Section of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France.
Section of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France.
J Geriatr Oncol. 2019 Sep;10(5):799-804. doi: 10.1016/j.jgo.2019.02.014. Epub 2019 Mar 7.
To describe the cancer burden in adults aged 65 years and older in Latin America and the Caribbean to serve as rational for improving cancer control planning among region's older population.
Using the up-to-date GLOBOCAN estimates for 2018, we describe the cancer burden including key patterns for the major cancer sites among adults aged 65 years and older in Latin America and the Caribbean. We also predict the future burden in 2040 by applying population projections, assuming no changes in incidence rates over time.
In 2018, an estimated 679,000 new cancer cases occurred among older adults in LAC, representing almost half (48%) of the total incidence burden (43% in Central America, 49% in South America, and 52% in the Caribbean). Prostate, colorectum, and lung were the most common cancers among older males in South America and the Caribbean, with non-melanoma skin cancer ranking third in Central America. Among older females, the most common sites were breast, colorectum, and non-melanoma skin cancer, except in the Caribbean, where lung cancer ranked third. Overall, the number of new cancer cases among older adults in the region is expected to double by 2040, reaching 1.6 million new cases.
Our findings highlight the need for an urgent adaptation of healthcare systems across LAC by improving training in geriatrics for the oncology workforce, and by including older adults in clinical guidelines, insurance schemes, and cancer prevention policies.
描述拉丁美洲和加勒比地区 65 岁及以上成年人的癌症负担，为改善该地区老年人口的癌症控制规划提供依据。
利用最新的 2018 年全球癌症统计数据，我们描述了包括拉丁美洲和加勒比地区 65 岁及以上成年人主要癌症部位关键模式在内的癌症负担。我们还通过应用人口预测来预测 2040 年的未来负担，假设发病率在一段时间内没有变化。
2018 年，拉丁美洲和加勒比地区 65 岁以上成年人中有 67.9 万人被诊断患有新的癌症，占总发病负担的近一半（48%）（中美洲占 43%，南美洲占 49%，加勒比地区占 52%）。在南美洲和加勒比地区，前列腺癌、结直肠癌和肺癌是老年男性中最常见的癌症，而非黑色素瘤皮肤癌在中美洲排名第三。在老年女性中，最常见的部位是乳腺癌、结直肠癌和非黑色素瘤皮肤癌，但在加勒比地区，肺癌排名第三。总的来说，到 2040 年，该地区 65 岁以上成年人中新发癌症病例数预计将翻一番，达到 160 万例。
我们的研究结果强调了拉丁美洲和加勒比地区迫切需要通过改善肿瘤学劳动力的老年病学培训，并将老年人纳入临床指南、保险计划和癌症预防政策，来调整医疗保健系统。
