Guo L W, Zhang X L, Cai L, Zhu C X, Fang Y, Yang H Y, Chen H D
Henan Office for Cancer Control and Research, Henan Engineering Research Center of Cancer Prevention and Control, Henan International Joint Laboratory of Cancer Prevention, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou 450008, China.
Department of Epidemiology, School of Public Health, Zhengzhou University, Zhengzhou 450001, China.
Zhonghua Zhong Liu Za Zhi. 2024 Jan 23;46(1):57-65. doi: 10.3760/cma.j.cn112152-20231024-00213.
This paper provides a brief overview of the epidemiology of colorectal cancer in China and around the world, and discusses how to prevent colorectal cancer to reduce its disease burden. Using the official database of GLOBOCAN 2020, the China Cancer Registry Annual Report compiled by the National Cancer Center, and data from CONCORD-3.Data management was performed by Microsoft Excel 2016 and R 4.2.1 Relevant graphs were generated using the ggplot2 package for result visualization. An estimated 1 931 590 people were diagnosed with colorectal cancer worldwide in 2020 with an age-standardized incidence rate of 19.5 per 100 000. There were about 935 173 deaths caused by colorectal cancer internationally, with an age-standardized mortality rate of 9.0 per 100 000. Overall, colorectal cancer was the fourth most commonly diagnosed cancer and the third leading cause of cancer-related death worldwide in 2020. In China, the age-standardized incidence rate and mortality rate of colorectal cancer was 17.3 per 100 000 and 7.8 per 100 000, respectively. Gender differences in trends were observed, with a decreasing trend in incidence and mortality among females and an increasing trend in incidence and mortality among males. The primary risk factors for colorectal cancer include age, genetic factors, gastrointestinal disorders, dietary habits, and lifestyle et al. Colorectal cancer poses a significant burden globally and in China. The occurrence of colorectal cancer is closely related to physiology, genetics, behavioral habits, lifestyle, and disease factors. To better control the colorectal cancer burden with the lowest cost, specific measures should be taken to reduce exposure to established risk factors. By combining the disease prevention and control strategies of tertiary prevention in China with the characteristic factors of colorectal cancer, the incidence and mortality of colorectal cancer may be effectively controlled.
本文简要概述了中国及全球结直肠癌的流行病学情况,并探讨了如何预防结直肠癌以减轻其疾病负担。利用GLOBOCAN 2020官方数据库、国家癌症中心编制的《中国癌症登记年报》以及CONCORD-3的数据。数据管理使用Microsoft Excel 2016和R 4.2.1进行,相关图表使用ggplot2包生成以进行结果可视化。2020年全球估计有1931590人被诊断为结直肠癌,年龄标准化发病率为每10万人19.5例。国际上约有935173人死于结直肠癌,年龄标准化死亡率为每10万人9.0例。总体而言,结直肠癌是2020年全球第四大最常被诊断出的癌症,也是癌症相关死亡的第三大主要原因。在中国,结直肠癌的年龄标准化发病率和死亡率分别为每10万人17.3例和7.8例。观察到发病趋势存在性别差异,女性的发病率和死亡率呈下降趋势,而男性的发病率和死亡率呈上升趋势。结直肠癌的主要危险因素包括年龄、遗传因素、胃肠道疾病、饮食习惯和生活方式等。结直肠癌在全球和中国都造成了重大负担。结直肠癌的发生与生理、遗传、行为习惯、生活方式和疾病因素密切相关。为了以最低成本更好地控制结直肠癌负担,应采取具体措施减少对已确定危险因素的暴露。通过将中国三级预防的疾病防控策略与结直肠癌的特征因素相结合,结直肠癌的发病率和死亡率可能会得到有效控制。