智利的乳腺癌趋势:发病率和死亡率 (2007-2018)
Benjamín Madariaga1, Susana Mondschein2,3,4, Soledad Torres5
1Department of Mathematical Engineering, University of Chile, Santiago, Chile.
PLOS global public health
|June 27, 2024
概括
智利的乳腺癌发病率正在上升,私人和公共保险妇女之间的差异很大. 这些群体的死亡率仍然相似,这凸显了需要建立国家癌症登记册的必要性.
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:
- 乳腺癌 (BC) 是全球和智利女性癌症死亡的主要原因.
- 智利缺乏全面的国家癌症登记,导致BC数据不完整.
- 估计BC发病率和死亡率对于有效的公共卫生战略至关重要.
研究的目的:
- 为了估计智利的乳腺癌发病率和死亡率.
- 根据医疗保健提供者和地区分析这些率.
- 为了确定智利妇女在BC负担中的差异.
主要方法:
- 利用匿名的国家死亡和医院出院数据库 (2007-2018).
- 分析了公元前58,254例退院和公元前16,615例死亡的队列.
- 每10万女性的年龄调整后的发病率和死亡率.
主要成果:
- 新的BC病例增加了43.6% (2007-2018),死亡人数增加了33.6%.
- 经年龄调整后的发病率稳定 (平均 44.0/100,000),但根据地区有所不同.
- 私人保险妇女 (ISAPRE) 的发病率 (60.6/100,000) 比公共保险妇女 (FONASA) (38.8/100,000) 高,死亡率相似.
结论:
- 在智利的私人和公共保险妇女之间存在严重的BC发病率差异.
- 这些发病率差异可能源于生活方式,饮食,并发症或医疗保健系统的变化.
- 这些发现强调,迫切需要建立一个国家癌症登记处,以改善智利的BC监测和护理.
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