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2003年至2019年密西西比州胃癌流行病学的下降趋势:密西西比州的成功之处

Falling Trend in the Epidemiology of Gastric Cancer in Mississippi From 2003 to 2019: What Mississippi Got Right.

作者信息

Nduma Basil N, Ambe Solomon, Ekhator Chukwuyem, Fonkem Ekokobe

机构信息

Internal Medicine, Merit Health Wesley, Hattiesburg, USA.

Neurology, Baylor Scott & White Health, McKinney, USA.

出版信息

Cureus. 2022 Nov 13;14(11):e31440. doi: 10.7759/cureus.31440. eCollection 2022 Nov.

Abstract

BACKGROUND

The aim of this study is to give insight into the falling trend in gastric cancer epidemiology in the state of Mississippi. The period in focus is between 2003 and 2019. The aim of this study is to uncover what the state got right and the implications for future healthcare.

METHODOLOGY

The data for this study was collected from the Mississippi state cancer registry. The geographic locations in focus are the state's cancer coalition regions. The data is presented in tables and graphs, with descriptive and inferential statistical analysis.

RESULTS

An assessment of the respective cancer coalition regions reveals a notable decline in gastric cancer incidence rates between 2003 and 2009. The areas where the state got right were found to include evaluation and surveillance, environmental, systems, and policy changes, treatment, survivorship, early detection, and prevention.

CONCLUSION

Given that the state is predominantly rural, it is recommended that additional innovative approaches are explored and implemented, including telemedicine implementation to foster real-time services regarding community health education and dissemination or messaging about actions such as gastric cancer screening and the needed environmental changes such as nutrition guideline adherence.

摘要

背景

本研究旨在深入了解密西西比州胃癌流行病学的下降趋势。重点关注的时间段为2003年至2019年。本研究的目的是揭示该州做得正确的地方以及对未来医疗保健的影响。

方法

本研究的数据收集自密西西比州癌症登记处。重点关注的地理位置是该州的癌症联盟地区。数据以表格和图表形式呈现,并进行描述性和推断性统计分析。

结果

对各个癌症联盟地区的评估显示,2003年至2009年期间胃癌发病率显著下降。发现该州做得正确的方面包括评估与监测、环境、系统和政策变化、治疗、生存、早期检测和预防。

结论

鉴于该州主要为农村地区,建议探索并实施更多创新方法,包括实施远程医疗以促进有关社区健康教育以及诸如胃癌筛查和所需环境变化(如遵守营养指南)等行动的信息传播或消息传递的实时服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b26e/9658492/2fae8f918af4/cureus-0014-00000031440-i01.jpg

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