Director, Surveillance Information, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.
CA Cancer J Clin. 2014 Jan-Feb;64(1):9-29. doi: 10.3322/caac.21208. Epub 2014 Jan 7.
Each year, the American Cancer Society estimates the numbers of new cancer cases and deaths that will occur in the United States in the current year and compiles the most recent data on cancer incidence, mortality, and survival. Incidence data were collected by the National Cancer Institute, the Centers for Disease Control and Prevention, and the North American Association of Central Cancer Registries and mortality data were collected by the National Center for Health Statistics. A total of 1,665,540 new cancer cases and 585,720 cancer deaths are projected to occur in the United States in 2014. During the most recent 5 years for which there are data (2006-2010), delay-adjusted cancer incidence rates declined slightly in men (by 0.6% per year) and were stable in women, while cancer death rates decreased by 1.8% per year in men and by 1.4% per year in women. The combined cancer death rate (deaths per 100,000 population) has been continuously declining for 2 decades, from a peak of 215.1 in 1991 to 171.8 in 2010. This 20% decline translates to the avoidance of approximately 1,340,400 cancer deaths (952,700 among men and 387,700 among women) during this time period. The magnitude of the decline in cancer death rates from 1991 to 2010 varies substantially by age, race, and sex, ranging from no decline among white women aged 80 years and older to a 55% decline among black men aged 40 years to 49 years. Notably, black men experienced the largest drop within every 10-year age group. Further progress can be accelerated by applying existing cancer control knowledge across all segments of the population.
每年,美国癌症协会都会预估当年在美国发生的新癌症病例和死亡人数,并编纂最新的癌症发病率、死亡率和生存率数据。发病率数据由国家癌症研究所、疾病控制与预防中心以及北美癌症登记中心协会收集,死亡率数据由国家卫生统计中心收集。预计 2014 年美国将有 166.554 万例新癌症病例和 58.572 例癌症死亡。在最近有数据的 5 年(2006-2010 年)期间,男性的延迟调整癌症发病率每年略有下降(下降 0.6%),女性则保持稳定,而男性的癌症死亡率每年下降 1.8%,女性则下降 1.4%。自 20 年前以来,癌症综合死亡率(每 10 万人中的死亡人数)持续下降,从 1991 年的 215.1 降至 2010 年的 171.8。这 20%的降幅意味着在此期间避免了约 134.04 万人(95.27 万男性和 38.7 万女性)的癌症死亡。1991 年至 2010 年间,癌症死亡率的下降幅度因年龄、种族和性别而异,从 80 岁及以上白人女性无下降到 40 岁至 49 岁黑人男性下降 55%不等。值得注意的是,黑人男性在每个 10 岁年龄组中降幅最大。通过在整个人群中应用现有的癌症控制知识,可以加速进一步进展。