Hamdi Cherif Mokhtar, Serraino Diego, Mahnane Abbes, Laouamri Slimane, Zaidi Zoubida, Boukharouba Hafida, Cherka Dahbia, Rakeb Manel, Kara Lamia, Ayat Asma, Birri Silvia, Virdone Saverio, De Paoli Paolo, Bidoli Ettore
Unit of Epidemiology and Biostatistics, Centro di Riferimento Oncologico, IRCCS, via Franco Gallini 2, 33081 Aviano, PN, Italy.
BMC Cancer. 2014 Aug 30;14:637. doi: 10.1186/1471-2407-14-637.
Incidence rates of various cancers are increasing in Arab countries and are expected to reach those of industrialized ones in few decades. This paper aimed to describe the incidence rates of most common cancers--and/or of those cancer preventable through modifiable behaviors--recorded in the province of Setif, Algeria from 1986 through 2010.
Cancer diagnoses for the 1986-2010 period were provided by the population-based Cancer Registry of Setif, disentangled by site, morphology, age (quinquennia), sex, and calendar period. The corresponding population was obtained from the Algerian Institute of Statistics. Age-standardized rates (world population) (ASR-WR) were computed by calendar period (five quinquennias from 1986-1990 to 2006-2010), while annual percent changes (APCs) were computed for the period 1996-2010.
During the 2006-2010 period, ASR-WR for all cancer sites were 106.4/100,000 in men and 110.3 in women. The four leading cancers were: lung (18.0%); colon-rectum (9.6%); bladder (9.1%); and prostate (6.5%) in men; breast (36.4%); colon-rectum (8.5%); cervix uteri (6.0%); and thyroid (6.0%) in women. Between 1996-2010, overall cancer incidence increased statistically significantly (p < 0.05) in both men (APC = +2.5%) and women (APC = +3.7%). Statistically significant decreasing trends were observed for nasopharyngeal carcinoma (APC = -3.4%) in men, and for cervical (APC = -4.2%) and gallbladder (APC = -3.2%) cancers in women. Statistically significant increasing trends were observed for most common cancers both in men (lung:+1.8%, colon-rectum:+5.4%, prostate:+4.3%, liver:+8.9%, and bladder:+5.9%) and women (breast:+8.2%, colon-rectum:+4.5%, lung:+10.0%, liver:+5.4%, thyroid:+5.3%, and larynx:+13.8%).
International recommendations against cancer must be strongly promoted in Setif after taking into account epidemiological transition, lifestyle, and environmental changes.
阿拉伯国家各种癌症的发病率正在上升，预计在几十年内将达到工业化国家的水平。本文旨在描述1986年至2010年期间在阿尔及利亚塞提夫省记录的最常见癌症——和/或那些可通过改变行为预防的癌症——的发病率。
1986 - 2010年期间的癌症诊断由塞提夫省基于人群的癌症登记处提供，按部位、形态、年龄（五年期）、性别和日历期进行分类。相应的人口数据来自阿尔及利亚统计局。按日历期（从1986 - 1990年到2006 - 2010年的五个五年期）计算年龄标准化率（世界人口）（ASR - WR），同时计算1996 - 2010年期间的年变化百分比（APC）。
在2006 - 2010年期间，所有癌症部位的男性ASR - WR为106.4/10万，女性为110.3/10万。男性中四种主要癌症为：肺癌（18.0%）；结肠直肠癌（9.6%）；膀胱癌（9.1%）；前列腺癌（6.5%）；女性中为：乳腺癌（36.4%）；结肠直肠癌（8.5%）；子宫颈癌（6.0%）；甲状腺癌（6.0%）。在1996 - 2010年期间，男性（APC = +2.5%）和女性（APC = +3.7%）的总体癌症发病率均有统计学显著增加（p < 0.05）。男性鼻咽癌（APC = -3.4%）以及女性宫颈癌（APC = -4.2%）和胆囊癌（APC = -3.2%）观察到有统计学显著下降趋势。男性（肺癌：+1.8%，结肠直肠癌：+5.4%，前列腺癌：+4.3%，肝癌：+8.9%，膀胱癌：+5.9%）和女性（乳腺癌：+8.2%，结肠直肠癌：+4.5%，肺癌：+10.0%，肝癌：+5.4%，甲状腺癌：+5.3%，喉癌：+13.8%）的大多数常见癌症观察到有统计学显著上升趋势。
在考虑到流行病学转变、生活方式和环境变化后，必须在塞提夫大力推广国际抗癌建议。
