加拿大的年龄特定结直肠癌发病率趋势,1971-2021年
Emily Heer1, Yibing Ruan2, Matthew T Warkentin3
1School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Cancer epidemiology
|August 6, 2024
概括
50岁以下的加拿大人中结肠直肠癌 (CRC) 发病率正在上升,特别是在年轻年龄组. 分析显示,1966年以后出生的男性面临显著更高的CRC风险,这强调了更新查策略的必要性.
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:
- 50岁以下的成年人中结肠直肠癌 (CRC) 发病率正在增加.
- 这一趋势促使人们讨论降低CRC查推年龄.
- 了解特定年龄的趋势和出生队列效应至关重要.
研究的目的:
- 估计加拿大CRC发病率的特定年龄趋势.
- 通过出生队列分析CRC风险的变化.
- 为了告知CRC查指南的潜在调整.
主要方法:
- 利用了加拿大各省1971-2021年CRC发病率数据.
- 对于特定年龄和年龄调整的发病率,就业者结合点回归.
- 应用年龄周期队列模型来估计出生队列效应.
主要成果:
- 50岁以下的所有年龄组中,CRC发病率都在上升,35-39岁年龄段的相对增加最高.
- 虽然男性和女性表现出类似的趋势,但50岁以下的男性的发病率增加更大.
- 1966年以后出生的男性与早期出生队伍相比,CRC风险显著增加.
结论:
- 证实并更新了之前关于年轻加拿大人CRC发病率上升的研究结果.
- 最年轻的出生队伍,特别是1966年以后出生的男性,承受着最高的风险.
- 建议进行进一步的研究,以评估CRC查在年轻人群中的有效性.
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