Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia; Cancer Data Registry of Idaho, Idaho Hospital Association, Boise, Idaho.
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Prev Med. 2020 Mar;58(3):453-456. doi: 10.1016/j.amepre.2019.10.001. Epub 2019 Dec 10.
Progress in U.S. 5-year survival trends for all cancers combined was assessed using the North American Cancer Survival Index, a sum of age-, sex-, and cancer site-standardized relative survival ratios.
In January 2019, authors calculated 5-year cancer survival indices and 95% CIs by race and sex for 2005-2011, 2006-2012, 2007-2013, and 2008-2014 diagnosis cohorts with data from 42 cancer registries.
Overall 5-year survival increased from 63.5% (95% CI=63.4, 63.5) in 2005-2011 to 64.1% (95% CI=64.1, 64.2) in 2008-2014. Survival increased 0.9 and 0.5 percentage points in female and male patients, respectively; the survival disparity among blacks versus whites decreased by 0.5%. In 2008-2014, the Cancer Survival Index was 7.7% higher for whites (64.6%; 95% CI=64.6, 64.7) than for blacks (56.9%; 95% CI=56.7, 57.1).
Cancer Survival Index survival estimates increased among all race and sex subpopulations during 2005-2014. A substantial but decreasing survival gap persisted between blacks and whites. The Cancer Survival Index can assist decision makers and others in comparing cancer survival among populations and over time and in monitoring progress toward national cancer surveillance objectives.
使用北美癌症生存指数评估了美国所有癌症综合 5 年生存率的进展情况，该指数是年龄、性别和癌症部位标准化相对生存率的总和。
作者于 2019 年 1 月，利用来自 42 个癌症登记处的数据，计算了 2005-2011、2006-2012、2007-2013 和 2008-2014 诊断队列中不同种族和性别的 5 年癌症生存指数及其 95%置信区间，患者数据为 2005-2011 年、2006-2012 年、2007-2013 年和 2008-2014 年诊断队列中。
总体而言，5 年生存率从 2005-2011 年的 63.5%（95%CI=63.4, 63.5）上升到 2008-2014 年的 64.1%（95%CI=64.1, 64.2）。女性和男性患者的生存率分别提高了 0.9 和 0.5 个百分点；黑人和白人之间的生存差距缩小了 0.5%。2008-2014 年，白人的癌症生存指数（64.6%；95%CI=64.6, 64.7）比黑人（56.9%；95%CI=56.7, 57.1）高 7.7%。
在 2005-2014 年期间，所有种族和性别亚人群的癌症生存指数生存估计值均有所增加。黑人和白人之间仍然存在相当大但逐渐缩小的生存差距。癌症生存指数可以帮助决策者和其他人比较人群之间和随时间推移的癌症生存率，并监测国家癌症监测目标的进展情况。
