癌症统计,2025年

IF 503.1 1区 医学 Q1 ONCOLOGY CA: A Cancer Journal for Clinicians Pub Date : 2025-01-16 DOI:10.3322/caac.21871
Rebecca L. Siegel MPH, Tyler B. Kratzer MPH, Angela N. Giaquinto MSPH, Hyuna Sung PhD, Ahmedin Jemal DVM, PhD
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引用次数: 0

摘要

美国癌症协会每年都会估算美国新发癌症病例和死亡人数,并利用中央癌症登记处收集的发病率数据(至 2021 年)和国家卫生统计中心收集的死亡率数据(至 2022 年),汇编最新的人口癌症发生率和结果数据。预计 2025 年美国将新增癌症病例 2,041,910 例,癌症死亡病例 618,120 例。到 2022 年,癌症死亡率将继续下降,自 1991 年以来,由于减少吸烟、提早发现某些癌症以及改善治疗,已避免近 450 万人死亡。然而,令人震惊的差距依然存在;美国原住民的癌症死亡率最高,其中肾癌、肝癌、胃癌和宫颈癌的死亡率是白人的两到三倍。同样,黑人的前列腺癌、胃癌和子宫癌死亡率是白人的两倍。男性的总体癌症发病率普遍下降,但女性的发病率有所上升,男女发病率比(RR)从 1992 年的峰值 1.6(95% 置信区间,1.57-1.61)缩小到 2021 年的 1.1(95% 置信区间,1.12-1.12)。然而,50-64 岁女性的发病率已经超过了男性(每 10 万人中有 832.5 人对 830.6 人),年轻女性(50 岁以下)的发病率比男性高出 82%(每 10 万人中有 141.1 人对 77.4 人),比 2002 年的 51% 有所上升。值得注意的是,2021 年,在 65 岁以下人群中,女性肺癌发病率超过男性(每 10 万人中 15.7 例对 15.4 例;RR,0.98,P = 0.03)。总之,癌症死亡率在继续下降,但种族不平等现象严重,中青年尤其是女性的疾病负担日益加重,这些都威胁着未来的进展。要想继续取得进展,就必须在癌症预防和获得公平治疗方面进行投资,尤其是对美国原住民和黑人而言。
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Cancer statistics, 2025

Each year, the American Cancer Society estimates the numbers of new cancer cases and deaths in the United States and compiles the most recent data on population-based cancer occurrence and outcomes using incidence data collected by central cancer registries (through 2021) and mortality data collected by the National Center for Health Statistics (through 2022). In 2025, 2,041,910 new cancer cases and 618,120 cancer deaths are projected to occur in the United States. The cancer mortality rate continued to decline through 2022, averting nearly 4.5 million deaths since 1991 because of smoking reductions, earlier detection for some cancers, and improved treatment. Yet alarming disparities persist; Native American people bear the highest cancer mortality, including rates that are two to three times those in White people for kidney, liver, stomach, and cervical cancers. Similarly, Black people have two-fold higher mortality than White people for prostate, stomach, and uterine corpus cancers. Overall cancer incidence has generally declined in men but has risen in women, narrowing the male-to-female rate ratio (RR) from a peak of 1.6 (95% confidence interval, 1.57–1.61) in 1992 to 1.1 (95% confidence interval, 1.12–1.12) in 2021. However, rates in women aged 50–64 years have already surpassed those in men (832.5 vs. 830.6 per 100,000), and younger women (younger than 50 years) have an 82% higher incidence rate than their male counterparts (141.1 vs. 77.4 per 100,000), up from 51% in 2002. Notably, lung cancer incidence in women surpassed that in men among people younger than 65 years in 2021 (15.7 vs. 15.4 per 100,000; RR, 0.98, p = 0.03). In summary, cancer mortality continues to decline, but future gains are threatened by rampant racial inequalities and a growing burden of disease in middle-aged and young adults, especially women. Continued progress will require investment in cancer prevention and access to equitable treatment, especially for Native American and Black individuals.

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来源期刊
CiteScore
873.20
自引率
0.10%
发文量
51
审稿时长
1 months
期刊介绍: CA: A Cancer Journal for Clinicians" has been published by the American Cancer Society since 1950, making it one of the oldest peer-reviewed journals in oncology. It maintains the highest impact factor among all ISI-ranked journals. The journal effectively reaches a broad and diverse audience of health professionals, offering a unique platform to disseminate information on cancer prevention, early detection, various treatment modalities, palliative care, advocacy matters, quality-of-life topics, and more. As the premier journal of the American Cancer Society, it publishes mission-driven content that significantly influences patient care.
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