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来自监测、流行病学和最终结果(SEER)项目的癌症生存率和发病率。

Cancer survival and incidence from the Surveillance, Epidemiology, and End Results (SEER) program.

作者信息

Gloeckler Ries Lynn A, Reichman Marsha E, Lewis Denise Riedel, Hankey Benjamin F, Edwards Brenda K

机构信息

Surveillance Research Program, DCCPS, National Cancer Institute, Bethesda, Maryland, USA.

出版信息

Oncologist. 2003;8(6):541-52. doi: 10.1634/theoncologist.8-6-541.

Abstract

An overview of data on cancer at all sites combined and on selected, frequently occurring cancers is presented. Descriptive cancer statistics include average annual Surveillance, Epidemiology, and End Results (SEER) Program incidence, U.S. mortality and median age at diagnosis, and death for the period 1996-2000. Changes during the time period 1992-2000 are summarized by the annual percent change in SEER incidence and U.S. mortality data for this period. Five-year relative survival for selected cancers is examined by stage at diagnosis, based on data from 1990-1999. In addition, 5-year conditional survival for patients already surviving for 1-3 years after diagnosis is discussed as well as relative survival for other time periods. These measures may be more meaningful for clinical management and prognosis than 5-year relative survival from time of diagnosis. The likelihood of developing cancer during one's lifetime is 1 in 2 for males and 1 in 3 for females, based on 1998-2000 data. It is estimated that approximately 9.6 million people in the U.S. who have had a diagnosis of cancer are alive. Five-year relative survival varies greatly by cancer site and stage at diagnosis, and tends to increase with time since diagnosis. The median age at cancer diagnosis is 68 for men and 65 for women. The 5-year relative survival rate for persons diagnosed with cancer is 62.7%, with variation by cancer site and stage at diagnosis. For patients diagnosed with cancers of the prostate, female breast, corpus uteri, and urinary bladder, the relative survival rate at 8 years is over 75%.

摘要

本文呈现了所有部位癌症以及部分常见癌症的数据概述。描述性癌症统计数据包括1996 - 2000年期间的年度平均监测、流行病学和最终结果(SEER)计划发病率、美国死亡率、诊断时的中位年龄以及死亡情况。1992 - 2000年期间的变化通过该时期SEER发病率和美国死亡率数据的年度百分比变化进行总结。根据1990 - 1999年的数据,按诊断阶段检查了部分癌症的五年相对生存率。此外,还讨论了诊断后已存活1 - 3年患者的五年条件生存率以及其他时间段的相对生存率。这些指标对于临床管理和预后可能比诊断时的五年相对生存率更具意义。根据1998 - 2000年的数据,男性一生中患癌的可能性为二分之一,女性为三分之一。据估计,美国约有960万已被诊断患有癌症的人仍在世。五年相对生存率因癌症部位和诊断阶段而异,并往往随着诊断后的时间推移而增加。男性癌症诊断的中位年龄为68岁,女性为65岁。被诊断患有癌症的人的五年相对生存率为62.7%,因癌症部位和诊断阶段而有所不同。对于被诊断患有前列腺癌、女性乳腺癌、子宫体癌和膀胱癌的患者,8年时的相对生存率超过75%。

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