Surveillance Research, American Cancer Society, Atlanta, Georgia.
Health Services Research, American Cancer Society, Atlanta, Georgia.
CA Cancer J Clin. 2019 Sep;69(5):363-385. doi: 10.3322/caac.21565. Epub 2019 Jun 11.
The number of cancer survivors continues to increase in the United States because of the growth and aging of the population as well as advances in early detection and treatment. To assist the public health community in better serving these individuals, the American Cancer Society and the National Cancer Institute collaborate every 3 years to estimate cancer prevalence in the United States using incidence and survival data from the Surveillance, Epidemiology, and End Results cancer registries; vital statistics from the Centers for Disease Control and Prevention's National Center for Health Statistics; and population projections from the US Census Bureau. Current treatment patterns based on information in the National Cancer Data Base are presented for the most prevalent cancer types. Cancer-related and treatment-related short-term, long-term, and late health effects are also briefly described. More than 16.9 million Americans (8.1 million males and 8.8 million females) with a history of cancer were alive on January 1, 2019; this number is projected to reach more than 22.1 million by January 1, 2030 based on the growth and aging of the population alone. The 3 most prevalent cancers in 2019 are prostate (3,650,030), colon and rectum (776,120), and melanoma of the skin (684,470) among males, and breast (3,861,520), uterine corpus (807,860), and colon and rectum (768,650) among females. More than one-half (56%) of survivors were diagnosed within the past 10 years, and almost two-thirds (64%) are aged 65 years or older. People with a history of cancer have unique medical and psychosocial needs that require proactive assessment and management by follow-up care providers. Although there are growing numbers of tools that can assist patients, caregivers, and clinicians in navigating the various phases of cancer survivorship, further evidence-based resources are needed to optimize care.
美国的癌症幸存者人数持续增加,这是由于人口的增长和老龄化,以及早期检测和治疗的进步。为了帮助公共卫生界更好地为这些人服务,美国癌症协会和美国国家癌症研究所每 3 年合作一次,利用监测、流行病学和最终结果癌症登记处的发病率和生存率数据、美国疾病控制与预防中心国家卫生统计中心的生命统计数据以及美国人口普查局的人口预测数据,来估计美国的癌症患病率。目前,根据国家癌症数据库中的信息,提出了最常见癌症类型的治疗模式。还简要描述了与癌症相关和治疗相关的短期、长期和晚期健康影响。截至 2019 年 1 月 1 日,有超过 1690 万美国人(男性 810 万,女性 880 万)有癌症病史;仅基于人口增长和老龄化,预计到 2030 年 1 月 1 日,这一数字将超过 2210 万。2019 年男性中最常见的三种癌症是前列腺癌(3650030 例)、结肠癌和直肠癌(776120 例)和皮肤黑色素瘤(684470 例),女性中最常见的三种癌症是乳腺癌(3861520 例)、子宫体癌(807860 例)和结肠癌和直肠癌(768650 例)。超过一半(56%)的幸存者是在过去 10 年内确诊的,近三分之二(64%)的人年龄在 65 岁或以上。有癌症病史的人有独特的医疗和心理社会需求,需要随访护理提供者积极评估和管理。尽管有越来越多的工具可以帮助患者、护理人员和临床医生在癌症生存的各个阶段进行导航,但需要进一步的循证资源来优化护理。
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