前列腺癌发病率和死亡率的趋势
Erin L Van Blarigan1,2,3, Meg A McKinley1,3, Samuel L Washington1,2
1Department of Epidemiology and Biostatistics, University of California, San Francisco.
JAMA network open
|January 27, 2025
概括
加利福尼亚州的远期前列腺癌发病率正在上升,特别是在西班牙裔男性中. 前列腺癌死亡率已经稳定,这凸显了改善查策略的必要性.
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:
- 在全国范围内,远期前列腺癌的发病率正在增加.
- 了解社会和地理因素的趋势至关重要.
研究的目的:
- 为了检查加利福尼亚州前列腺癌发病率和死亡率的趋势.
- 根据阶段,年龄,种族/种族和地区分析趋势.
主要方法:
- 使用加利福尼亚癌症登记处和SEER数据 (2004-2021) 的队列研究.
- 分析发病率和死亡率,年龄调整为2000年美国标准人口.
- 使用Joinpoint回归程序计算的年度百分比变化 (APC).
主要成果:
- 远期前列腺癌发病率每年增加6.7% (2011-2021年),西班牙裔男性的发病率更高.
- 死亡率每年下降2.6% (2004-2012),但随后停滞不前 (APC 0.1%).
- 在大多数地区和种族/族群中,发病率增加;死亡率在所有人口统计数据中保持平稳.
结论:
- 在加利福尼亚州,远期前列腺癌的发病率在全州范围内增加.
- 前列腺癌死亡率已经稳定,扭转了以前的下降.
- 迫切需要更有效的前列腺癌查策略.
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