老年人癌症发病率和死亡率趋势
Ryan T Morse1, Kyle A Mani2, Hyman B Muss3
1Department of Radiation Oncology, UNC Lineberger Comprehensive Cancer Center, University of North Carolina Hospital, Chapel Hill, NC, USA.
npj aging
|March 5, 2026
概括
老年人的癌症发病率正在上升,但死亡率正在下降. 趋势因癌症类型和性别而异,突出显示了这个不断增长的人口中不断演变的流行病学模式.
科学领域:
- 老年学是一门学科.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 在美国,患有癌症的老年人 (65岁及以上) 人口正在增加.
- 在这一群体中,癌症护理的显著差异仍然存在.
研究的目的:
- 描述美国老年人癌症的流行病学特征和趋势.
- 分析从1975年和1969年到2019年的癌症发病率和死亡率趋势.
主要方法:
- 利用来自65岁及以上成年人监测,流行病学和最终结果 (SEER) 数据库的数据.
- 雇员加入点回归建模,以计算发病率和死亡率的年平均百分比变化 (AAPC).
主要成果:
- 老年人癌症发病率显示整体增加 (AAPC 0.250),皮肤黑色素瘤显著增加,直肠和结肠癌减少.
- 老年人癌症死亡率总体下降 (AAPC -0.317),胃癌和结肠癌死亡率显著降低.
- 观察到女性肺癌和男性肝癌的死亡率增加.
结论:
- 老年人癌症的流行病学模式是动态的,并且根据性别和特定的癌症亚型有很大的差异.
- 这些不断变化的趋势强调了为老龄化人口量身定制的癌症护理策略的需要.
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