Department of Epidemiology and Biostatistics, Key Laboratory of Molecular Cancer Epidemiology, Key Laboratory of Prevention and Control of Human Major Diseases, Ministry of Education, National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin Medical University, Tianjin 300060, China.
Department of Maxillofacial and Otorhinolaryngology Oncology, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China.
Chin Med J (Engl). 2024 Nov 5;137(21):2567-2576. doi: 10.1097/CM9.0000000000003284. Epub 2024 Sep 12.
Thyroid cancer (TC) is the most common malignancy of the endocrine system. This study aimed to assess the global distribution of TC incidence and mortality in 2022, as well as to predict the burden for the year 2050.
Data from the GLOBOCAN 2022 database were used to analyze the age-standardized incidence and mortality rates of TC by sex, age group (<55 years and ≥55 years), country, world region, and level of Human Development Index (HDI) for 185 countries. The predicted incidence and mortality burden for 2050 was calculated based on demographic projections.
In 2022, an estimated 821,214 new TC cases and 47,507 TC-related deaths occurred worldwide. The age-standardized incidence rates (ASIRs) and age-standardized mortality rates (ASMRs) were higher in women (ASIR: 13.60 per 100,000; ASMR: 0.53 per 100,000) than in men (ASIR: 4.60 per 100,000; ASMR: 0.35 per 100,000). The ASIR in high HDI countries was approximately ten times higher than that in low HDI countries for both sexes, with relatively similar ASMR across regions. Among 185 countries, China had the largest number of TC cases (accounting for 56.77% of total cases) and TC-related deaths (accounting for 24.35% of global TC-related deaths), with the highest ASIR in men (13.30 per 100,000). Worldwide, approximately 64.63% of TC cases occurred in populations under 55 years old, while nearly 82.99% of TC-related deaths occurred in populations aged 55 years and above. If the rates stay the same as in 2022, it is projected that approximately 1,100,000 new TC cases and 91,000 TC-related deaths will occur in 2050, indicating a 34.15% and 89.58% increase, respectively.
TC is a highly frequent cancer worldwide with disparities across regions, genders, and age groups. Our results provide light on the worldwide TC disease burden and facilitate regionally customized prevention measures.
甲状腺癌(TC)是内分泌系统最常见的恶性肿瘤。本研究旨在评估 2022 年全球 TC 发病率和死亡率的分布情况,并预测 2050 年的疾病负担。
使用 GLOBOCAN 2022 数据库中的数据,按性别、年龄组(<55 岁和≥55 岁)、国家、世界区域和人类发展指数(HDI)水平分析了全球 185 个国家 TC 的年龄标准化发病率和死亡率。根据人口预测计算了 2050 年预计发病率和死亡率负担。
2022 年,全球估计有 821214 例新的 TC 病例和 47507 例 TC 相关死亡。女性的年龄标准化发病率(ASIR)和年龄标准化死亡率(ASMR)均高于男性(ASIR:13.60/100000;ASMR:0.53/100000)。高 HDI 国家的 ASIR 是低 HDI 国家的近十倍,且各区域的 ASMR 较为相似。在 185 个国家中,中国的 TC 病例数(占总病例数的 56.77%)和 TC 相关死亡数(占全球 TC 相关死亡数的 24.35%)最多,男性的 ASIR 最高(13.30/100000)。全球约有 64.63%的 TC 病例发生在 55 岁以下人群中,而近 82.99%的 TC 相关死亡发生在 55 岁及以上人群中。如果发病率保持 2022 年的水平不变,预计 2050 年将新增约 110 万例 TC 病例和 9.1 万例 TC 相关死亡,分别增加 34.15%和 89.58%。
TC 是一种全球高发的癌症,存在区域、性别和年龄组之间的差异。本研究结果为全球 TC 疾病负担提供了依据,并有助于制定区域性的防治措施。