Testicular cancer in Ibero-America: Proper prevention and diagnostic strategies

Ebel, L.; Autrán, A.M.; Rodríguez-Faba, O.; Alcántara, C.

doi:10.1016/j.acuroe.2024.06.002

array:23 ["pii" => "S2173578624000799" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2024.06.002" "estado" => "S300" "fechaPublicacion" => "2024-11-01" "aid" => "1662" "copyright" => "AEU" "copyrightAnyo" => "2024" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "edi" "cita" => "Actas Urol Esp. 2024;48:621-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210480624000731" "issn" => "02104806" "doi" => "10.1016/j.acuro.2024.05.004" "estado" => "S300" "fechaPublicacion" => "2024-11-01" "aid" => "1662" "copyright" => "AEU" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "edi" "cita" => "Actas Urol Esp. 2024;48:621-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "Editorial" "titulo" => "Cáncer testicular en Iberoamérica: estrategias para una adecuada prevención y diagnóstico" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "621" "paginaFinal" => "622" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Testicular cancer in Ibero-America: Proper prevention and diagnostic strategies" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Ebel, A.M. Autrán, O. Rodríguez-Faba, C. Alcántara" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Ebel" ] 1 => array:2 [ "nombre" => "A.M." "apellidos" => "Autrán" ] 2 => array:2 [ "nombre" => "O." "apellidos" => "Rodríguez-Faba" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Alcántara" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173578624000799" "doi" => "10.1016/j.acuroe.2024.06.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578624000799?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480624000731?idApp=UINPBA00004N" "url" => "/02104806/0000004800000009/v1_202411040632/S0210480624000731/v1_202411040632/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173578624000684" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2024.05.008" "estado" => "S300" "fechaPublicacion" => "2024-11-01" "aid" => "1648" "copyright" => "The Authors" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2024;48:623-31" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "Original article" "titulo" => "Recommendations on the treatment of metastatic hormone-sensitive prostate cancer: Patient selection" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "623" "paginaFinal" => "631" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Recomendaciones de tratamiento en el cáncer de próstata hormonosensible metastásico: selección de pacientes" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Á. Borque-Fernando, A. Zapatero, R. Manneh, T. Alonso-Gordoa, F. Couñago, M. Domínguez-Esteban, M. López-Valcárcel, A. Rodríguez-Antolín, N. Sala-González, N. Sanmamed, P. Maroto" "autores" => array:12 [ 0 => array:2 [ "nombre" => "Á." "apellidos" => "Borque-Fernando" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Zapatero" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Manneh" ] 3 => array:2 [ "nombre" => "T." "apellidos" => "Alonso-Gordoa" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Couñago" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Domínguez-Esteban" ] 6 => array:2 [ "nombre" => "M." "apellidos" => "López-Valcárcel" ] 7 => array:2 [ "nombre" => "A." "apellidos" => "Rodríguez-Antolín" ] 8 => array:2 [ "nombre" => "N." "apellidos" => "Sala-González" ] 9 => array:2 [ "nombre" => "N." "apellidos" => "Sanmamed" ] 10 => array:2 [ "nombre" => "P." "apellidos" => "Maroto" ] 11 => array:1 [ "colaborador" => "en representación del Grupo Guard de Investigación Multidisciplinar en Tumores genitourinarios" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210480624000597" "doi" => "10.1016/j.acuro.2024.03.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480624000597?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578624000684?idApp=UINPBA00004N" "url" => "/21735786/0000004800000009/v1_202411040724/S2173578624000684/v1_202411040724/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Editorial" "titulo" => "Testicular cancer in Ibero-America: Proper prevention and diagnostic strategies" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "621" "paginaFinal" => "622" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "L. Ebel, A.M. Autrán, O. Rodríguez-Faba, C. Alcántara" "autores" => array:4 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Ebel" "email" => array:1 [ 0 => "luisebel@uach.cl" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A.M." "apellidos" => "Autrán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "O." "apellidos" => "Rodríguez-Faba" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Alcántara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Escuela