Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
Urology. 2010 Sep;76(3):528-35. doi: 10.1016/j.urology.2010.04.030. Epub 2010 Jun 22.
To estimate years of potential life lost (YPLL) and productivity losses due to deaths from male urogenital cancers in the United States in 2004.
To estimate YPLL, we applied a life expectancy method using 2004 national mortality data and life tables. To estimate lifetime productivity losses, we used human capital approach accounting for both the market value and the imputed value of housekeeping services. We calculated results for age and racial/ethnic groups and for 8 categories of male urogenital cancers.
In 2004, deaths from urological cancers accounted for 244,080 YPLL, with an average of 14.4 YPLL per death, and deaths from genital cancers accounted for 309,921 YPLL, with an average of 10.5 YPLL per death. Kidney cancer accounted for 42.7% YPLL from male urological cancers, and prostate cancer accounted for 94.2% of the YPLL from male genital cancers. Testicular cancer had the highest average number of YPLL per death (37.9). Non-Hispanic whites accounted for 77.9% of the YPLL from male urogenital cancer deaths. Overall, urogenital cancers had the largest relative contribution to YPLL among men aged ≥50 years. In 2004, the estimated lifetime productivity loss because of deaths from male urogenital cancer was $10.4 billion USD, 10.6% of the estimated $97.9 billion USD loss because of deaths from all cancers among US men.
Urogenital cancers impose a considerable health and economic burden in terms of premature deaths and productivity losses in men in the United States, particularly among the elderly and non-Hispanic whites and blacks.
估计 2004 年美国男性泌尿生殖系统癌症死亡导致的潜在寿命损失（YPLL）和生产力损失。
为了估计 YPLL，我们使用 2004 年国家死亡率数据和生命表应用了一种预期寿命方法。为了估计终生生产力损失，我们使用了人力资本方法，同时考虑了市场价值和家务服务的估算价值。我们计算了年龄和种族/族裔群体以及 8 类男性泌尿生殖系统癌症的结果。
2004 年，泌尿癌症死亡导致 244080 人 YPLL，平均每例死亡损失 14.4 年 YPLL，生殖系统癌症死亡导致 309921 人 YPLL，平均每例死亡损失 10.5 年 YPLL。肾癌占男性泌尿癌症 YPLL 的 42.7%，前列腺癌占男性生殖系统癌症 YPLL 的 94.2%。睾丸癌每例死亡的 YPLL 平均值最高（37.9）。非西班牙裔白人占男性泌尿生殖系统癌症死亡 YPLL 的 77.9%。总体而言，泌尿生殖系统癌症在≥50 岁男性的 YPLL 中占比最大。2004 年，由于男性泌尿生殖系统癌症死亡导致的终生生产力损失估计为 104 亿美元，占美国男性所有癌症死亡导致的 979 亿美元损失的 10.6%。
泌尿生殖系统癌症在美国男性中导致了相当大的健康和经济负担，尤其是在老年人、非西班牙裔白人和黑人群体中，这些负担体现在过早死亡和生产力损失上。
