North West Cancer Intelligence Service, Christie NHS Foundation Trust, 63-65 Palatine Road, Manchester M20 3LJ, United Kingdom.
Cancer Epidemiol. 2011 Oct;35(5):407-12. doi: 10.1016/j.canep.2011.05.015. Epub 2011 Aug 17.
Cancer is largely a disease of older individuals. We compared UK cancer mortality rates with those for other countries to assess progress.
Death details were obtained from the WHO Mortality Database for the UK, the USA and 11 European countries. Mortality rates were calculated for the age groups 55-64, 65-74, 75-84 and ≥85 years. Trends between 1995-97 and 2003-05 were determined. The number of excess cancer deaths in the UK was calculated by applying the age-specific mortality rates observed in other regions to the UK.
For all cancers combined, UK rates for 2003-05 in those aged ≥75 years were 11-31% higher than in other regions. From 1995-97 to 2003-05, UK rates decreased by 16-17% in those aged <75 years, but increased by 2% in those ≥85 years compared with decreases of 4-16% for the other geographic areas. More than 14,000 cancer deaths in the UK in those aged ≥75 years would be avoided each year if UK mortality rates were identical to those in the USA.
The UK is making poor progress in controlling cancer in older age groups. The gap in mortality rates between the UK and other countries and between old and young in the UK is widening.
癌症在很大程度上是一种老年病。我们将英国的癌症死亡率与其他国家进行了比较，以评估进展情况。
从世界卫生组织死亡率数据库中获取了英国、美国和 11 个欧洲国家的死亡细节。计算了年龄组为 55-64 岁、65-74 岁、75-84 岁和≥85 岁的死亡率。确定了 1995-97 年至 2003-05 年的趋势。通过将其他地区观察到的特定年龄组死亡率应用于英国，计算了英国超额癌症死亡人数。
对于所有癌症合并，2003-05 年≥75 岁的英国死亡率比其他地区高 11-31%。从 1995-97 年到 2003-05 年，与其他地理区域的死亡率下降 4-16%相比，年龄<75 岁的英国死亡率下降了 16-17%，而≥85 岁的死亡率则上升了 2%。如果英国的死亡率与美国相同，那么英国每年≥75 岁的癌症死亡人数将减少 14000 多人。
英国在控制老年人群癌症方面进展不佳。英国与其他国家之间以及英国老年和年轻人之间的死亡率差距正在扩大。
