软组织和骨外肉瘤的全球模式和负担:1990年至2021年的趋势
Mingxia Zhu1, Lan Zhang2, Yong Wei3
1Department of Radiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China.
BMC cancer
|April 17, 2025
概括
全球软组织肉瘤负担在绝对数量上增加,但在年龄标准化率上下降. 差异仍然存在,强调需要公平地获得软组织和骨外肉瘤的护理.
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:
- 软组织肉瘤 (STS) 是一种罕见的恶性瘤,起源于连接组织.
- 本研究提供了从1990年到2021年对STS和骨外肉瘤的全球负担的系统评估.
研究的目的:
- 评估STS的发病率,死亡率和残疾调整寿命年 (DALYs) 的全球趋势.
- 分析不同社会人口统计指数 (SDI) 级别疾病负担的差异,并预测未来的趋势.
主要方法:
- 利用了2021年全球疾病负担研究 (GBD) 的数据.
- 雇佣年龄标准化率 (ASIR,ASMR,ASDR),估计年度百分比变化 (EAPC) 和不平等指标.
- 整合了分解分析,边界分析和贝叶斯年龄周期队列 (BAPC) 建模用于预测.
主要成果:
- 对于STS的全球年龄标准化发病率,死亡率和DALY率在1990年至2021年期间下降.
- 男人和老年人 (95岁以上) 的比例较高;高SDI地区的ASIR略有增加,但ASMR/ASDR下降.
- 高SDI和低SDI国家之间的疾病负担差距扩大;预测显示到2036年,绝对数字上升,但年龄标准化率下降.
结论:
- 尽管年龄标准化率下降,但全球绝对的STS负担正在增加.
- 在STS负担方面仍然存在显著的差异,强调需要改善医疗保健和有针对性的干预措施.
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