早期胃癌对全球、地区和国家造成的负担。

IF 5.6 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Cancer Biology & Medicine Pub Date : 2024-08-07 DOI:10.20892/j.issn.2095-3941.2024.0159
Nuopei Tan, Hongliang Wu, Maomao Cao, Fan Yang, Xinxin Yan, Siyi He, Mengdi Cao, Shaoli Zhang, Yi Teng, Qianru Li, Jiachen Wang, Changfa Xia, Wanqing Chen
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引用次数: 0

摘要

目的:不同年龄组的胃癌(GC)负担需要更新。我们确定了 2003 年至 2017 年连续 3 个 5 年间全球、地区和国家的胃癌负担概况以及发病率变化情况:方法:我们从 GLOBOCAN 2022 数据库中提取了 185 个国家和地区最新的胃癌发病率和死亡率估计值。利用《五大洲癌症发病率》(CI5)第 X 卷至第 XII 卷的癌症登记数据,对 5 年间隔年龄标准化发病率(ASIR)进行了评估。相关分析用于评估五年标准化发病率或年龄标准化死亡率(ASMR)与人类发展指数(HDI)之间的关系:结果:据估计,2022 年全球将新增 96.8 万例 GC 病例和 66 万例死亡病例,其中男性居多。肺结核的急性和慢性病死亡率分别为每 10 万人 9.2 例和 6.1 例。在所有地理区域中,东亚的负担最重,占病例总数的53.8%,占死亡人数的48.2%。ASIR 与人类发展指数之间存在明显的相关性。在2003年至2017年的三个五年间,大多数国家的肺结核发病率明显下降,但新西兰、土耳其和南非的发病率在2008年至2012年期间达到高峰。欧洲、大洋洲和美洲的一些国家表明,年轻人,尤其是女性的发病趋势越来越令人担忧:GC 是一个重要的健康问题,尤其是在男性和人类发展指数较高的地区,如东亚。虽然由于预防工作的开展和治疗方法的改进,许多国家的 GC 发病率正在下降,但年轻患者的发病率仍呈上升趋势。显然需要针对不同年龄模式制定全面的预防策略。
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Global, regional, and national burden of early-onset gastric cancer.

Objective: The burden of gastric cancer (GC) across different age groups needs updating. We determined the GC global, regional, and national burden profiles and changes in incidence for 3 sequential 5-year intervals from 2003 to 2017.

Methods: The latest incidence and mortality estimates of GC from 185 countries and regions were extracted from the GLOBOCAN 2022 database. The 5-year interval age-standardised incidence rates (ASIRs) were evaluated using cancer registry data from volumes X-XII of the Cancer Incidence in Five Continents (CI5). Correlation analysis was used to evaluate the relationship between ASIR or the age-standardised mortality rate (ASMR) and the Human Development Index (HDI).

Results: There was an estimated global 968,000 new GC cases and 660,000 deaths in 2022, with male predominance. GC ASIRs and ASMRs were 9.2 and 6.1 per 100,000 persons, respectively. East Asia had the highest burden, with 53.8% of cases and 48.2% of deaths among all geographic regions. There was a significant correlation between ASIR and HDI. Over three 5-year intervals from 2003 to 2017, the incidence of GC notably decreased in most countries but peaked at 2008-2012 in New Zealand, Turkey, and South Africa. Several countries in Europe, Oceania, and America suggest an increasingly concerning trend among younger individuals, especially females.

Conclusions: GC is a significant health issue, especially among males and in geographic regions with an HDI, such as eastern Asia. While the incidence of GC is decreasing in many countries due to prevention efforts and improved treatments, a rising trend persists among younger individuals. Comprehensive prevention strategies tailored to different age patterns are clearly needed.

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来源期刊
Cancer Biology & Medicine
Cancer Biology & Medicine Medicine-Oncology
CiteScore
9.80
自引率
3.60%
发文量
1143
审稿时长
12 weeks
期刊介绍: Cancer Biology & Medicine (ISSN 2095-3941) is a peer-reviewed open-access journal of Chinese Anti-cancer Association (CACA), which is the leading professional society of oncology in China. The journal quarterly provides innovative and significant information on biological basis of cancer, cancer microenvironment, translational cancer research, and all aspects of clinical cancer research. The journal also publishes significant perspectives on indigenous cancer types in China.
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