Iwamoto Momoko, Nakamura Fumiaki, Higashi Takahiro
Division of Health Services Research, Center for Cancer Control and Information Services, National Cancer Center, Japan.
Department of Public Health/Health Policy, Graduate School of Medicine, The University of Tokyo, Japan.
Cancer Epidemiol. 2014 Oct;38(5):511-4. doi: 10.1016/j.canep.2014.07.005. Epub 2014 Aug 10.
Data on life expectancies and risk of death from cancer are essential information to have when making informed decisions about cancer screening and treatment options, but has never been presented in a way that is readily available to use for physicians in Japan. We provided estimates of life expectancies and predicted risk of death from seven most common types of cancer (lung, gastric, liver, colon, prostate, breast, and cervical) by quartiles for the older Japanese population above 50 years old, using 2010 life tables and cancer mortality statistics data. We found that there was a large difference in life expectancy between older persons in the upper and lower quartiles. Risk of death from breast cancer was low. By using this data, physicians can more accurately obtain life expectancy estimates by assessing which quartile the patient is most likely to fall under, and help patients make better informed decisions.
在就癌症筛查和治疗方案做出明智决策时,预期寿命和癌症死亡风险数据是至关重要的信息,但在日本,这些数据从未以医生能够轻易获取并使用的方式呈现出来。我们利用2010年生命表和癌症死亡率统计数据,按四分位数提供了50岁以上日本老年人群体中七种最常见癌症(肺癌、胃癌、肝癌、结肠癌、前列腺癌、乳腺癌和宫颈癌)的预期寿命估计值和预测死亡风险。我们发现,处于四分位数上限和下限的老年人在预期寿命上存在很大差异。乳腺癌的死亡风险较低。通过使用这些数据,医生可以通过评估患者最有可能处于哪个四分位数,更准确地获得预期寿命估计值,并帮助患者做出更明智的决策。