Publications by authors named "Duarte-Salles T"

This study examines remaining life expectancy (RLE) after a cancer diagnosis, focusing on age, sex, cancer type, and metabolic syndrome (MS) components, using data from the SIDIAP database in Catalonia (2006-2017). RLE was analyzed for 13 cancer types, stratified by sex and MS components. The cohort study includes 183,364 individuals followed from diagnosis until death, transfer, or study end (December 2017).

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Background: Evidence is limited regarding the role of air pollution in acute lower respiratory infections among adults. We assessed the influence of long-term air pollution exposure on hospital admission for lower respiratory infections and whether there are vulnerable subgroups.

Methods: We used a populational cohort in Catalonia, Spain, comprising 3,817,820 adults residing in Catalonia as of January 1, 2015.

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Introduction: This study aims to investigate the relationship between deprivation, as measured by a socioeconomic deprivation index (SDI) score for census tract urban areas, and COVID-19 infections and vaccine uptake among children and adolescents before and after the vaccination rollout in Catalonia, Spain.

Methods: We conducted a population-based cohort study using primary care records. Individuals were followed 3 months before the start of the vaccination campaign in Spain and 3 months after.

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Background: The World Health Organisation (WHO) has identified a range of symptomatic manifestations to aid in the clinical diagnosis of post-COVID conditions, herein referred to as post-acute COVID-19 symptoms. We conducted an international network cohort study to estimate the burden of these symptoms in North American, European, and Asian populations.

Methods: A federated analysis was conducted including 10 databases from the United Kingdom, Netherlands, Norway, Estonia, Spain, France, South Korea, and the United States, between September 1st 2020 and latest data availability (which varied from December 31st 2021 to February 28th 2023), covering primary and secondary care, nationwide registries, and claims data, all mapped to the Observational Medical Outcomes Partnership Common Data Model (OMOP CDM).

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Purpose: The generation of representative disease phenotypes is important for ensuring the reliability of the findings of observational studies. The aim of this manuscript is to outline a reproducible framework for reliable and traceable phenotype generation based on real world data for use in the Data Analysis and Real-World Interrogation Network (DARWIN EU). We illustrate the use of this framework by generating phenotypes for two diseases: pancreatic cancer and systemic lupus erythematosus (SLE).

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Background: The burden of childhood overweight and obesity attributable to ambient air pollution and a lack of urban green spaces (UGS) remains unknown. This study aimed to estimate the attributable cases of childhood overweight and obesity due to air pollution and insufficient UGS exposure in Barcelona, Spain.

Methods: We applied a quantitative health impact assessment approach.

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Article Synopsis
  • Lung cancer remains the leading cause of cancer death globally, prompting a need to evaluate its trends in the UK, especially after significant declines in smoking.
  • This study utilized UK primary care databases to analyze lung cancer incidence rates, prevalence, and survival rates from 2000 to 2021, involving over 11 million participants and more than 45,500 lung cancer cases.
  • Findings revealed an overall increase in lung cancer incidence, particularly among females over 50, with median survival rates improving from 6.6 months (2000-2004) to 10 months (2015-2019), and younger patients generally faring better than older ones.
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Residential relocation leads to environmental changes, besides being likely to be influenced by sociodemographic characteristics. The relationship between them is, however, still not well described. We aimed to investigate changes in patterns of urban, natural and physical environmental exposures due to relocation and related sociodemographic determinants in a population-based cohort study of children and adolescents.

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  • - The study analyzed the incidence and survival rates of prostate cancer in the UK from 2000 to 2021 using data from two primary care databases, CPRD GOLD and Aurum, involving over 198,000 patients aged 18 and older.
  • - It found that the incidence of prostate cancer rose significantly during the study period, from 109 to 159 cases per 100,000 person-years, with the highest rates observed in men aged 80 to 89.
  • - Survival rates at 1, 5, and 10 years post-diagnosis were found to be stable, around 93% for 1 year, 72% for 5 years, and 53% for 10 years,
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  • This study compares the cardiovascular effectiveness of different second-line antihyperglycemic agents (SGLT2 inhibitors, GLP-1 receptor agonists, DPP-4 inhibitors, and sulfonylureas) in patients with type 2 diabetes and cardiovascular disease.
  • Using data from over 1.4 million patients across multiple databases, the researchers analyzed the risk of major adverse cardiovascular events (MACE) over a follow-up period of several years.
  • Results indicated that SGLT2 inhibitors and GLP-1 receptor agonists had significantly lower risks of MACE compared to DPP-4 inhibitors and sulfonylureas, pointing to their potential superiority as treatment options for
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  • Breast cancer is the most common cancer diagnosed in females worldwide, but there is limited information regarding trends in males, prompting a study of breast cancer in the UK from 2000 to 2021 for both sexes.
  • The study analyzed over 5.8 million females and 5.5 million males, finding crude incidence rates of 194.4 per 100,000 for females and just 1.16 for males, with both genders experiencing a roughly 2.5-fold increase in prevalence over time.
  • Survival rates after diagnosis were relatively high for both sexes, with females showing improvement over time, especially those aged 50-70, while males exhibited no clear trends, and changes in female incidence were linked to
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Background: Metabolic syndrome (MS) has emerged as a significant global health concern. The relationship between MS and the risk of cancer doesn't seem clear, whether examining by components or in combination. The objective of this study is to examine the relationship between MS, its components, and the overall risk of cancer, including the risk of 13 specific cancer types.

