MMWR Morb Mortal Wkly Rep. 2011 Mar 11;60(9):269-72.
As a result of advances in early detection and treatment, cancer has become a curable disease for some and a chronic illness for others; persons living with a history of cancer are now described as cancer survivors rather than cancer victims. From 1971 to 2001, the number of cancer survivors in the United States increased from 3.0 million to 9.8 million. To update those data, published in 2004, the National Cancer Institute (NCI) and CDC analyzed cancer incidence and follow-up information from nine Surveillance, Epidemiology, and End Results (SEER) programs to estimate the number of persons in the United States ever diagnosed with cancer who were alive on January 1, 2007. This report summarizes the results of that analysis, which indicated that the number of cancer survivors increased from 9.8 million in 2001 to 11.7 million in 2007. Breast, prostate, and colorectal cancers were the most common types of cancer among survivors, accounting for 51% of diagnoses. As of January 1, 2007, an estimated 64.8% of cancer survivors had lived≥5 years after their diagnosis of cancer, and 59.5% of survivors were aged≥65 years. Because many cancer survivors live long after diagnosis and the U.S. population is aging, the number of persons living with a history of cancer is expected to continue to increase. Public health and health-care professionals should understand the potential long-term needs of cancer survivors, engage in health promotion (e.g., urging cancer screening and smoking cessation), and ensure coordination of follow-up care for this growing population.
由于早期检测和治疗的进步，癌症已经成为一些人的可治愈疾病，而对另一些人来说则是慢性病；现在，患有癌症病史的人被称为癌症幸存者，而不是癌症患者。从 1971 年到 2001 年，美国的癌症幸存者人数从 300 万增加到 980 万。为了更新这些数据，国家癌症研究所（NCI）和疾病预防控制中心分析了来自九个监测、流行病学和最终结果（SEER）计划的癌症发病率和随访信息，以估计 2007 年 1 月 1 日仍存活的美国曾被诊断患有癌症的人数。本报告总结了该分析的结果，表明癌症幸存者的人数从 2001 年的 980 万增加到 2007 年的 1170 万。乳腺癌、前列腺癌和结直肠癌是幸存者中最常见的癌症类型，占诊断的 51%。截至 2007 年 1 月 1 日，估计有 64.8%的癌症幸存者在被诊断出癌症后至少活了 5 年，59.5%的幸存者年龄≥65 岁。由于许多癌症幸存者在诊断后长期存活，并且美国人口正在老龄化，因此患有癌症病史的人数预计将继续增加。公共卫生和医疗保健专业人员应该了解癌症幸存者的潜在长期需求，参与健康促进（例如，敦促癌症筛查和戒烟），并确保为这一不断增长的人群协调后续护理。
