Surveillance Information, Surveillance Research, American Cancer Society, Atlanta, GA 30303, USA.
CA Cancer J Clin. 2012 Jul-Aug;62(4):220-41. doi: 10.3322/caac.21149. Epub 2012 Jun 14.
Although there has been considerable progress in reducing cancer incidence in the United States, the number of cancer survivors continues to increase due to the aging and growth of the population and improvements in survival rates. As a result, it is increasingly important to understand the unique medical and psychosocial needs of survivors and be aware of resources that can assist patients, caregivers, and health care providers in navigating the various phases of cancer survivorship. To highlight the challenges and opportunities to serve these survivors, the American Cancer Society and the National Cancer Institute estimated the prevalence of cancer survivors on January 1, 2012 and January 1, 2022, by cancer site. Data from Surveillance, Epidemiology, and End Results (SEER) registries were used to describe median age and stage at diagnosis and survival; data from the National Cancer Data Base and the SEER-Medicare Database were used to describe patterns of cancer treatment. An estimated 13.7 million Americans with a history of cancer were alive on January 1, 2012, and by January 1, 2022, that number will increase to nearly 18 million. The 3 most prevalent cancers among males are prostate (43%), colorectal (9%), and melanoma of the skin (7%), and those among females are breast (41%), uterine corpus (8%), and colorectal (8%). This article summarizes common cancer treatments, survival rates, and posttreatment concerns and introduces the new National Cancer Survivorship Resource Center, which has engaged more than 100 volunteer survivorship experts nationwide to develop tools for cancer survivors, caregivers, health care professionals, advocates, and policy makers.
尽管美国在降低癌症发病率方面取得了相当大的进展,但由于人口老龄化和增长以及生存率的提高,癌症幸存者的数量仍在继续增加。因此,越来越有必要了解幸存者的独特医疗和心理社会需求,并了解可以帮助患者、护理人员和医疗保健提供者在癌症生存各个阶段的资源。为了强调为这些幸存者提供服务的挑战和机遇,美国癌症协会和美国国家癌症研究所于 2012 年 1 月 1 日和 2022 年 1 月 1 日按癌症部位估算了癌症幸存者的患病率。使用来自监测、流行病学和最终结果 (SEER) 登记处的数据来描述中位年龄和诊断时的分期以及生存情况;使用国家癌症数据库和 SEER-医疗保险数据库的数据来描述癌症治疗模式。估计有 1370 万美国癌症幸存者于 2012 年 1 月 1 日存活,到 2022 年 1 月 1 日,这一数字将增加到近 1800 万。男性中最常见的三种癌症是前列腺癌(43%)、结直肠癌(9%)和皮肤黑色素瘤(7%),而女性中最常见的三种癌症是乳腺癌(41%)、子宫体癌(8%)和结直肠癌(8%)。本文总结了常见的癌症治疗方法、生存率和治疗后关注的问题,并介绍了新的国家癌症生存资源中心,该中心已在全国范围内聘请了 100 多名志愿生存专家,为癌症幸存者、护理人员、医疗保健专业人员、倡导者和政策制定者开发工具。