El-Basmy Amani
Cancer Epidemiology and Registration Unit, Ministry of Heath, State of Kuwait E-mail :
Asian Pac J Cancer Prev. 2013;14(10):6181-4. doi: 10.7314/apjcp.2013.14.10.6181.
Lung cancer is the most frequent cancer in males and the fourth most frequent site in females, worldwide. This study is the first to explore the profile of lung cancer in Kuwait.
Cases of primary lung cancer (Kuwaiti) in Kuwait cancer Registry (KCR) were grouped in 4 periods (10 years each) from 1970-2009. Epidemiological measures; age standardized incidence rate (ASIR) with 95% confidence intervals (CI), Standardized rate ratio (SRR) and Cumulative risk and Forecasting to year 2020-2029 used for analysis.
Between years, 2000-2009 lung cancer ranked the 4th and the 9th most frequent cancer in males and females respectively. M:F ratio 1:3. Mean age at diagnosis (95%CI) was 65.2 (63.9-66.4) years. The estimated risk of developing lung cancer before the age of 75 years in males is 1.8% (1/56), and 0.6 (1/167) in females. The ASIR for male cases was 11.7, 17.1, 17.0, 14.0 cases/100,000 population in the seventies, eighties, nineties and in 2000-2009 respectively. Female ASIR was 2.3, 8.4, 5.1, 4.4 cases/100,000 population in the same duration. Lung cancer is the leading cause cancer death in males 168 (14.2%) and the fifth cause of death due to cancer in females accounting for 6.1% of all cancer deaths. The ASMR (95%CI) was 8.1 (6.6-10.0) deaths/100,000 population and 2.8 (1.3-4.3) deaths/100,000 population in males and females respectively. The estimated Mortality to incidence Ratio was 0.6.
The incidence of lung cancer between years 2000-2009 is not different from that reported in the seventies. KCR is expecting the number of lung cancer cases to increase.
在全球范围内,肺癌是男性中最常见的癌症,在女性中是第四大常见癌症部位。本研究首次探索科威特的肺癌情况。
科威特癌症登记处(KCR)中科威特原发性肺癌病例按4个时期分组(每个时期10年),时间跨度为1970 - 2009年。采用流行病学指标;年龄标准化发病率(ASIR)及95%置信区间(CI)、标准化率比(SRR)、累积风险以及对2020 - 2029年的预测用于分析。
在2000 - 2009年期间,肺癌在男性和女性中分别是第四和第九大常见癌症。男女比例为1:3。诊断时的平均年龄(95%CI)为65.2(63.9 - 66.4)岁。男性在75岁之前患肺癌的估计风险为1.8%(1/56),女性为0.6%(1/167)。男性病例的年龄标准化发病率在七十年代、八十年代、九十年代以及2000 - 2009年分别为11.7、17.1、17.0、14.0例/10万人口。女性的年龄标准化发病率在相同时间段分别为2.3、8.4、5.1、4.4例/10万人口。肺癌是男性癌症死亡的主要原因,有168例(14.2%),是女性癌症死亡的第五大原因,占所有癌症死亡的6.1%。男性和女性的年龄标准化死亡率(95%CI)分别为8.1(6.6 - 10.0)例/10万人口和2.8(1.3 - 4.3)例/10万人口。估计的死亡率与发病率之比为0.6。
2000 - 2009年期间肺癌的发病率与七十年代报告的发病率没有差异。科威特癌症登记处预计肺癌病例数量会增加。