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全球子宫体癌发病率和死亡率趋势及其与国内生产总值、人类发展指数、生活方式和代谢风险因素的关联。

Global incidence and mortality trends of corpus uteri cancer and associations with gross domestic product, human development index, lifestyle, and metabolic risk factors.

机构信息

The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China.

Centre for Health Education and Health Promotion, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

出版信息

Int J Gynaecol Obstet. 2023 Sep;162(3):998-1009. doi: 10.1002/ijgo.14780. Epub 2023 May 2.

DOI:10.1002/ijgo.14780
PMID:37128733
Abstract

OBJECTIVE

To evaluate the worldwide distribution, risk factors, and temporal trends of corpus uteri cancer for different countries and age groups.

METHOD

Data relating to corpus uteri cancer in 2020 were retrieved from the Global Cancer Observatory database. Data from Cancer Incidence in Five Continents and the WHO mortality database were used for trend analysis. Age-standardized rates (ASR, per 100 000 persons) were calculated for incidence and mortality. Joinpoint regression analysis was used to estimate the 10-year annual average percent change (AAPC).

RESULTS

A total of 417 367 new cases and 97 370 new deaths of corpus uteri cancer were reported globally in 2020. The highest incidence was observed in high-income countries. Higher ASR of mortality of corpus uteri cancer was associated with a higher gross domestic product per capita, higher Human Development Index, and higher prevalence of smoking, alcohol drinking, physical inactivity, obesity, hypertension, diabetes, and lipid disorders. There was a substantial increasing trend of corpus uteri cancer, with the largest AAPC in incidence found in Japan, followed by India, Chile, Korea, and Thailand.

CONCLUSION

The incidence and mortality of corpus uteri cancer have been increasing substantially for the past 10 years. Intensive lifestyle modifications are needed, especially among younger women.

摘要

目的

评估全球不同国家和年龄组子宫体癌的分布、风险因素和时间趋势。

方法

从全球癌症观察站数据库中检索了 2020 年与子宫体癌相关的数据。使用《五大洲癌症发病率》和世卫组织死亡率数据库的数据进行趋势分析。计算了发病率和死亡率的年龄标准化率(ASR,每 10 万人)。采用 Joinpoint 回归分析估计了 10 年的年平均百分比变化(AAPC)。

结果

2020 年全球共报告了 417367 例新的子宫体癌病例和 97370 例新的死亡病例。发病率最高的是高收入国家。子宫体癌死亡率的 ASR 较高与人均国内生产总值较高、人类发展指数较高以及吸烟、饮酒、缺乏身体活动、肥胖、高血压、糖尿病和血脂紊乱的流行率较高有关。子宫体癌的发病率呈显著上升趋势,日本的最大 AAPC 最高,其次是印度、智利、韩国和泰国。

结论

在过去的 10 年中,子宫体癌的发病率和死亡率一直在显著上升。需要进行密集的生活方式改变,特别是在年轻女性中。

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