在过去的20年中,美国结直肠癌死亡率趋势发生了什么变化?
Jia Yi Tan1, Yong-Hao Yeo2, Wern Lynn Ng3
1Department of Internal Medicine, New York Medical College at Saint Michael's Medical Center, Newark, New Jersey, USA.
International journal of cancer
|March 25, 2024
概括
结肠直肠癌 (CRC) 的死亡率整体上正在下降,但直肠西格癌的发病率正在上升. 年轻成年人和某些人口统计数据显示有关CRC死亡率的趋势,需要针对性的公共卫生干预措施.
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:
- 在过去的二十年中,美国结肠直肠癌 (CRC) 死亡率下降.
- 对于特定的CRC亚型的趋势,包括结肠癌,直腰肌癌和直肠癌,仍然不太了解.
研究的目的:
- 分析1999年至2020年美国不同结直肠癌亚型的死亡率趋势.
- 为了确定CRC死亡率的人口和地理差异.
主要方法:
- 利用疾病控制和预防中心的流行病学研究 (WONDER) 数据的广泛在线数据.
- 通过结点回归计算年龄调整的死亡率 (AAMR) 和使用年平均百分比变化 (AAPC) 分析趋势.
主要成果:
- 整体CRC死亡率下降 (AAPC: -2.41),但直肠西格癌死亡率显著增加 (AAPC: +1.10).
- 年轻发病的CRC (15-49岁) 死亡率上升 (AAPC:+0.75),男性,黑人和农村人口的死亡率更高.
- 在性别,种族,地理区域和城市化水平上观察到CRC死亡率的显著差异.
结论:
- 尽管总体下降,但年轻发病的CRC和直腰肌癌的上升趋势需要紧急关注.
- 持续存在的差异凸显了针对性公共卫生战略的需要,以解决CRC结果中的不平等问题.
- 进一步研究这些新兴趋势的具体驱动因素对于有效的预防和治疗至关重要.
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