Institute for Future Public Health, Graduate School of Public Health, Korea University, Seoul, Korea.
Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Cancer Res Treat. 2023 Apr;55(2):408-418. doi: 10.4143/crt.2022.126. Epub 2022 Sep 6.
This study aimed to elucidate the trends and characteristics of the cancer burden in Korea by cancer site, region, and income level.
Korean National Burden of Disease research methodology was applied to measure the cancer burden in Korea from 2008 to 2018. The cause of death and national health insurance claims data were obtained from Statistics Korea and the National Health Insurance Service, respectively. An incidence-based approach was applied to calculate the disability-adjusted life-years, which is a summary measure of population health.
In the past decade, the cancer burden in Korea increased from 2,088 to 2,457 person-years per 100,000 population. Among the cancer burden, the years of life lost decreased, and the years lived with disabilities increased. Cancers of the trachea, bronchus, and lung had the highest disease burden, followed by those of the stomach, colon and rectum, liver, and breast.
The findings of this study can provide valuable quantitative data for prioritizing and evaluating cancer prevention strategies and implementing cancer policies. Estimating the difference in cancer burden according to region and income level within a country can yield useful data to understand the nature of the cancer burden and scale of the problem. In addition, the results of this study provide a better understanding of the causes of cancer patterns, thereby generating new hypotheses regarding its pathogenesis.
本研究旨在阐明按癌症部位、地区和收入水平划分的韩国癌症负担的趋势和特征。
本研究采用韩国国家疾病负担研究方法，对 2008 年至 2018 年韩国的癌症负担进行了测量。死因和国家健康保险索赔数据分别来自韩国统计局和国家健康保险服务。应用基于发病率的方法计算残疾调整生命年，这是衡量人口健康的综合指标。
在过去十年中，韩国的癌症负担从每 10 万人 2088 人年增加到 2457 人年。在癌症负担中，生命损失年数减少，残疾生存年数增加。气管、支气管和肺癌的疾病负担最高，其次是胃癌、结肠癌和直肠癌、肝癌和乳腺癌。
本研究的结果可为优先考虑和评估癌症预防策略以及实施癌症政策提供有价值的定量数据。估计一个国家内按地区和收入水平划分的癌症负担差异，可以获得有用的数据，以了解癌症负担的性质和问题的规模。此外，本研究的结果有助于更好地了解癌症模式的原因，从而产生有关其发病机制的新假设。