de Medicina Valdivia, Chile" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Universidad Veracruzana, Veracrux, Mexico" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Fundació Puigvert, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Hospital de Amor, Dr. Paulo Prata, Barretos, Brazil" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cancer testicular en Iberoamèrica: Estrategias para una adecuada prevenciòn y diagnòstico" ] ] "textoCompleto" => "Testicular cancer (TC) is a disease that affects young men and is the most common solid tumor between the ages of 15 and 40 years. Incidence rates have been increasing in most Western countries over the last 50 years,<a class="elsevierStyleCrossRef" href="#bib0005">1</a> especially in those with higher socioeconomic status, but also in some selected groups within each country. The main risk factors for the development of the disease are cryptorchidism, a history of TC in first-degree relatives, and a personal history of TC. However, its origin is not fully understood<a class="elsevierStyleCrossRef" href="#bib0010">2</a>; genetic, environmental, and hormonal causes have been proposed.<a class="elsevierStyleCrossRef" href="#bib0015">3</a> Its treatment is an example of successful multimodal cancer management, revolutionized by the use of cisplatin-based chemotherapy since the early 1970s.<a class="elsevierStyleCrossRef" href="#bib0020">4</a> Despite differences between countries, its mortality rates are currently low. The 5-year overall survival rate is approximately 95%,<a class="elsevierStyleCrossRef" href="#bib0025">5</a> and it is therefore considered a model of curable cancer.<a class="elsevierStyleCrossRef" href="#bib0030">6</a>As a result, there is a large and growing group of young TC survivors with relevant long-term complications from treatment aimed at cure and quality of life improvement who require surveillance.<a class="elsevierStyleCrossRef" href="#bib0035">7</a> Given that patients diagnosed at an early stage generally do not require additional treatment after orchiectomy, and that most cases present as a painless testicular mass, early diagnosis by testicular self-examination (TSE) and educational campaigns appear to be essential. Thus, long-term adverse effects of adjuvant therapies can be avoided, improving the quality of life and possibly the prognosis of patients with TC.<a class="elsevierStyleCrossRefs" href="#bib0040">8,9</a>The epidemiological reality/picture of TC in Ibero-America seems to be similar in some countries.<a class="elsevierStyleCrossRefs" href="#bib0050">10,11</a> However, there are no national cancer registries in most of the countries in this region<a class="elsevierStyleCrossRefs" href="#bib0060">12,13</a> and their decision strategies are based on known statistics from foreign countries or on data from limited areas within their own country. Similarly, we do not have sufficient data regarding the presentation of the TC, the basic tests for diagnosis and follow-up available in each country, nor the possibility of discussing its management in multidisciplinary committees, as required by the quality of contemporary medicine.<a class="elsevierStyleCrossRef" href="#bib0070">14</a> We are also unaware of the existence of early detection programs or regional studies of possible causes, which could help to reduce morbimortality rates and guide prevention strategies, respectively.At the end of 2022 the American Confederation of Urology (CAU) created the Testicular Cancer Work Group (<a href="https://caunet.org/grupos-de-trabajo/">https://caunet.org/grupos-de-trabajo/</a>). This group aims to design a four-year program (2023–2026) focused on consolidating TC information in the CAU setting and proposing strategies to improve diagnosis and treatment. It is made up of four professionals from different countries, two female and two male urologists, who represent the entire CAU community and seek to build a large network of joint work and support among all the Ibero-American urological scientific societies. The program designed is based on 3 main strands of work to strengthen as of yet undefined aspects of the disease: (I) design and apply a remote survey to CAU members to better understand the epidemiology and management of TC in their countries, (II) investigate the potential role of genetic factors in its etiology, and (III) support the creation and promotion of local pilot programs for early detection. This survey is currently available at <a href="https://bit.ly/3ZvYid5">https://bit.ly/3ZvYid5</a> and strands (II) and (III) have been underway since the beginning of 2024.TC is a challenging disease today. On the one hand, we must continue to offer our patients high cure rates, close to 100% in 70% of patients diagnosed at stage I. On the other hand, we must also consider the significant long-term complications associated with adjuvant treatments such as chemotherapy and radiotherapy, especially in young men who are at increased risk of developing cardiovascular disease, infertility, and hypogonadism, among others. In addition, the likelihood of developing subsequent primary neoplasms 35 years after diagnosis increases in 20% of cases.