哥伦比亚卡利的头颈部癌症：基于人群的研究。
Head and neck cancer in Cali, Colombia: Population-based study.
机构信息
School of Dentistry, Universidad del Valle, Cali, Colombia.
Department of Otorhinolaryngology, Universidad del Valle, Cali, Colombia.
出版信息
Community Dent Oral Epidemiol. 2022 Aug;50(4):292-299. doi: 10.1111/cdoe.12671. Epub 2021 Jun 8.
INTRODUCTION
Head and neck cancer (HNC) is the seventh most common type of cancer in the world. In Latin America, data on HCN are limited by the scarcity of population-based cancer registries.
OBJECTIVE
To describe survival and changes in the time trends of incidence and mortality rates of HCN with data from the Cali Cancer Population Registry (Colombia) during 1962-2018.
METHOD
Males and females of any age residing in Cali were included. The trends in incidence rates (1962-2016) and mortality (1984-2018) were analysed by calculating the mean annual percentage change (APC). Five-year net survival was estimated for the four 5-year periods of 1996-2015 using the Pohar-Perme method.
RESULTS
During 1962-2015, 5,110 new cases of HNC were recorded: 1,506 in the larynx, 1,377 in the oral cavity, 487 in the nose and paranasal sinuses, 643 in the oropharynx, 603 in the salivary glands and 360 in Naso-Hypopharynx region. The incidence rates of HNC decreased significantly at all subsites, except in those associated with the human papillomavirus. Between 1984 and 2018, there were 1,941 deaths attributed to HNC, and the mortality rate decreased significantly. The 5-year age-standardized net survival was 43.2% in 1996-2000, remained stable during the following decade, and for 2011-2015 it was 50.9%.
CONCLUSION
The incidence and mortality of HNC in Cali decreased significantly during the study period in both sexes.
简介
头颈部癌症（HNC）是世界上第七种最常见的癌症类型。在拉丁美洲，由于缺乏基于人群的癌症登记处，有关 HCN 的数据有限。
目的
描述 1962 年至 2018 年期间来自卡利癌症人群登记处（哥伦比亚）的数据中 HCN 的生存率和发病率及死亡率的时间趋势变化。
方法
纳入任何年龄居住在卡利的男性和女性。通过计算平均年度百分比变化（APC）分析发病率（1962-2016 年）和死亡率（1984-2018 年）趋势。使用 Pohar-Perme 方法对 1996-2015 年四个 5 年期间的五年净生存率进行估计。
结果
在 1962 年至 2015 年期间，记录了 5110 例新的 HNC 病例：喉 1506 例，口腔 1377 例，鼻和副鼻窦 487 例，口咽 603 例，唾液腺 643 例，鼻-咽后区 360 例。除与人类乳头瘤病毒相关的病例外，所有亚部位的 HNC 发病率均显著下降。1984 年至 2018 年期间，有 1941 例 HNC 死亡，死亡率显著下降。1996-2000 年的 5 年年龄标准化净生存率为 43.2%，在接下来的十年中保持稳定，2011-2015 年为 50.9%。
结论
在研究期间，卡利男女两性的 HNC 发病率和死亡率均显著下降。
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