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Published on: October 10, 2025
Lung cancer in China: challenges and interventions
Jun She1, Ping Yang2, Qunying Hong1
1Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.
Lung cancer is now the leading cause of cancer death in China, with mortality rates soaring over 460% in 30 years. Key risk factors include smoking and pollution, necessitating public education and targeted interventions for lung cancer prevention and early detection.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Lung cancer has surpassed liver cancer as the leading cause of cancer mortality in China since 2008.
- The lung cancer mortality rate has increased by 464.84% over the past three decades, presenting a significant public health challenge.
- This escalating burden impacts patients, healthcare providers, and society, underscoring the need for comprehensive analysis and intervention strategies.
Purpose of the Study:
- To systematically review and analyze lung cancer incidence, mortality, economic burden, risk factors, and intervention effectiveness in China.
- To identify geographical variations in lung cancer incidence and mortality across different regions of China.
- To provide evidence-based recommendations for public health policies and clinical practices related to lung cancer in China.
Main Methods:
- A systematic review of published literature on lung cancer in China from 1990 to 2011.
- Analysis of incidence and mortality data, including geographical disparities and demographic variations (gender, region).
- Identification and evaluation of major risk factors (smoking, environmental pollution) and intervention strategies.
Main Results:
- Lung cancer incidence exhibits significant regional variation, with higher risks observed in eastern China, particularly among women.
- Crude lung cancer mortality rates in 2008 were 47.51/100,000 for men and 22.69/100,000 for women, with Shanghai reporting the highest rates and Tibet/Ningxia the lowest.
- Smoking and environmental pollution are identified as primary risk factors contributing to the high burden of lung cancer in China.
Conclusions:
- Public education on lung cancer prevention and early detection is crucial.
- Targeted interventions to reduce smoking rates and mitigate environmental risks are essential.
- Adoption and adaptation of standardized treatment protocols are recommended for improving lung cancer care in China.
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