土耳其的癌症相关死亡率趋势是否发生了变化？对 2009 年至 2019 年期间的评估。
Has the cancer-related death trend been changing in Turkey? An evaluation of the period between 2009 and 2019.
机构信息
Marmara University School of Medicine, Public Health Department, 34854 Istanbul, Turkey.
出版信息
Cancer Epidemiol. 2022 Oct;80:102228. doi: 10.1016/j.canep.2022.102228. Epub 2022 Aug 3.
BACKGROUND
The objective of this study was to determine the trend of cancer-related death rates between 2009 and 2019 in Turkey for all cancers combined and the five cancer types with the highest mortality: lung, stomach, pancreas, breast, and colon cancers.
METHODS
Cancer mortality data were obtained from the Turkish Statistical Institute (TURKSTAT) and standardized by age using the World Health Organization (WHO) standard population ratios. The change in cancer-related mortality over the years was evaluated using Joinpoint Regression Analysis (JRA).
RESULTS
Total cancer-related deaths increased by 2.2% annually between 2009 and 2014 and decreased by 2.9% annually between 2014 and 2019 (p < 0.05). Among men; lung cancer-related deaths increased by 2.4% annually between 2009 and 2014 and decreased by 3.4% annually between 2014 and 2019 (p < 0.05), stomach cancer-related deaths decreased by 5.1% annually between 2014 and 2019 (p < 0.05), colon cancer-related deaths increased by 5.8% annually between 2009 and 2015 and decreased by 3.3% annually between 2015 and 2019 (p < 0.05), pancreatic cancer-related deaths increased annually by 5.6% in 2009-2013 (p < 0.05). Among women; lung cancer-related deaths increased by 2.5% annually between 2009 and 2016 (p < 0.05), stomach cancer-related deaths increased annually by 2.3% between 2009 and 2014 and decreased annually by 4.5% between 2014 and 2019 (p < 0.05), colon cancer-related deaths increased by 2.5% annually between 2009 and 2017 (p < 0.05), pancreatic cancer-related deaths increased by 7.4% annually between 2009 and 2013 (p < 0.05) and breast cancer-related deaths increased by 2.2% annually between 2009 and 2019 (p < 0.05).
CONCLUSION
Mortality data in Turkey are collected only by TURKSTAT, which raises concern regarding the incompletion of the data. While this might lead to underestimation, the trend shows that there has been a decrease in total cancer-related deaths in Turkey. Pancreatic cancer, on the other hand, gains a higher proportion in cancer-related deaths in Turkey as in the world. Increasing deaths from lung and breast cancer in women remind of the importance of tobacco control interventions and cancer screening programs.
背景
本研究旨在确定 2009 年至 2019 年期间土耳其所有癌症和五种死亡率最高的癌症（肺癌、胃癌、胰腺癌、乳腺癌和结肠癌）的癌症相关死亡率趋势。
方法
癌症死亡率数据来自土耳其统计局（TURKSTAT），并根据世界卫生组织（WHO）标准人口比例按年龄标准化。使用 Joinpoint 回归分析（JRA）评估多年来癌症相关死亡率的变化。
结果
2009 年至 2014 年期间，癌症相关死亡人数每年增加 2.2%，2014 年至 2019 年期间每年减少 2.9%（p<0.05）。在男性中；2009 年至 2014 年期间，肺癌相关死亡人数每年增加 2.4%，2014 年至 2019 年期间每年减少 3.4%（p<0.05），胃癌相关死亡人数每年减少 5.1%2014 年至 2019 年（p<0.05），结肠癌相关死亡人数每年增加 5.8%2009 年至 2015 年，2015 年至 2019 年每年减少 3.3%（p<0.05），胰腺癌相关死亡人数在 2009-2013 年期间每年增加 5.6%（p<0.05）。在女性中；2009 年至 2016 年期间，肺癌相关死亡人数每年增加 2.5%（p<0.05），2009 年至 2014 年期间，胃癌相关死亡人数每年增加 2.3%，2014 年至 2019 年期间每年减少 4.5%（p<0.05），2009 年至 2017 年期间结肠癌相关死亡人数每年增加 2.5%（p<0.05），2009 年至 2013 年期间胰腺癌相关死亡人数每年增加 7.4%（p<0.05），2009 年至 2019 年期间乳腺癌相关死亡人数每年增加 2.2%（p<0.05）。
结论
土耳其仅由 TURKSTAT 收集死亡率数据，这引起了人们对数据不完整的担忧。尽管这可能导致低估，但趋势表明土耳其的癌症相关死亡人数有所减少。另一方面，胰腺癌在土耳其和世界范围内的癌症相关死亡中所占比例更高。女性肺癌和乳腺癌死亡人数的增加提醒人们注意烟草控制干预措施和癌症筛查计划的重要性。
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