[全球大肠癌流行、预防和控制现状]。

L W Guo, X L Zhang, L Cai, C X Zhu, Y Fang, H Y Yang, H D Chen
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引用次数: 0

摘要

目的:本文概述了大肠癌在中国和世界范围内的流行病学,并探讨了如何预防大肠癌以减轻其疾病负担。研究方法使用GLOBOCAN 2020官方数据库、国家癌症中心编制的《中国肿瘤登记年报》以及CONCORD-3数据,数据管理使用Microsoft Excel 2016和R 4.2.1,相关图表使用ggplot2软件包生成,以实现结果可视化。结果估计 2020 年全球有 1 931 590 人被诊断患有结直肠癌,年龄标准化发病率为每 10 万人中有 19.5 人。全球约有 935 173 人死于结直肠癌,年龄标准化死亡率为每 10 万人 9.0 例。总体而言,结直肠癌是 2020 年全球第四大最常诊断的癌症,也是癌症相关死亡的第三大原因。在中国,结直肠癌的年龄标准化发病率和死亡率分别为每十万人 17.3 例和每十万人 7.8 例。发病趋势存在性别差异,女性发病率和死亡率呈下降趋势,男性发病率和死亡率呈上升趋势。结直肠癌的主要风险因素包括年龄、遗传因素、胃肠道疾病、饮食习惯和生活方式等:结直肠癌给全球和中国带来了沉重负担。大肠癌的发生与生理、遗传、行为习惯、生活方式和疾病因素密切相关。为了以最低成本更好地控制大肠癌负担,应采取具体措施减少既定风险因素的暴露。结合我国三级预防的疾病防控策略和大肠癌的特点因素,可以有效控制大肠癌的发病率和死亡率。
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[Current status of global colorectal cancer prevalence, prevention and control].

Objective: This paper provides a brief overview of the epidemiology of colorectal cancer in China and around the world, and discusses how to prevent colorectal cancer to reduce its disease burden. Method: Using the official database of GLOBOCAN 2020, the China Cancer Registry Annual Report compiled by the National Cancer Center, and data from CONCORD-3.Data management was performed by Microsoft Excel 2016 and R 4.2.1 Relevant graphs were generated using the ggplot2 package for result visualization. Result: An estimated 1 931 590 people were diagnosed with colorectal cancer worldwide in 2020 with an age-standardized incidence rate of 19.5 per 100 000. There were about 935 173 deaths caused by colorectal cancer internationally, with an age-standardized mortality rate of 9.0 per 100 000. Overall, colorectal cancer was the fourth most commonly diagnosed cancer and the third leading cause of cancer-related death worldwide in 2020. In China, the age-standardized incidence rate and mortality rate of colorectal cancer was 17.3 per 100 000 and 7.8 per 100 000, respectively. Gender differences in trends were observed, with a decreasing trend in incidence and mortality among females and an increasing trend in incidence and mortality among males. The primary risk factors for colorectal cancer include age, genetic factors, gastrointestinal disorders, dietary habits, and lifestyle et al. Conclusions: Colorectal cancer poses a significant burden globally and in China. The occurrence of colorectal cancer is closely related to physiology, genetics, behavioral habits, lifestyle, and disease factors. To better control the colorectal cancer burden with the lowest cost, specific measures should be taken to reduce exposure to established risk factors. By combining the disease prevention and control strategies of tertiary prevention in China with the characteristic factors of colorectal cancer, the incidence and mortality of colorectal cancer may be effectively controlled.

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来源期刊
中华肿瘤杂志
中华肿瘤杂志 Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
10433
期刊介绍:
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