撒哈拉以南非洲的癌症生存率 (SURVCAN-3):一个基于人口的研究
W Yvonne Joko-Fru1, Aude Bardot2, Phiona Bukirwa3
1The African Cancer Registry Network, Oxford, UK; Department of Medical Genetics, University of Cambridge, Cambridge, UK; Global Health Working Group, Martin-Luther-University Halle-Wittenberg, Halle, Germany.
The Lancet. Global health
|May 18, 2024
概括
撒哈拉以南非洲的癌症存活率对于许多常见癌症来说很差. 这些发现凸显了改善该地区预防和护理策略的迫切需要.
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:
- 非洲,亚洲和南美洲的癌症存活率项目 (SURVCAN-3) 解决了这些地区癌症存活率有限的数据.
- 这项研究分析了撒哈拉以南非洲地区18种癌症的存活率,使用来自非洲癌症登记网络的数据.
研究的目的:
- 估计撒哈拉以南非洲人口癌症生存率.
- 为了确定不同癌症类型,性别和国家的癌症存活率的差异.
主要方法:
- 来自11个撒哈拉以南非洲国家的13个基于人口的癌症登记处的数据 (2005-2014年的诊断).
- 包括10500名被诊断患有18种癌症的患者,随访至2018年.
- 一年,三年和五年生存率的估计 (观察,净,年龄标准化净).
主要成果:
- 宫癌 (52.3%),肝癌 (18.1%) 和肺癌 (32.4%) 的三年年龄标准化净生存率较低.
- 不到一半的患者在八种癌症中存活了3年,包括口腔,食道,胃,喉,肺,肝脏,非霍奇金淋巴瘤和白血病.
- 胃,肺和非霍奇金淋巴瘤的生存率因性别而异;在几种癌症中,人类发展指数 (HDI) 没有差异.
结论:
- 可预防癌症的低生存率强调了需要扩大撒哈拉以南非洲人口层面的预防.
- 这些估计提供了为倡导改善该地区癌症预防,诊断和护理的准入提供关键数据.
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