乳腺癌在转型国家诊断时的生存率:一个基于人口的研究
Hanna Fink1, Eileen Morgan1, Aude Bardot1
1Cancer Surveillance Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, France.
International journal of cancer
|January 27, 2026
概括
乳腺癌的存活率在转型国家有很大差异,诊断阶段和年龄会影响结果. 早期检测和改善晚期护理对于减少女性生存差异至关重要.
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:
- 乳腺癌的存活率在不同国家之间存在很大差异,特别是在经济转型国家.
- 诊断时的阶段是生存的关键决定因素,但这些地区特定阶段的生存数据有限.
研究的目的:
- 调查过渡期国家妇女乳腺癌特定阶段生存率的变化.
- 确定导致生存差异的因素,包括诊断阶段和年龄.
主要方法:
- 利用来自10个转型国家 (2008-2012年诊断) 的11个基于人口的癌症注册表 (PBCR) 的数据.
- 标准化阶段数据,并为缺失的值采用多重归算.
- 按阶段和年龄组估计的年龄标准化净生存率 (ASNS) (1,3年和5年生存率).
主要成果:
- 观察到阶段分布的显著差异;波多黎各诊断的早期阶段>80%,而印度和泰国诊断的早期阶段<60%.
- 特定阶段的ASNS在第四阶段有明显的差异,波多黎各的3年ASNS比印度高出20个百分点.
- 60岁及以上的患者的生存率一般较低,特别是在第四阶段的疾病中.
结论:
- 乳腺癌存活率的差异与早期诊断率和晚期疾病的护理质量差异有关.
- 在全球范围内收集诊断阶段的数据至关重要,特别是对于晚期癌症和老年患者群体,以告知有针对性的干预措施.
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