Department of Otolaryngology, Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, China.
Eur J Cancer Prev. 2024 Jan 1;33(1):5-10. doi: 10.1097/CEJ.0000000000000827. Epub 2023 Jul 12.
The incidence of thyroid cancer is increasing by 3% annually; however, the analysis was restricted to the period from 1973 to 2013, which could be changed in incidence trends over time. This study is to analyze trends in thyroid cancer incidence based on demographic and tumor characteristics at diagnosis using recent database.
We used the Surveillance, Epidemiology, and End Results database to assess thyroid cancer incidence rates and trends from 2000 to 2019. We compared incidence rates for thyroid cancer among US persons by age, sex, race/ethnicity, and economic status (SES) and identified trends using Joinpoint software.
During 2000 to 2019, the overall thyroid cancer incidence was 13.22/100 000. This study found a decreasing trend in the incidence of thyroid cancer from 2014 to 2019 in the US with significant differences among age, sex, race and ethnicity, geographic region, SES, and tumor subtype. Specifically, the largest reduction in annual percentage changes in persons with all thyroid cancer and papillary thyroid cancer (PTC) in 55-69 years, female, Black, highest SES, urban region, and non-Hispanic ethnicity groups were identified.
These results suggested that there is still a high epidemic of thyroid cancer in the US, whereas the rapidly increasing incidence rates of thyroid cancer have reversed since 2015, especially the incidence rates of PTC.
甲状腺癌的发病率每年增长 3%;然而,分析仅限于 1973 年至 2013 年期间,这一时期的发病率趋势可能已经发生了变化。本研究旨在根据最新数据库中诊断时的人口统计学和肿瘤特征分析甲状腺癌发病率的变化趋势。
我们使用监测、流行病学和最终结果数据库评估了 2000 年至 2019 年期间甲状腺癌的发病率和趋势。我们比较了美国不同年龄段、性别、种族/族裔和经济状况(SES)人群的甲状腺癌发病率,并使用 Joinpoint 软件识别趋势。
在 2000 年至 2019 年期间,甲状腺癌的总发病率为 13.22/100000。本研究发现,美国甲状腺癌的发病率从 2014 年到 2019 年呈下降趋势,在年龄、性别、种族和族裔、地理位置、SES 和肿瘤亚型方面存在显著差异。具体来说,在所有甲状腺癌和乳头状甲状腺癌(PTC)患者中,55-69 岁、女性、黑人、最高 SES、城市地区和非西班牙裔人群的年度百分比变化降幅最大。
这些结果表明,美国的甲状腺癌仍处于高发状态,而自 2015 年以来,甲状腺癌的发病率呈快速增长趋势已经逆转,尤其是 PTC 的发病率。