宫癌的发病率趋势和存活率:泰国癌症注册数据库上的基于人口的研究
Apirak Nguanboonmak1, Boonyita Pakkaranang2, Marut Yanaranop3
1Department of Clinical Epidemiology, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand; Department of Obstetrics and Gynecology, Makarak Hospital, Kanchanaburi 71120, Thailand.
泰国的宫癌发病率整体下降,但在年轻女性中增加. 生存率也有所下降,这凸显了对这一人口群的更新查和治疗策略的需要.
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:
- 宫癌是泰国妇女的重大健康问题.
- 在过去的十年中,关于子宫癌发病率和生存趋势的全国数据以前是有限的.
研究的目的:
- 分析泰国2012年至2022年宫癌的发病率和生存趋势.
- 为了确定特定的人口群体与不断变化的发病率和生存模式.
主要方法:
- 一项回顾性队列研究,利用泰国国家癌症登记处 (2012-2022) 的数据.
- 使用世卫组织标准人口计算年龄标准化发病率 (ASR).
- 使用Ederer II方法和国家生命表估计相对存活率.
主要成果:
- 包括47,220例子宫癌病例;每10万女性的ASR在7.69-11.18之间.
- 总体发病率初步上升 (2012-2015年),随后下降 (2015-2021年),在2022年略有上升.
- 年轻女性 (30-39岁) 的发病率趋势稳步增加,而5年相对存活率在研究期间下降到75%.
结论:
- 尽管总体下降,但年轻的泰国女性的宫癌发病率正在上升.
- 随着生存率的下降,迫切需要对国家查计划进行重新评估.
- 改善诊断准入和及时治疗至关重要,特别是在宫癌影响的年轻人群中.
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