2006年欧洲癌症发病率和死亡率的估计数据。

Estimates of the cancer incidence and mortality in Europe in 2006.

作者信息

Ferlay J, Autier P, Boniol M, Heanue M, Colombet M, Boyle P

机构信息

International Agency for Research on Cancer, 150 cours Albert Thomas, 69372 Lyon Cedex 08, France.

出版信息

Ann Oncol. 2007 Mar;18(3):581-92. doi: 10.1093/annonc/mdl498. Epub 2007 Feb 7.

Abstract

BACKGROUND

Monitoring the evolution of the cancer burden in Europe is of great value. Estimates of the cancer burden in Europe have been published for 2004 and estimates are now being presented for cancer incidence and mortality in Europe for 2006.

METHODS

The most recent sources of cancer incidence and mortality data have been collected and projections have been carried out using short-term prediction methods to produce estimated rates for 2006. Additional estimation was required where national incidence data were not available, and the method involved the projection of the aggregations of cancer incidence and mortality data from representative cancer registries. The estimated 2006 rates were applied to the corresponding estimated country population to obtain the best estimates of the cancer incidence and mortality in Europe in 2006.

RESULTS

In 2006 in Europe, there were an estimated 3,191,600 cancer cases diagnosed (excluding nonmelanoma skin cancers) and 1,703,000 deaths from cancer. The most common form of cancers was breast cancer (429,900 cases, 13.5% of all cancer cases), followed by colorectal cancers (412,900, 12.9%) and lung cancer (386,300, 12.1%). Lung cancer, with an estimated 334,800 deaths (19.7% of total), was the most common cause of death from cancer, followed by colorectal (207,400 deaths), breast (131,900) and stomach (118,200) cancers.

CONCLUSIONS

The total number of new cases of cancer in Europe appears to have increased by 300,000 since 2004. With an estimated 3.2 million new cases (53% occurring in men, 47% in women) and 1.7 million deaths (56% in men, 44% in women) each year, cancer remains an important public health problem in Europe and the ageing of the European population will cause these numbers to continue to increase even if age-specific rates remain constant. Evidence-based public health measures exist to reduce the mortality of breast and colorectal cancer while the incidence of lung cancer, and several other forms of cancer, could be diminished by improved tobacco control.

摘要

背景

监测欧洲癌症负担的演变具有重要意义。欧洲2004年癌症负担的估计数据已公布,现呈现欧洲2006年癌症发病率和死亡率的估计数据。

方法

收集了最新的癌症发病率和死亡率数据来源,并使用短期预测方法进行预测,以得出2006年的估计发病率。在国家发病率数据不可用时需要进行额外估计,该方法涉及对代表性癌症登记处的癌症发病率和死亡率数据汇总进行预测。将2006年的估计发病率应用于相应的估计国家人口,以获得2006年欧洲癌症发病率和死亡率的最佳估计值。

结果

2006年欧洲估计有319.16万例癌症病例被诊断(不包括非黑色素瘤皮肤癌),170.3万人死于癌症。最常见的癌症类型是乳腺癌(42.99万例,占所有癌症病例的13.5%),其次是结直肠癌(41.29万例,12.9%)和肺癌(38.63万例,12.1%)。肺癌估计有33.48万例死亡(占总数的19.7%),是最常见的癌症死亡原因,其次是结直肠癌(20.74万例死亡)、乳腺癌(13.19万例)和胃癌(11.82万例)。

结论

自2004年以来,欧洲癌症新发病例总数似乎增加了30万。欧洲每年估计有320万新发病例(53%发生在男性,47%发生在女性)和170万例死亡(56%发生在男性,44%发生在女性),癌症仍然是欧洲一个重要的公共卫生问题,即使特定年龄发病率保持不变,欧洲人口老龄化也将导致这些数字继续增加。存在基于证据的公共卫生措施来降低乳腺癌和结直肠癌的死亡率,而改善烟草控制可以降低肺癌和其他几种癌症的发病率。

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