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Inicio Medicina Clínica (English Edition) Burden of cancer mortality attributable to carcinogenic infections in Spain
Journal Information
Vol. 154. Issue 10.
Pages 394-397 (May 2020)
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Vol. 154. Issue 10.
Pages 394-397 (May 2020)
Brief report
Burden of cancer mortality attributable to carcinogenic infections in Spain
Mortalidad por cáncer atribuible a infecciones en España
Pietro Ferraraa,, Fernando Agüerob,c,, Cristina Masuet-Aumatellb,c, Josep Maria Ramon-Torrellb,c,
Corresponding author

Corresponding author.
a Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 5, Via Luciano Armanni, Naples 80138, Italy
b Bellvitge Biomedical Research Institute (IDIBELL), Preventive Medicine Department, University Hospital of Bellvitge, Feixa Llarga s/n, L’Hospitalet de Llobregat 08907, Catalonia, Spain
c Clinical Science Department, School of Medicine, University of Barcelona, Feixa Llarga s/n, L’Hospitalet de Llobregat 08907, Catalonia, Spain
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Table 1. Estimated number of cancer-related deaths associated to carcinogenic infections, by infectious agents and cancer types (ICD-10), Spain, 2017.
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The impact of carcinogenic infections on cancer-related mortality is unknown.


The mortality due to cancers attributable to carcinogenic infections was estimated. The attributable fraction for the infectious agents classified as group 1 carcinogenic in human beings was applied to yearly data on causes of cancer mortality over the period 2013–2017 in Spain according to the International Classification of Diseases (ICD-10).


It was estimated that 9115 deaths (over 110,287 cancer-related deaths, 8.3%) were attributable to infections caused by carcinogenic agents. The estimated number of deaths in men was 5434 (59.6%). The estimated mortality attributable to Helicobacter pylori infection accounted for 48.3% and four agents (H. pylori, HCV, HPV, and HBV) accounted for 96.8% of all cancer deaths attributable to carcinogenic infections. The burden of cancer-related mortality attributable to carcinogenic infections in Spain during the period 2013–2017 was approximately 8%.


In Spain, one-twelfth of cancer deaths are attributable to carcinogenic infections. Public health measures aiming to reduce the impact of carcinogenic infections are essential.

Burden of cancer mortality
Cancer epidemiology
Cancer prevention
Carcinogenic infections

El impacto de las infecciones carcinogénicas en la mortalidad por cáncer es desconocido.


Se estimó la mortalidad por cáncer atribuible a infecciones carcinogénicas en España. Se aplicó la fracción atribuible de los agentes infecciosos clasificados como carcinogénicos a los datos sobre causas de muerte por cáncer anuales del período 2013-2017 según la Clasificación Internacional de Enfermedades (CIE-10).


De 110.287 muertes por cáncer, se estimó que 9.115 (8,3%) fueron atribuibles a agentes infecciosos carcinogénicos en 2017. El número estimado de muertes en varones fue de 5.434 (59,6%). La mortalidad estimada por cáncer atribuible a infección por H. pylori representó el 48,3% y 4 agentes (H. pylori, VHC, VPH y VHB) registraron el 96,8% de todas las muertes por cáncer atribuible a infecciones carcinogénicas. La carga de mortalidad por cáncer atribuible a infecciones carcinogénicas en el período 2013-2017 en España fue del 8%, aproximadamente.


Una de cada 12 muertes por cáncer son atribuibles a infecciones carcinogénicas en España. Las medidas de salud pública son esenciales para reducir el impacto de las infecciones carcinogénicas.

Palabras clave:
Carga de mortalidad por cáncer
Epidemiología del cáncer
Prevención del cáncer
Infecciones carcinogénicas


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