甲状腺癌发病率的下降趋势:意大利中部 (2007-2019) 的一项研究
Enrica Santelli1, Valeria Ascoli2, Daniela D'ippoliti1
1Department of Epidemiology of Lazio Region Health Service, Local Health Unit 1, Rome, Italy.
Endocrine
|August 8, 2024
概括
甲状腺癌发病率在意大利拉齐奥地区显著下降,特别是在女性中,继2014年意大利甲状腺细胞学分类和报告共识 (ICCRTC) 之后. 这表明这些指导方针可能有助于减少过度诊断.
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:
- 由于过度诊断,甲状腺癌 (TC) 发病率在高收入国家上升.
- 制这一趋势的努力始于2010年代中期,需要有关发病率变化的数据.
- 了解TC趋势对于有效的公共卫生战略至关重要.
研究的目的:
- 分析意大利拉齐奥地区2007-2019年TC发病率趋势.
- 评估2014年意大利甲状腺细胞学分类和报告共识 (ICCRTC) 对TC诊断的影响.
- 为了识别TC诊断模式在ICCRTC实施后的变化.
主要方法:
- 基于人口的研究使用拉齐奥地区癌症登记数据 (5,800万居民).
- 计算了TC (两性) 的年龄标准化发病率.
- 应用了对中断时间序列 (ITS) 的细分线性回归来评估 ICCRTC 对月度发病率的影响.
主要成果:
- 在13年内观察到每年TC发病率的显著下降,女性更明显.
- 结果与美国和韩国的国际调查结果一致.
- 在2014年ICCRTC实施后,两性TC发病率的显著减少被检测到.
结论:
- 观察到TC发病率显著下降,特别是在女性中.
- ITS的分析表明,ICCRTC在减少过度诊断方面发挥了作用.
- 拉齐奥地区的研究结果很可能可以推广到意大利国家层面.
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