联邦11种癌症的癌症发病率和存活率:基于模拟的建模研究
Zachary J Ward1, Qassi Gaba2, Rifat Atun3
1Center for Health Decision Science, Harvard T H Chan School of Public Health, Harvard University, Boston, MA, USA; Department of Health Policy and Management, Harvard T H Chan School of Public Health, Harvard University, Boston, MA, USA.
The Lancet. Oncology
|August 10, 2024
概括
癌症生存率在英联邦国家之间有很大差异,低收入国家面临着最大的挑战. 针对性干预,如放射治疗和手术,对于改善癌症结果和减少差异至关重要.
科学领域:
- 在瘤学瘤学.
- 全球健康 全球健康
- 卫生经济学 卫生经济学
背景情况:
- 在英联邦国家,2008年至2018年间,癌症发病率增加了35%.
- 在低收入和中低收入的英联邦国家,癌症控制进展缓慢.
- 在英联邦范围内,癌症发病率存在显著差异.
研究的目的:
- 检查癌症结果,并确定英联邦国家干预的优先领域.
- 为优先考虑改善癌症存活率和资源分配的努力提供指导.
主要方法:
- 对56个英联邦国家的11个癌症部位进行了微模拟模型的调整.
- 世界银行按收入组和地理区域分类的国家.
- 模拟的5年净生存率,考虑到诊断阶段,治疗可用性和护理质量.
主要成果:
- 2020年,英联邦国家占全球癌症病例的14.3%,预计到2050年将增加到17.3%.
- 五年净生存率差异很大:低收入国家为4.1%,高收入国家为59.0%.
- 放射治疗在低收入国家产生最大影响,手术在中低收入和中高收入国家产生最大影响,高收入国家有针对性的治疗产生最大影响.
结论:
- 在英联邦国家收入群体之间,癌症存活率差异几乎是15倍.
- 改善治疗和成像的可用性,以及护理质量,对于减少差距至关重要.
- 具体的扩展政策必须根据个别国家的环境进行调整,以有效地改善癌症的结果.
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