk of failing to identify those that may become incurable. The authors recommend, on the basis of the study, to review the recommendations for such screening.

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Prostate cancer data over the past 40 years suggest overdiagnosis

A study has analyzed data on prostate cancer incidence and mortality in 26 countries in Europe between 1980 and 2020. Its findings are that new diagnoses have increased due to the widespread use of PSA [prostate-specific antigen] testing, but mortality rates have not benefited in parallel. This suggests possible overdiagnosis, i.e., the detection of harmless tumors that are unlikely to cause symptoms or death in the patient's lifetime. The results are published in the journal The BMJ. 

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Reaction: Colorectal cancer death rates among 25-49 year olds in the EU to rise by 2024

International research estimates that by 2024 there will be approximately 1,270,800 deaths from different types of cancer in the European Union (EU) as a whole. In the specific case of colorectal cancer, the researchers estimate that mortality rates will increase among people aged between 25 and 49 in the EU. In Spain, the increase will be 5.5 % in men. The authors of the research, published in the Annals of Oncology, attribute this increased mortality to overweight, obesity and alcohol consumption in this age group.

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Reactions: cancer deaths will decrease this year in Europe, but lung cancer deaths in women will rise in Spain

Un estudio ha estimado las muertes por cáncer que se producirán en la Unión Europea y el Reino Unido en 2023. Comparándolas con las observadas en 2018, estiman que se reducirán en un 6,5 % en hombres y un 3,7 % en mujeres de forma global. Sin embargo, en España aumentará la mortalidad por cáncer de pulmón en mujeres. Los resultados se publican en la revista Annals of Oncology. 

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