Farah C S, Simanovic B, Dost F
UQ Centre for Clinical Research, The University of Queensland, Herston, Queensland; School of Dentistry, The University of Queensland, Brisbane, Queensland.
Aust Dent J. 2014 Sep;59(3):349-59. doi: 10.1111/adj.12198. Epub 2014 Jul 22.
Globally, a decline in the incidence of oral cancer has been noted, while the mortality rates have remained relatively stable. The aim of this study was to provide an update on the incidence and mortality of oral cancer in Australia on a national and state level.
Data regarding new cases and deaths associated with cancer of the lip, oral cavity and oropharynx were obtained from the Australian Institute of Health and Welfare for the period 1982-2008. Crude- and age-standardized incidence and mortality rates were calculated for all of Australia and for each state and territory.
A total of 60 826 cases of lip, oral cavity and oropharyngeal cancer were diagnosed in Australia. Between 1992 and 2008, a decline in the annual percentage change of age-standardized incidence was noted. The lip, followed by the tongue, continue to represent the most common sites of new oral cancer cases. There was no significant change in the rates of mortality for oral cancer over the time period.
These findings show that the oral cancer mortality rate remains high despite a decline in incidence over the past three decades, highlighting a greater need for dental practitioners to undertake preventive strategies and opportunistic screening for patients.
在全球范围内，已注意到口腔癌发病率有所下降，而死亡率则保持相对稳定。本研究的目的是在国家和州层面上提供澳大利亚口腔癌发病率和死亡率的最新情况。
从澳大利亚卫生与福利研究所获取了1982年至2008年期间与唇癌、口腔癌和口咽癌相关的新发病例和死亡数据。计算了全澳大利亚以及每个州和领地的粗发病率和年龄标准化发病率及死亡率。
澳大利亚共诊断出60826例唇癌、口腔癌和口咽癌病例。在1992年至2008年期间，年龄标准化发病率的年度百分比变化呈下降趋势。唇癌，其次是舌癌，仍然是口腔癌新发病例最常见的部位。在此期间，口腔癌死亡率没有显著变化。
这些研究结果表明，尽管过去三十年发病率有所下降，但口腔癌死亡率仍然很高，这突出表明牙科医生更有必要对患者采取预防策略和机会性筛查。
