Director, Surveillance Information, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.
CA Cancer J Clin. 2015 Jan-Feb;65(1):5-29. doi: 10.3322/caac.21254. Epub 2015 Jan 5.
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 (Surveillance, Epidemiology, and End Results [SEER] Program), the Centers for Disease Control and Prevention (National Program of Cancer Registries), and the North American Association of Central Cancer Registries. Mortality data were collected by the National Center for Health Statistics. A total of 1,658,370 new cancer cases and 589,430 cancer deaths are projected to occur in the United States in 2015. During the most recent 5 years for which there are data (2007-2011), delay-adjusted cancer incidence rates (13 oldest SEER registries) declined by 1.8% per year in men and were stable in women, while cancer death rates nationwide decreased by 1.8% per year in men and by 1.4% per year in women. The overall cancer death rate decreased from 215.1 (per 100,000 population) in 1991 to 168.7 in 2011, a total relative decline of 22%. However, the magnitude of the decline varied by state, and was generally lowest in the South (∼15%) and highest in the Northeast (≥20%). For example, there were declines of 25% to 30% in Maryland, New Jersey, Massachusetts, New York, and Delaware, which collectively averted 29,000 cancer deaths in 2011 as a result of this progress. Further gains 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本年度美国新癌症病例和死亡人数,并汇编最新的癌症发病率、死亡率和生存率数据。发病率数据由美国国家癌症研究所(监测、流行病学和最终结果 [SEER] 计划)、疾病控制和预防中心(国家癌症登记处计划)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 2015 年美国将有 165.837 万例新癌症病例和 58.943 万例癌症死亡。在最近有数据的 5 年(2007-2011 年)期间,男性调整后的癌症发病率(13 个最古老的 SEER 登记处)每年下降 1.8%,女性则保持稳定,而全国范围内男性的癌症死亡率每年下降 1.8%,女性则下降 1.4%。总的癌症死亡率从 1991 年的每 10 万人 215.1 人下降到 2011 年的 168.7 人,总相对下降了 22%。然而,各州的下降幅度有所不同,总体而言,南部(约 15%)最低,东北部(≥20%)最高。例如,马里兰州、新泽西州、马萨诸塞州、纽约州和特拉华州的下降幅度在 25%至 30%之间,这五个州在 2011 年共同避免了 2.9 万人的癌症死亡。通过将现有的癌症控制知识应用于所有人群,可以加速进一步的进展。