Spain Colorectal and Breast Cancer Screening Analysis (2019-2023)

This project analyzes the correlation between the screening coverage for specific tumors (breast and colorectal) and their clinical outcomes (incidence and mortality) between the years 2019-2023. It tests the hypothesis that increased screening adherence leads to higher incidence rates due to early detection while simultaneously reducing mortality rates by enabling an early intervention. Additionally, the analysis integrates multifactorial varaibles: impact of health resources, lifestyle risks (like tobacco and alcohol), and socioeconomic factors (like rurality and GDP). CODEBOOK Feature Feature Description Geographical Scope Autonomous Community of Spain. Territorial ID Alphanumeric regional code (ISO 3166-2:ES based) to identify each Autonomous Community and City. Sex Demographic classification to segment population in Male, Female, Both Year Reference year of the data record. % Drinkers of Risk Percentage of at-risk alcohol drinkers % Smokers Prevalence of daily smokers among population. % Obesity Percentage of obesity in the population aged 18 and over according to BMI. % Sedentary lifestyle Percentage of sedentary behavior in the population aged 15 and over. RMN100K Number of Nuclear Magnetic Resonance (NMR) machines in operation, regardless of whether they are temporarily out of service due to breakdown or other reasons TAC 100K Number of Computed Axial Tomography (CT) scanners in operation, regardless of whether they are temporarily out of service due to a breakdown or other cause. HealthcareExpenditureXcapita (currency in €) Health expenditure of all the Health Services of the autonomous communities, as well as that of the respective territorial health administrations. Primary CareX100k Number of professionals in family medicine and pediatrics positions, working in health centers and local clinics, in the following modalities: primary care team, traditional model, and area pediatrics. Specialized Healthcare X100k Medical personnel who provide services in inpatient centers and specialty centers under the same management unit, regardless of their position, both in the hospital and in the specialty centers. AverageIncomePerCapitaAndHousehold (currency in €) Risk of poverty or social exclusion rate for people aged 16 and over. Percentage of the total population meets one or more of the three criteria included in the definition. AROPE Risk of poverty or social exclusion rate for people aged 16 and over (AROPE adults) Unemployment rate The percentage of the economically active population (people who are either employed or actively seeking work) that is currently without a job and available for work. % Rural The percentage of the total population is residing in small municipalities with fewer than 2,000 inhabitants. IncidenceX100k Number of new cancer cases detected annually for each specific tumor type, segmented by Autonomous Community, sex, and year, per 100,000 inhabitants. MortalityX100k Annual number of cancer-related deaths per 100,000 inhabitants, categorized by tumor type, Autonomous Community, sex, and year. Lethality Proportion of deaths compared to the number of new cancer cases detected for a specific tumor type, region, sex, and year Type of cancer Type of cancer analyzed in the dataset INE 50-69 Number of resident women between 50-69 years (target population from the screening) from each Autonomous Community of Spain according to INE (Nacional Institute of Statistics) Coverage by invitation (valid) Percentage of women with a valid invitation in relation to the INE population. Coverage by participation Percentage of women that participated in the screening (who underwent mammography) relative to the INE population. Nº of people invited Total number of invited women to the screening that year in each CCAA. Initial 1st Invitation Percentage of women who attended the screening after her first invitation. >2 Invitation Percentage of women who attended after a second or subsequent invitations. Regular <30 months Percentage of women who attended within the recommended interval (<30 months) Irregular>30 months Percentage of women who attended out of the recommended interval (>30 months) Nº of patients explored Number of women who underwent the screening test (mammogram) that year in each CCAA Total cancer cases detected Total number of detected cancers in the screening program in each CCAA during the years Detection rate (per 10000) Screening detection rate, defined as several cancers detected per 1.000 screened women Type of diagnostic test Type of diagnostic test used in the cancer screening program for each CCAA and the cancer type Last screening test Annual percentage of the target population that underwent the recommended cancer screening test within the established screening interval, according to cancer type (mammography for breast cancer of colonoscopy for colorectal test)