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在台湾,女性甲状腺癌发病率的世俗上升趋势
Jiun-Yan Wu1, Yuh-Kae Shyu2, Yu-Kwang Lee3
1School of Medicine, College of Medicine, Fu-Jen Catholic University, New Taipei City 242, Taiwan.
Life (Basel, Switzerland)
|July 27, 2024
概括
台湾女性甲状腺癌发病率急剧增加,可能是由于过度诊断. 在同一个出生队伍中,甲状腺癌率和生育率之间发现了一个令人惊的负相关性.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 全球甲状腺癌发病率正在上升,特别是在女性中.
- 台湾的趋势仍未得到充分研究.
- 这项研究调查了台湾女性甲状腺癌的发病率和潜在原因.
研究的目的:
- 分析台湾女性甲状腺癌发病率的趋势.
- 探索潜在的促成因素,包括生育率.
- 为了解甲状腺癌发病率的上升提供了洞察力.
主要方法:
- 使用了台湾癌症登记 (TCR) 数据库.
- 计算了年龄标准化和年龄特定的发病率.
- 研究了女性甲状腺癌发病率和队列生育率之间的相关性.
主要成果:
- 在台湾,女性甲状腺癌的发病率显著增加,从每10万人口中的7.37 (1995-1999) 增加到每10万人口中的20.53 (2015-2019).
- 年度百分比变化 (APC) 为5.9%,APC在50-54岁年龄组 (6.8%) 中最高.
- 在同一出生队列中,甲状腺癌发病率和生育率之间观察到显著的负相关性.
结论:
- 过度诊断被假设是台湾女性甲状腺癌发病率增加的主要驱动因素.
- 研究发现,生育能力和甲状腺癌发病率之间存在强烈的负面关联.
- 未来的研究应该探索这些生育关联,承认TCR数据库中的数据限制.
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