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肾癌的全球流行病学

Global epidemiology of kidney cancer.

作者信息

Cirillo Luigi, Innocenti Samantha, Becherucci Francesca

机构信息

Nephrology and Dialysis Department, Meyer Children's Hospital IRCCS, Florence 50139, Italy.

Department of Biomedical, Experimental and Clinical Sciences "Mario Serio", University of Florence, Florence, Italy.

出版信息

Nephrol Dial Transplant. 2024 May 31;39(6):920-928. doi: 10.1093/ndt/gfae036.

Abstract

Kidney cancer (KC) is a disease with a rising worldwide incidence estimated at 400 000 new cases annually, and a worldwide mortality rate approaching 175 000 deaths per year. Current projections suggest incidence continuing to increase over the next decade, emphasizing the urgency of addressing this significant global health trend. Despite the overall increases in incidence and mortality, striking social disparities are evident. Low- and middle-income countries bear a disproportionate burden of the disease, with higher mortality rates and later-stage diagnoses, underscoring the critical role of socioeconomic factors in disease prevalence and outcomes. The major risk factors for KC, including smoking, obesity, hypertension and occupational exposure to harmful substances, must be taken into account. Importantly, these risk factors also often contribute to kidney injury, a condition that the review identifies as a significant, yet under-recognized, precursor to KC. Finally, the indispensable role of nephrologists is underscored in managing this complex disease landscape. Nephrologists are at the forefront of detecting and managing kidney injuries, and their role in mitigating the risk of KC is becoming increasingly apparent. Through this comprehensive analysis, we aim to facilitate a more nuanced understanding of KC's epidemiology and determinants providing valuable insights for researchers, clinicians and policymakers alike.

摘要

肾癌(KC)是一种全球发病率不断上升的疾病,估计每年有40万新发病例,全球死亡率接近每年17.5万例死亡。目前的预测表明,发病率在未来十年将持续上升,这凸显了应对这一重大全球健康趋势的紧迫性。尽管发病率和死亡率总体呈上升趋势,但显著的社会差异依然明显。低收入和中等收入国家承受着不成比例的疾病负担,死亡率更高,诊断时疾病分期更晚,这突出了社会经济因素在疾病流行率和治疗结果中的关键作用。必须考虑到肾癌的主要风险因素,包括吸烟、肥胖、高血压和职业接触有害物质。重要的是,这些风险因素通常也会导致肾损伤,本综述将这种情况认定为肾癌一个重要但未得到充分认识的先兆。最后,肾脏病学家在管理这一复杂疾病格局中的不可或缺作用得到了强调。肾脏病学家处于检测和管理肾损伤的前沿,他们在降低肾癌风险方面的作用正变得越来越明显。通过这一全面分析,我们旨在促进对肾癌流行病学和决定因素的更细致入微的理解,为研究人员、临床医生和政策制定者提供有价值的见解。

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