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Population-based multicase-control study in common tumors in Spain (MCC-Spain): Rationale and study design

  • MCC-Spain Study Group
  • Centre for Research in Environmental Epidemiology (CREAL)
  • Hospital del Mar
  • Pompeu Fabra University
  • Centro de Investigación Biomédica en Red
  • Centro Nacional de Epidemiología
  • Hospital Universitario Puerta de Hierro Majadahonda
  • University of Leon
  • Universidad de Cantabria
  • L’Hospitalet de Llobregat
  • University of Barcelona
  • Subdirección de Salud Pública de Gipuzkoa
  • Instituto de Salud Publica, Pamplona
  • University of Granada
  • University of Oviedo
  • University of Huelva
  • Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana FISABIO–Salud Pública
  • Girona Biomedical Research Institute
  • Murcia Regional Health Authority
  • University of Murcia
  • National School of Public Health

Research output: Contribution to journalArticlepeer-review

190 Scopus citations

Abstract

Introduction: We present the protocol of a large population-based case-control study of 5 common tumors in Spain (MCC-Spain) that evaluates environmental exposures and genetic factors. Methods: Between 2008-2013, 10,183 persons aged 20-85 years were enrolled in 23 hospitals and primary care centres in 12 Spanish provinces including 1,115 cases of a new diagnosis of prostate cancer, 1,750 of breast cancer, 2,171 of colorectal cancer, 492 of gastro-oesophageal cancer, 554 cases of chronic lymphocytic leukaemia (CLL) and 4,101 population-based controls matched by frequency to cases by age, sex and region of residence. Participation rates ranged from 57% (stomach cancer) to 87% (CLL cases) and from 30% to 77% in controls. Participants completed a face-to-face computerized interview on sociodemographic factors, environmental exposures, occupation, medication, lifestyle, and personal and family medical history. In addition, participants completed a self-administered food-frequency questionnaire and telephone interviews. Blood samples were collected from 76% of participants while saliva samples were collected in CLL cases and participants refusing blood extractions. Clinical information was recorded for cases and paraffin blocks and/or fresh tumor samples are available in most collaborating hospitals. Genotyping was done through an exome array enriched with genetic markers in specific pathways. Multiple analyses are planned to assess the association of environmental, personal and genetic risk factors for each tumor and to identify pleiotropic effects. Discussion: This study, conducted within the Spanish Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), is a unique initiative to evaluate etiological factors for common cancers and will promote cancer research and prevention in Spain.

Original languageEnglish
Pages (from-to)308-315
Number of pages8
JournalGaceta Sanitaria
Volume29
Issue number4
DOIs
StatePublished - 1 Jul 2015
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Breast cancer
  • Case-control
  • Chronic lymphocytic leukemia
  • Colorectal cancer
  • Epidemiology
  • Gastric cancer
  • Prostate cancer

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