2002年至2019年英格兰地区主要癌症的死亡率:基于人口的时空空间研究
Theo Rashid1, James E Bennett1, David C Muller1
1Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK; MRC Centre for Environment and Health, Imperial College London, London, UK.
The Lancet. Oncology
|December 14, 2023
概括
英国的癌症死亡率显示出显著的地理不平等,特别是肺癌和胃癌. 虽然在2002年至2019年期间癌症总体死亡人数下降,但针对性的当地干预措施对于解决差异和提高生存率至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 癌症是英格兰的主要死亡原因.
- 在英格兰各个地区,癌症死亡率存在显著的地理差异.
研究的目的:
- 从2002年到2019年,估计英格兰主要癌症的死亡率趋势.
- 在地区一级分析癌症死亡率的地理不平等.
主要方法:
- 对重要登记数据 (2002-2019) 的高分辨率时空分析.
- 贝叶斯分层模型用于估计年龄和特定原因死亡率.
- 生命表方法来计算80岁之前死亡的无条件概率.
- 斯皮尔曼对相关性进行排名,以评估癌症死亡率与地区贫困之间的联系.
主要成果:
- 2019年,因癌症在80岁之前死亡的概率因地区和性别而异.
- 女性肺癌和男性胃癌的死亡率显示出最大的地理差异.
- 从2002年到2019年,总体癌症死亡率下降,但在某些地区观察到特定癌症 (例如肝脏,胰腺) 的增加.
- 在癌症死亡概率和地区级贫困之间发现了强烈的正相关性.
结论:
- 具有可修改风险因素和查潜力的癌症表现出最多样化的趋势和最大的地理不平等.
- 解决影响癌症发病率和存活率的当地因素对于减少健康不平等至关重要.
相关概念视频
Cancer Survival Analysis
355
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
355
Actuarial Approach
79
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
79
Statistical Methods for Analyzing Epidemiological Data
371
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
371
Kaplan-Meier Approach
150
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
150
Introduction To Survival Analysis
243
Survival analysis is a statistical method used to study time-to-event data, where the "event" might represent outcomes like death, disease relapse, system failure, or recovery. A unique feature of survival data is censoring, which occurs when the event of interest has not been observed for some individuals during the study period. This requires specialized techniques to handle incomplete data effectively.
The primary goal of survival analysis is to estimate survival time—the time...
The primary goal of survival analysis is to estimate survival time—the time...
243
Comparing the Survival Analysis of Two or More Groups
195
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
195


