黑山1990-2018年皮肤黑色素瘤的死亡率趋势
M Nedovic Vukovic1, Z Terzic, M Golubovic
1Center for Health System Evidence and Research in Public Health, Institute of Public Health of Montenegro, Podgorica, Montenegro. milos_bojic@icloud.com.
概括
黑山黑色素瘤死亡率正在上升,特别是在男性和老年人中. 公共卫生运动应该针对这些弱势群体进行预防和早期发现皮肤癌.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 皮肤病学 皮肤病学
背景情况:
- 黑色素瘤是欧洲癌症死亡的一个重要原因.
- 黑山已经实施了针对黑色素瘤预防和早期检测的公众宣传活动.
- 了解死亡率趋势对于评估干预措施的有效性至关重要.
研究的目的:
- 评估1990年至2018年的黑山皮肤黑色素瘤死亡率趋势.
- 为了确定受黑色素瘤死亡率影响最大的人口群体.
- 评估与公共卫生干预有关的死亡率趋势的变化.
主要方法:
- 使用了黑色素瘤国家死亡数据 (ICD-9: 179,ICD-10: C43).
- 数据按性别和年龄组分类.
- 用于趋势分析的Joinpoint回归,Poisson回归和线性回归.
主要成果:
- 在1990-2018年期间,总共发生了281例黑色素瘤死亡 (51.6%为男性).
- 总体而言,年均死亡率增加了3.3%,男性的死亡率显著上升了5.4%.
- 死亡率在女性中保持稳定;65-74岁,55-64岁和75-84岁年龄组的死亡负担最高.
结论:
- 总体和男性黑色素瘤死亡率和死亡率的显著增加.
- 在女性中没有发现死亡率的统计学上显著增加.
- 预防策略应针对男性和老年人群,即最脆弱的群体.
相关概念视频
Skin Cancer
4.1K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
4.1K
Cancer Survival Analysis
343
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...
343
Changes in Skin Color: Clinical Perspectives
2.0K
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
2.0K
Kaplan-Meier Approach
132
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,...
132
mTOR Signaling and Cancer Progression
3.8K
The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
The mTOR pathway or the...
3.8K
Tumor Immunotherapy
515
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
515


