利用全球癌症统计数据(GLOBOCAN)对 2020 年和 2022 年癌症概况进行比较研究

Wei Cao , Kang Qin , Feng Li , Wanqing Chen
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引用次数: 0

摘要

背景国际癌症研究机构(IARC)发布了对全球癌症负担的最新估计。我们利用全球癌症统计数据(GLOBOCAN)中的数据,对 2020 年和 2022 年的癌症概况进行了比较。方法癌症发病率和死亡率数据来自 GLOBOCAN 数据库中的 2020 年和 2022 年两个不同年份。我们追踪了 2020 年至 2022 年期间全球和中国 15 种最常见癌症的年龄标准化发病率和死亡率的变化,以及新发癌症病例和死亡人数的估计值。此外,我们还进行了比较,以评估 2020 年和 2022 年不同地区和国家癌症负担的变化以及死亡率与发病率之比(MIR)的变化。2022 年,甲状腺癌新发病例急剧增加。相反,2022 年胃癌和食道癌的新发病例和死亡人数大幅下降。2022 年六大洲癌症发病率和死亡率的地理分布与 2020 年基本一致。人类发展指数(HDI)水平较高的国家癌症发病率和死亡率也相应升高,这与上一年的情况一致。在185个国家或地区中,中国的年龄标准化发病率(ASIR)排名第64位,年龄标准化死亡率(ASMR)排名第68位,与全球平均水平持平。肺癌仍然是发病率和死亡率最高的癌症。胃癌、乳腺癌和食道癌的病例数和年龄标准化死亡率均有所下降。值得注意的是,肝癌、胃癌和食道癌的 ASMR 和绝对死亡率都有所下降。全球死亡率中位数从 2020 年的 0.516 降至 2022 年的 0.488。随着 2022 年和 2020 年人类发展指数水平的下降,中位数趋势呈上升趋势。加拿大、德国、印度、意大利、日本和英国的癌症发病率与死亡率中位数呈上升趋势,而中国的癌症发病率与死亡率中位数下降幅度最大,其次是俄罗斯和美国。癌症负担在社会经济地位不同的国家之间存在明显差异。胃癌、肝癌和食道癌发病率和死亡率的下降标志着癌症控制工作取得了进展。全球癌症中位数的下降凸显了癌症管理方面的潜在改进。
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Comparative study of cancer profiles between 2020 and 2022 using global cancer statistics (GLOBOCAN)

Background

The International Agency for Research on Cancer (IARC) released the latest estimates of the global burden of cancer. We present a comparison of cancer profiles between 2020 and 2022, leveraging data from the Global Cancer Statistics (GLOBOCAN).

Methods

Cancer incidence and mortality data were sourced from two different years, 2020 and 2022, in the GLOBOCAN database. We tracked changes in age-standardized incidence and mortality rates, as well as estimated numbers of new cancer cases and deaths of the 15 most common cancer types globally and in China between 2020 and 2022. Additionally, we conducted comparisons to assess alterations in the cancer burden and variations in mortality-to-incidence ratio (MIR) across different regions and countries for both 2020 and 2022.

Results

Lung cancer remained the most common cancer and the leading cause of cancer death worldwide. The new cases of thyroid cancer witnessed a sharp increase in 2022. Conversely, the numbers of new cancer cases and deaths from stomach and esophageal cancer decreased significantly in 2022. The geographic distribution of cancer incidence and mortality across six continents in 2022 largely mirrored that of 2020. Higher Human Development Index (HDI) levels in countries corresponded with elevated rates of cancer incidence and mortality, consistent with the previous year. Among 185 countries or territories, China's age-standardized incidence rate (ASIR) ranked 64th and its age-standardized mortality rate (ASMR) ranked 68th, aligning with global averages. Lung cancer continued to impose the greatest burden of incidence and mortality. Stomach, breast, and esophageal cancers showed declines in both case counts and ASIR. Noteworthy reductions in both ASMR and absolute mortality numbers were observed in liver, stomach, and esophageal cancers. The global MIR decreased from 0.516 in 2020 to 0.488 in 2022. MIR trends indicated an upward trajectory with decreasing HDI levels in both 2022 and 2020. While Canada, Germany, India, Italy, Japan, and the United Kingdom demonstrated increasing MIRs, China exhibited the most significant decrease, followed by Russia and the United States.

Conclusions

The global landscape of cancer incidence and mortality in 2022 reflects ongoing trends observed in 2020. Cancer burdens vary notably across countries with differing socioeconomic statuses. Decreases in stomach, liver, and esophageal cancer cases and deaths signify progress in cancer control efforts. The decrease in the global MIRs highlights potential improvements in cancer management.

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