Epidemic Intelligence Service, CDC, Sells, AZ (EAVD).
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA (EAVD, MS, AW, VS).
Hawaii J Health Soc Welf. 2020 Jun 1;79(6 Suppl 2):99-107.
Cancer-related mortality in the US-Affiliated Pacific Island (USAPI) jurisdictions is unknown. This is the first ever reporting of cancer-related mortality in the USAPI using cancer registry data. The individual USAPI jurisdictions collected incident cancer data and submitted it to the Pacific Regional Central Cancer Registry (PRCCR). All cases reported to PRCCR (n = 3,118) with vital status of dead (n = 1,323) during 2008-2013 were examined. Cause of death was coded based on clinical information provided in the cancer registry. Incidencebased mortality (IBM) rates were calculated using SEER*Stat software and age adjusted to the US standard population. Total cancer IBM rates among males were highest in Palau (151.5 per 100,000), Republic of the Marshall Islands (RMI, 142.0), and Guam (133.2); rates were lowest in American Samoa (21.7), the Commonwealth of the Northern Mariana Islands (CNMI, 22.7), and the Federated States of Micronesia (FSM, 28.9). Total cancer IBM rates among females were highest in RMI (120.3 per 100,000), Palau (107.7), and Guam (72.2); rates were lowest in CNMI (19.0), FSM (23.2), and American Samoa (42.8). The median time from cancer diagnosis to death was 8-28 days in the Freely Associated States and 102-128 days in the Flag Territories. IBM rates were higher among individuals in USAPI jurisdictions than among Asian/ Pacific Islanders in Hawai'i for many cancers preventable through vaccination, smoking cessation, overweight and obesity prevention, and cancer screening. Geographic remoteness, underreporting, delay in reporting, and challenges with accurate death registration and certification led to lower IBM rates for some jurisdictions. These mortality data can help prioritize evidence-based interventions to reduce cancer-related deaths through risk factor reduction, early detection, and improved quality of life after a cancer diagnosis through palliative care.
美国属地太平洋岛屿（USAPI）的癌症相关死亡率未知。这是首次使用癌症登记数据报告 USAPI 的癌症相关死亡率。各个 USAPI 司法管辖区收集了发病癌症数据，并将其提交给太平洋区域中央癌症登记处（PRCCR）。对 PRCCR 报告的所有病例（n = 3,118）进行了检查，这些病例在 2008-2013 年期间死亡（n = 1,323）。死因根据癌症登记处提供的临床信息进行编码。采用 SEER*Stat 软件计算发病率基础死亡率（IBM），并根据美国标准人口进行年龄调整。男性总癌症 IBM 率最高的是帕劳（151.5/10 万）、马绍尔群岛共和国（RMI，142.0）和关岛（133.2）；最低的是美属萨摩亚（21.7）、北马里亚纳群岛联邦（CNMI，22.7）和密克罗尼西亚联邦（FSM，28.9）。女性总癌症 IBM 率最高的是 RMI（120.3/10 万）、帕劳（107.7）和关岛（72.2）；最低的是 CNMI（19.0）、FSM（23.2）和美属萨摩亚（42.8）。从癌症诊断到死亡的中位时间在自由联合州为 8-28 天，在旗地为 102-128 天。在许多可通过疫苗接种、戒烟、超重和肥胖预防以及癌症筛查预防的癌症方面，USAPI 司法管辖区的 IBM 率高于夏威夷的亚洲/太平洋岛民。地理偏远、漏报、报告延迟以及准确死亡登记和认证方面的挑战导致一些司法管辖区的 IBM 率较低。这些死亡率数据可以帮助确定优先事项，通过减少风险因素、早期发现以及通过姑息治疗改善癌症诊断后的生活质量，从而减少癌症相关死亡。