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  • This study investigates treatment patterns for Systemic Lupus Erythematosus (SLE) in both adults and children, highlighting the lack of real-world data on medication use, particularly in childhood-onset SLE (cSLE).
  • Researchers analyzed data from over 11,000 SLE patients across multiple European countries, finding that the majority were female, with specific first-line treatments being hydroxychloroquine and glucocorticoids for both demographics.
  • The findings indicate that while adult treatment aligns with guidelines, the high use of glucocorticoids in children suggests a need for alternatives and specialized treatment recommendations for pediatric patients.
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Patients with cancer were excluded from pivotal randomized clinical trials of COVID-19 vaccine products, and available observational evidence on vaccine effectiveness (VE) focused mostly on mild, and not severe COVID-19, which is the ultimate goal of vaccination for high-risk groups. Here, using primary care electronic health records from Catalonia, Spain (SIDIAP), we built two large cohorts of vaccinated and matched control cancer patients with a primary vaccination scheme (n = 184,744) and a booster (n = 108,534). Most patients received a mRNA-based product in primary (76.

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  • This study analyzes the incident rate (IR) of anti-dementia drugs (ADDs) using real-world data from the UK, Spain, and the Netherlands over several years.
  • It found varying trends in ADD usage: the UK saw an initial decrease followed by an increase in IR, while Spain and the Netherlands experienced significant decreases in IR over the years.
  • The results highlight the inconsistencies in dementia treatment and emphasize the need for a standardized approach to managing dementia pharmacologically.
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Background: A growing body of evidence has reported positive associations between long-term exposure to air pollution and poor COVID-19 outcomes. Inconsistent findings have been reported for short-term air pollution, mostly from ecological study designs. Using individual-level data, we studied the association between short-term variation in air pollutants [nitrogen dioxide (NO2), particulate matter with a diameter of <2.

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Objective: To study the association between COVID-19 vaccination and the risk of post-COVID-19 cardiac and thromboembolic complications.

Methods: We conducted a staggered cohort study based on national vaccination campaigns using electronic health records from the UK, Spain and Estonia. Vaccine rollout was grouped into four stages with predefined enrolment periods.

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Objective: Factors that shape individuals' vulnerability to the effects of air pollution on COVID-19 severity remain poorly understood. We evaluated whether the association between long-term exposure to ambient NO, PM, and PM and COVID-19 hospitalisation differs by age, sex, individual income, area-level socioeconomic status, arterial hypertension, diabetes mellitus, and chronic obstructive pulmonary disease.

Methods: We analysed a population-based cohort of 4,639,184 adults in Catalonia, Spain, during 2020.

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Background: There is a lack of knowledge on how patients with asthma or chronic obstructive pulmonary disease (COPD) are globally treated in the real world, especially with regard to the initial pharmacological treatment of newly diagnosed patients and the different treatment trajectories. This knowledge is important to monitor and improve clinical practice.

Methods: This retrospective cohort study aims to characterise treatments using data from four claims (drug dispensing) and four electronic health record (EHR; drug prescriptions) databases across six countries and three continents, encompassing 1.

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  • Obesity is often viewed as a lifestyle choice rather than a disease, leading to initiatives like the IMI SOPHIA project, which aims to better categorize individuals with obesity based on their disease risk and treatment responses.
  • SOPHIA faces challenges due to siloed clinical cohorts, which limit data sharing for biomarker discovery, but tackles this by using a federated database built on open-source DataSHIELD technology that integrates 16 different data sources.
  • The project allows secure analysis of combined data without revealing individual patient information, demonstrated through a proof-of-concept analysis linking BMI and blood pressure, which showed results similar to traditional meta-analyses, setting a standard for safe collaborative research.
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  • * The study analyzed data from over 1.4 million patients treated with various second-line diabetes medications, using advanced statistical methods to compare outcomes and risks of heart issues.
  • * Findings indicated that both SGLT2 inhibitors and GLP-1 receptor agonists reduce the risk of cardiovascular events compared to DPP-4 inhibitors and sulfonylureas, but no significant differences were found between SGLT2is and GLP1-RAs themselves regarding heart risks.
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Purpose: Few studies have examined how the absolute risk of thromboembolism with COVID-19 has evolved over time across different countries. Researchers from the European Medicines Agency, Health Canada, and the United States (US) Food and Drug Administration established a collaboration to evaluate the absolute risk of arterial (ATE) and venous thromboembolism (VTE) in the 90 days after diagnosis of COVID-19 in the ambulatory (eg, outpatient, emergency department, nursing facility) setting from seven countries across North America (Canada, US) and Europe (England, Germany, Italy, Netherlands, and Spain) within periods before and during COVID-19 vaccine availability.

Patients And Methods: We conducted cohort studies of patients initially diagnosed with COVID-19 in the ambulatory setting from the seven specified countries.

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Background: Although vaccines have proved effective to prevent severe COVID-19, their effect on preventing long-term symptoms is not yet fully understood. We aimed to evaluate the overall effect of vaccination to prevent long COVID symptoms and assess comparative effectiveness of the most used vaccines (ChAdOx1 and BNT162b2).

Methods: We conducted a staggered cohort study using primary care records from the UK (Clinical Practice Research Datalink [CPRD] GOLD and AURUM), Catalonia, Spain (Information System for Research in Primary Care [SIDIAP]), and national health insurance claims from Estonia (CORIVA database).

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