Siegel Rebecca L, Giaquinto Angela N, Jemal Ahmedin
Surveillance Research, American Cancer Society, Atlanta, Georgia, USA.
Surveillance and Health Equity Science, American Cancer Society, Atlanta, Georgia, USA.
CA Cancer J Clin. 2024 Jan-Feb;74(1):12-49. doi: 10.3322/caac.21820. Epub 2024 Jan 17.
Each year, the American Cancer Society estimates the numbers of new cancer cases and deaths in the United States and compiles the most recent data on population-based cancer occurrence and outcomes using incidence data collected by central cancer registries (through 2020) and mortality data collected by the National Center for Health Statistics (through 2021). In 2024, 2,001,140 new cancer cases and 611,720 cancer deaths are projected to occur in the United States. Cancer mortality continued to decline through 2021, averting over 4 million deaths since 1991 because of reductions in smoking, earlier detection for some cancers, and improved treatment options in both the adjuvant and metastatic settings. However, these gains are threatened by increasing incidence for 6 of the top 10 cancers. Incidence rates increased during 2015-2019 by 0.6%-1% annually for breast, pancreas, and uterine corpus cancers and by 2%-3% annually for prostate, liver (female), kidney, and human papillomavirus-associated oral cancers and for melanoma. Incidence rates also increased by 1%-2% annually for cervical (ages 30-44 years) and colorectal cancers (ages <55 years) in young adults. Colorectal cancer was the fourth-leading cause of cancer death in both men and women younger than 50 years in the late-1990s but is now first in men and second in women. Progress is also hampered by wide persistent cancer disparities; compared to White people, mortality rates are two-fold higher for prostate, stomach and uterine corpus cancers in Black people and for liver, stomach, and kidney cancers in Native American people. Continued national progress will require increased investment in cancer prevention and access to equitable treatment, especially among American Indian and Alaska Native and Black individuals.
美国癌症协会每年都会估算美国新癌症病例数和死亡人数,并使用中央癌症登记处收集的发病率数据(截至2020年)和美国国家卫生统计中心收集的死亡率数据(截至2021年),汇编基于人群的癌症发生情况和治疗结果的最新数据。预计2024年美国将有2,001,140例新癌症病例和611,720例癌症死亡。到2021年癌症死亡率持续下降,自1991年以来避免了超过400万例死亡,这得益于吸烟率的降低、某些癌症的早期发现以及辅助治疗和转移治疗中治疗方案的改进。然而,这些成果受到十大癌症中6种癌症发病率上升的威胁。2015 - 2019年期间,乳腺癌、胰腺癌和子宫体癌的发病率每年上升0.6% - 1%,前列腺癌、肝癌(女性)、肾癌、人乳头瘤病毒相关口腔癌和黑色素瘤的发病率每年上升2% - 3%。年轻成年人中,宫颈癌(30 - 44岁)和结直肠癌(<55岁)的发病率也每年上升1% - 2%。在20世纪90年代末,结直肠癌是50岁以下男性和女性中第四大癌症死亡原因,但现在在男性中升至首位,在女性中升至第二位。广泛存在且持续的癌症差异也阻碍了进展;与白人相比,黑人中前列腺癌、胃癌和子宫体癌的死亡率以及美国原住民中肝癌、胃癌和肾癌的死亡率高出两倍。美国要继续取得进展,需要增加对癌症预防的投资,并确保公平获得治疗,特别是在美国印第安人和阿拉斯加原住民以及黑人中。