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墨西哥和拉丁美洲 1990 年至 2019 年前列腺癌的区域和国家负担:发病率、死亡率、生命损失年和伤残调整生命年。

Regional and national burden of prostate cancer: incidence, mortality, years of life lost, and disability-adjusted life years, in Mexico and Latin America from 1990 to 2019.

机构信息

Clinical Epidemiology Research Unit, Mexican Social Security Institute, Av. Lapislazuli No. 250, El Haya, 28984, Villa de Álvarez, Colima, Mexico.

Headquarters of Medical Services, Mexican Social Security Institute, Doroteo López 442, Col. Magisterial, Colima, Mexico.

出版信息

Int Urol Nephrol. 2023 Sep;55(9):2155-2160. doi: 10.1007/s11255-023-03653-7. Epub 2023 Jun 3.

Abstract

PURPOSE

Prostate cancer (PC) is the second leading cause of cancer and the fifth cause of cancer-related death. This manuscript aims to determine the incidence, mortality, and Disability Adjusted Life Years (DALYs) trends of PC in the last 30 years in Latin America and Mexico.

METHODS

We performed a cross-sectional analysis of a publicly available data set. Data regarding the burden of prostate cancer in 20 Latin-American countries, and the 32 states of Mexico, were retrieved from the Global Burden of Disease Study 2019. Collected information included incidence and mortality rates (per 100,000), as well as the DALYs as absolute numbers and rates (per 100,000) and the annual rates of change in rates from 1990 to 2019.

RESULTS

In Latin America in males aged 55 years or older, the mean incidence rate was 344 cases per 100,000. The number of deaths attributable to prostate cancer observed was 67,110 and the mean mortality rate was 210 per 100,000. The overall burden of disease was 1,120,709 DALYs and the contribution of years of life lost (YLL) was 91.7% ([Formula: see text] = 1,027,946). Mexico presented an incidence rate (279.6) and mortality (99.1) rate (per /100 thousand). In Mexico, 13 states had a DALYs' rate above the national mean (883 per 100,000) and the highest burden (1360 DALYs/100,000) were documented in the state of Guerrero (Southwestern Mexico).

CONCLUSION

Only two Latin-American countries (Brazil and Colombia) and eight states of Mexico showed a decreased trend about the rate of change of DALYs in the last 30 years.

摘要

目的

前列腺癌(PC)是癌症的第二大主要病因,也是癌症相关死亡的第五大原因。本文旨在确定过去 30 年来拉丁美洲和墨西哥前列腺癌的发病率、死亡率和伤残调整生命年(DALYs)趋势。

方法

我们对公开可用的数据集进行了横断面分析。从 2019 年全球疾病负担研究中检索了 20 个拉丁美洲国家和墨西哥 32 个州前列腺癌负担的数据。收集的信息包括发病率和死亡率(每 10 万人),以及绝对数量和率(每 10 万人)的 DALYs 以及 1990 年至 2019 年期间的发病率变化的年率。

结果

在拉丁美洲 55 岁或以上的男性中,平均发病率为每 10 万人 344 例。观察到归因于前列腺癌的死亡人数为 67,110 人,平均死亡率为每 10 万人 210 人。疾病总负担为 1,120,709 DALYs,生命损失年(YLL)的贡献为 91.7%([公式:见文本] = 1,027,946)。墨西哥的发病率(279.6)和死亡率(99.1)率(每 10 万人)。在墨西哥,13 个州的 DALYs 率高于全国平均水平(883 人/10 万人),记录的最高负担(1360 DALYs/100,000)是在格雷罗州(墨西哥西南部)。

结论

在过去的 30 年中,只有两个拉丁美洲国家(巴西和哥伦比亚)和墨西哥的八个州显示出 DALYs 变化率下降的趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e01/10240458/435f49c3a5b6/11255_2023_3653_Fig1_HTML.jpg

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