No abstract

Our questionnaire has enough psychometric properties to be considered an useful and feasible tool to measure the satisfaction of patients of the hospital outpatient clinics.

. El cáncer de próstata es el tercer tumor más frecuente en varones españoles y la tercera causa de muerte por cáncer. Su incidencia aumenta con la edad. Un 90% de casos se diagnostican en mayores de 65 años. La etiología es poco conocida relacionándose con exposiciones ambientales, estilos de vida, antecedentes familiares y factores genéticos. En el año 2002 la tasa de mortalidad (situada entre las más bajas de Europa) fue 21,5 casos por 100.000 habitantes, superándose las 5.000 defunciones. La tendencia de mortalidad ha ido en aumento hasta 1998, año en el que empieza a disminuir en relación con mejoras en el diagnóstico y tratamiento. Al estudiar la incidencia del cáncer de próstata nos encontramos con la dificultad debida a la escasez de registros poblacionales de cáncer. Se han realizado estimaciones a partir de los datos disponibles, detectándose una tasa de incidencia de 45,33 por 100.000 habitantes, también entre las más bajas de Europa. La incidencia anual de cáncer de próstata ha aumentado en todos los registros españoles debido a mejoras en los mismos, pero también al desarrollo de las pruebas diagnósticas, que han condicionado una mejor supervivencia desde principios de los 90 (86% al año del diagnóstico y 65,5% a los cinco años) comparable a la de otros países de nuestro entorno. Es necesario ampliar el sistema de registro de cáncer para conocer la incidencia y la prevalencia, evaluar la supervivencia y la eficacia de los programas de detección precoz y mejorar en el conocimiento de los factores de riesgo.Palabras clave: Cáncer de próstata. Mortalidad. Incidencia. Supervivencia. Prevalencia. ABSTRACT EPIDEMIOLOGICAL SITUATION OF PROSTATE CANCER IN SPAIN.Prostate cancer is the third most frequent neoplasms in Spanish men and the third cause of cancer death. Incidence grows up with the increase of age. 90% of cases are diagnostic in people over 65 years old. Etiology is quite unknown and has been associated with environmental exposure, life style, family sign and genetic factors. In 2002 mortality rate was 21.5/ 100.000 (situated among the lowest in Europe), with more than 5.000 deaths. Trend of mortality has grown up until 1998, from this year it has decreased due to improve on diagnostic and treatment. In order to study prostate cancer incidence we find a difficulty due to shortage of population cancer register. Estimations have found incidence rates of 45.33/100.000 which are among the lowest in Europe. Annual incidence of prostatic cancer has grown up in all Spanish registers, not only improve in register systems explains it, but also the development of diagnosis tests with a higher survival from the beginning of 90 s (86% the first year after diagnosis and 65,5% five years after diagnosis), similar to other European countries. Blow up the cancer register system is necessary to know the incidence and prevalence, to assess survival and effectiveness of screening programs and to improve the knowledge of risk factors.

This questionnaire fulfils the necessary psychometric properties to be considered a useful and reliable tool for measuring patient satisfaction with hospital emergency services.

Prostate cancer is the third most frequent neoplasms in Spanish men and the third cause of cancer death. Incidence grows up with the increase of age. 90% of cases are diagnostic in people over 65 years old. Etiology is quite unknown and has been associated with environmental exposure, life style, family sign and genetic factors. In 2002 mortality rate was 21.5/ 100.000 (situated among the lowest in Europe), with more than 5.000 deaths. Trend of mortality has grown up until 1998, from this year it has decreased due to improve on diagnostic and treatment. In order to study prostate cancer incidence we find a difficulty due to shortage of population cancer register. Estimations have found incidence rates of 45.33/100.000 which are among the lowest in Europe. Annual incidence of prostatic cancer has grown up in all Spanish registers, not only improve in register systems explains it, but also the development of diagnosis tests with a higher survival from the beginning of 90s (86% the first year after diagnosis and 65,5% five years after diagnosis), similar to other European countries. Blow up the cancer register system is necessary to know the incidence and prevalence, to assess survival and effectiveness of screening programs and to improve the knowledge of risk factors.