在格拉纳达的人类乳头瘤病毒相关的阴茎癌的流行病学:为期三十年的基于人口的研究
Pablo Dabán-López1, Nicolás Francisco Fernández-Martínez2,3,4, Dafina Petrova2,3,4
1Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario San Cecilio, Granada, Spain.
Frontiers in public health
|October 2, 2023
概括
生殖器癌症趋势显示发生率和死亡率下降,宫癌在过去三十年中最显著改善. 宫癌和癌的生存率增加,突出了有效的干预措施.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 人类乳头瘤病毒 (HPV) 感染是异位癌的主要危险因素.
- 在阴道癌症中存在流行病学上的差异,需要进行长期的比较分析.
- 了解这些趋势对于公共卫生战略和资源分配至关重要.
研究的目的:
- 在30年的时间内调查阴道癌的发病率,死亡率和存活率趋势.
- 为了比较不同基癌部位的流行病学指标.
- 为了确定特定的癌症类型,有显著的改进或挑战.
主要方法:
- 基于注册的观察性研究,利用人口癌症注册数据 (西班牙格拉纳达,1985-2017年).
- 对发生的宫,门,阴茎,阴道和癌病例的分析.
- 发病率和死亡率的计算,生存分析 (1,3,5年) 和时间趋势分析 (年度百分比变化).
主要成果:
- 总的来说,阴道癌的发病率略有下降,除了癌 (略有增加).
- 宫癌的死亡率显著下降;在其他部位观察到非显著的增加.
- 宫癌和癌的存活率增加,其他癌症的存活率保持稳定.
结论:
- 宫癌在发病率,死亡率和生存率方面表现出最显著的改善.
- 异位癌的趋势各不相同,与其他部位相比,宫癌呈现出积极的轨迹.
- 长期监测对于评估公共卫生干预措施和解决异位癌症结局差异至关重要.
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