中国癌症发病率的趋势和潜在的相关因素
Mandi Li1,2, Meijing Hu1, Lin Jiang1
1Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
JAMA network open
|October 21, 2024
概括
中国的癌症发病率正在上升,主要是由于风险因素和人口老龄化. 紧急的初级预防和二级策略对于公共卫生至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 癌症发病率趋势对于中国的公共卫生规划至关重要.
- 了解这些趋势有助于制定有效的癌症预防和控制策略.
研究的目的:
- 分析1983年至2017年中国32种癌症类型的癌症发病率趋势.
- 预测未来的癌症发病率到2032年,区分风险因素和人口老龄化的贡献.
主要方法:
- 基于人口的队列研究,利用来自五大洲癌症发病率数据库 (1983-2017) 的数据.
- 分析包括年龄标准化发病率 (AIR),年平均百分比变化 (AAPC) 通过结点回归,以及风险因素和衰老影响的Møller分解.
主要成果:
- 观察到11种男性和14种女性癌症 (1983-2017年) 的发病率增加 (AIRS),预测显示持续趋势.
- 甲状腺癌,前列腺癌和癌在男性中显著增加;宫癌和癌在女性中显著增加.
- 肺癌发病率在男性下降,但在女性增加;胃,肝脏,喉和鼻子/鼻腔癌的发病率下降.
结论:
- 中国的癌症形势正在发生变化,由于风险因素和老龄化,癌症发病率越来越高.
- 针对风险因素的初级预防和二级预防对于改善生存,特别是老年人群的初级预防至关重要.
- 需要进一步的研究来理解和解决不断变化的癌症趋势.
相关概念视频
Cancer Prevention
6.1K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.1K
Cancer Survival Analysis
328
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
328
Targeted Cancer Therapies
7.5K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.5K
Statistical Methods for Analyzing Epidemiological Data
310
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
310
Tumor Progression
6.2K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.2K
Adaptive Mechanisms in Cancer Cells
5.7K
Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.7K


