Service of Clinical Governance, Provincial Agency for Social and Sanitary Services, Trento, Italy.
Section of Clinical Biochemistry, University of Verona, Verona, Italy.
J Epidemiol Glob Health. 2019 Dec;9(4):217-222. doi: 10.2991/jegh.k.191008.001.
In this brief report, we offer a concise overview on current cancer epidemiology garnered from the official databases of World Health Organization and American Cancer Society and provide recent information on frequency, mortality, and survival expectancy of the 15 leading types of cancers worldwide. Overall, cancer poses the highest clinical, social, and economic burden in terms of cause-specific Disability-Adjusted Life Years (DALYs) among all human diseases. The overall 0-74 years risk of developing cancer is 20.2% (22.4% in men and 18.2% in women, respectively). A total number of 18 million new cases have been diagnosed in 2018, the most frequent of which are lung (2.09 million cases), breast (2.09 million cases), and prostate (1.28 million cases) cancers. Beside sex-specific malignancies, the ratio of frequency between men and women is >1 for all cancers, except thyroid (i.e., 0.30). As concerns mortality, cancer is the second worldwide cause of death (8.97 million deaths) after ischemic heart disease, but will likely become the first in 2060 (~18.63 million deaths). Lung, liver, and stomach are the three most deadly cancers in the general population, while lung and breast cancers are the leading causes of cancer related-mortality in men and women, respectively. Prostate and thyroid cancers have the best prognosis, with 5-year survival ~100%, while esophagus, liver, and especially pancreas cancers have the worst prognosis, typically <20% at 5 years. We hope that this report will provide fertile ground for addressing health-care interventions aimed at preventing, diagnosing, and managing cancer around the world.
在这份简要报告中,我们提供了来自世界卫生组织和美国癌症协会官方数据库的当前癌症流行病学的概述,并提供了全球 15 种主要癌症的发病率、死亡率和生存预期的最新信息。总体而言,癌症是所有人类疾病中导致特定疾病残疾调整生命年(DALYs)最高的疾病,具有最高的临床、社会和经济负担。0-74 岁人群的癌症总体发病风险为 20.2%(男性为 22.4%,女性为 18.2%)。2018 年共诊断出 1800 万例新病例,其中最常见的癌症是肺癌(209 万例)、乳腺癌(209 万例)和前列腺癌(128 万例)。除了性别特异性恶性肿瘤外,所有癌症中男性与女性的发病率之比均>1,除了甲状腺癌(即 0.30)。在死亡率方面,癌症是仅次于缺血性心脏病的全球第二大死亡原因(897 万人死亡),但到 2060 年可能成为第一大死因(约 1863 万人死亡)。肺癌、肝癌和胃癌是普通人群中最致命的三种癌症,而肺癌和乳腺癌分别是男性和女性癌症相关死亡的主要原因。前列腺癌和甲状腺癌的预后最好,5 年生存率约为 100%,而食管癌、肝癌尤其是胰腺癌的预后最差,通常在 5 年内<20%。我们希望本报告能为全球癌症的预防、诊断和管理提供契机。
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