<a class="elsevierStyleCrossRef" href="#bib0075">15</a>Therefore, it is necessary to know the actual situation of the disease in our CAU region based on reliable information and to develop programs that will allow the establishment of regional strategies for early detection and management." "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "International trends in the incidence of testicular cancer: lessons from 35 years and 41 countries" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.K. Gurney" 1 => "A.A. Florio" 2 => "A. Znaor" 3 => "J. Ferlay" 4 => "M. Laversanne" 5 => "D. Sarfati" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.eururo.2019.07.002" "Revista" => array:6 [ "tituloSerie" => "Eur Urol" "fecha" => "2019" "volumen" => "76" "paginaInicial" => "615" "paginaFinal" => "623" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31324498" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Risk factors for testicular cancer: environment, genes and infections—is it all?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Yazici" 1 => "D. Del Biondo" 2 => "G. Napodano" 3 => "M. Grillo" 4 => "F.P. Calace" 5 => "D. Prezioso" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3390/medicina59040724" "Revista" => array:4 [ "tituloSerie" => "Medicina" "fecha" => "2023" "volumen" => "59" "paginaInicial" => "724" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Testicular cancer: genes, environment, hormones" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "L. De Toni" 1 => "I. Šabovic" 2 => "I. Cosci" 3 => "M. Ghezzi" 4 => "C. Foresta" 5 => "A. Garolla" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3389/fendo.2019.00408" "Revista" => array:4 [ "tituloSerie" => "Front Endocrinol" "fecha" => "2019" "volumen" => "10" "paginaInicial" => "408" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L.H. Einhorn" 1 => "J.P. Donohue" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7326/0003-4819-87-3-293" "Revista" => array:6 [ "tituloSerie" => "Ann Int Med" "fecha" => "1977" "volumen" => "87" "paginaInicial" => "293" "paginaFinal" => "298" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/71004" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Testicular cancer: epidemiology, diagnosis, and management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "Z.L. Smith" 1 => "R.P. Werntz" 2 => "S.E. Eggener" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.mcna.2017.10.003" "Revista" => array:6 [ "tituloSerie" => "Med Clin North Am" "fecha" => "2018" "volumen" => "102" "paginaInicial" => "251" "paginaFinal" => "264" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29406056" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Testicular cancer: a reflection on 50 years of discovery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N. Hanna" 1 => "L.H. Einhorn" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1200/JCO.2014.56.0896" "Revista" => array:6 [ "tituloSerie" => "J Clin Oncol" "fecha" => "2014" "volumen" => "32" "paginaInicial" => "3085" "paginaFinal" => "3092" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25024068" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Testicular cancer survivorship" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Fung" 1 => "P.C. Dinh" 2 => "S.D. Fossa" 3 => "L.B. Travis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.6004/jnccn.2019.7369" "Revista" => array:7 [ "tituloSerie" => "J Natl Compr Canc Netw" "fecha" => "2019" "volumen" => "17" "numero" => "12" "paginaInicial" => "1557" "paginaFinal" => "1568" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31805527" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The association between testicular self-examination and stages of testicular cancer diagnosis: a cross-sectional analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.G. Rovito" 1 => "W.B. Adams" 2 => "M. Craycraft" 3 => "G. Gooljar" 4 => "M. Maresca" 5 => "J. Guelmes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1089/jayao.2021.0020" "Revista" => array:7 [ "tituloSerie" => "J Adolesc Young Adult Oncol" "fecha" => "2022" "volumen" => "11" "numero" => "February (1)" "paginaInicial" => "41" "paginaFinal" => "47" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33877917" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Screening for cancers with a good prognosis: the case of testicular germ cell cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E.A.M. Heijnsdijk" 1 => "S.J. Supit" 2 => "L.H.J. Looijenga" 3 => "H.J. de Koning" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/CAM4.3837" "Revista" => array:5 [ "tituloSerie" => "Cancer Med" "fecha" => "2021" "volumen" => "10" "paginaInicial" => "2897" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33710779" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M Garau" 1 => "C Musetti" 2 => "R. Alonso" 3 => "B. Barrios" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.25100/cm.v50i4.4212" "Revista" => array:7 [ "tituloSerie" => "Colomb Med (Cali)" "fecha" => "2019" "volumen" => "50" "numero" => "4" "paginaInicial" => "224" "paginaFinal" => "238" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32476689" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "El registro de Cáncer de Costa Rica: características, evolución y modernización" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Zamora" 1 => "A. Ortiz" 2 => "Campos" 3 => "Hannia" 4 => "E. Galán-Rodas" 5 => "M. Lajous" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Cienc Salud" "fecha" => "2017" "volumen" => "3" "numero" => "3" "paginaInicial" => "95" "paginaFinal" => "102" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "https://uhsalud.com/index.php/revhispano/article/view/311" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Incidence of cancer in the Coquimbo region, estimated using biopsy results: 2006-2015" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H. Sarria" 1 => "M. Ramirez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Chil Salud Pública" "fecha" => "2020" "volumen" => "24" "numero" => "2" "paginaInicial" => "86" "paginaFinal" => "96" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiologìa del càncer testicular en países en desarrollo: revisión de la literatura" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Medina" 1 => "H. Lòpez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Arch Esp Urol" "fecha" => "2017" "volumen" => "70" "numero" => "5" "paginaInicial" => "513" "paginaFinal" => "523" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28613204" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Exploring the impact of uro-oncology multidisciplinary team meetings on patient outcomes: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "B. Askelin" 1 => "A. Hind" 2 => "C. Peterson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejon.2021.102032" "Revista" => array:4 [ "tituloSerie" => "Eur J Oncol Nurs" "fecha" => "2021" "volumen" => "54" "paginaInicial" => "102032" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Risk of subsequent primary neoplasms in survivors of adolescent and young adult cancer (Teenage and Young Adult Cancer Survivor Study): a population based, cohort study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C.J. Bright" 1 => "R.C. Reulen" 2 => "D.L. Winter" 3 => "D.P. Stark" 4 => "M.G. McCabe" 5 => "A.B. Edgar" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S1470-2045(18)30903-3" "Revista" => array:5 [ "tituloSerie" => "Lancet Oncol" "fecha" => "2019" "volumen" => "20" "paginaInicial" => "531" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30797674" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735786/0000004800000009/v1_202411040724/S2173578624000799/v1_202411040724/en/main.assets" "Apartado" => array:4 [ "identificador" => "6293" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Editorial" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735786/0000004800000009/v1_202411040724/S2173578624000799/v1_202411040724/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578624000799?idApp=UINPBA00004N"]

ISSN: 2173-5786

Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided. It has high visibility and accessibility and is found in the most important data bases, Medline/Pubmed, Emabase, JCR, Ïndice Médico Español, Índice bibliográfico Español en Ciencias de la Salud (IBECS), Cuiden, Dialnet, Hinari, Scopus, Google Scholar.

See more Open Access Option

Indexed in:

Science Citation Index Expanded, Journal of Citation Reports, Index Medicus/MEDLINE, Scopus, EMBASE/Excerpta Medica, IBECS

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

1.2

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

1.9

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.332

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.557

View more metrics

Journal Information

Previous article | Next article

Vol. 48. Issue 9.