Higashi Takahiro, Kurokawa Yukinori
Department of Public Health and Health Policy Graduate School of Medicine, The University of Tokyo Tokyo Japan.
Department of Gastroenterological Surgery Graduate School of Medicine, Osaka University Osaka Japan.
Ann Gastroenterol Surg. 2024 Jun 17;8(6):958-965. doi: 10.1002/ags3.12835. eCollection 2024 Nov.
Access to accurate statistical data is paramount in the pursuit of effective cancer control activities, including research, policy development, and clinical care. This paper presents a comprehensive statistical report on the incidence, mortality, survival, and treatment of major digestive organ cancers, including those of the esophagus, stomach, colon, rectum, liver, extrahepatic biliary tract, and pancreas, in Japan. We compiled data from the National Cancer Center's "Cancer Information Services" and government "e-Stat" websites and offered a succinct overview of basic statistics by using tables and graphical presentations. Our findings underscore the critical role of the National Cancer Registry introduced by the Cancer Registry Act of 2016, which mandates hospitals across Japan to report cancer cases. This system ensures more accurate incidence statistics. Mortality data sourced from the National Vital Statistics System and survival rates derived from hospital-based cancer registries offer insights into the outcomes and efficacy of treatment modalities. These data indicate a downward trend in mortality for stomach and liver cancers and stable or declining rates for other cancers except pancreatic cancer, which has the lowest survival rate. Treatment patterns indicate an increase in endoscopic procedures for esophageal and stomach cancers, with stable treatment approaches for colorectal cancer. This statistical overview aims to improve the understanding and inform research, policy, and clinical decisions in the field of digestive organ cancers.
获取准确的统计数据对于开展有效的癌症控制活动至关重要,这些活动包括研究、政策制定和临床护理。本文提供了一份关于日本主要消化器官癌症(包括食管癌、胃癌、结肠癌、直肠癌、肝癌、肝外胆管癌和胰腺癌)的发病率、死亡率、生存率和治疗情况的综合统计报告。我们从日本国立癌症中心的“癌症信息服务”以及政府的“电子统计”网站收集数据,并通过表格和图表展示的方式对基本统计数据进行了简要概述。我们的研究结果强调了2016年《癌症登记法》引入的国家癌症登记系统的关键作用,该法律要求日本各地的医院报告癌症病例。这个系统确保了更准确的发病率统计数据。源自国家生命统计系统的死亡率数据以及源自医院癌症登记处的生存率数据,为了解治疗方式的效果和疗效提供了依据。这些数据表明,胃癌和肝癌的死亡率呈下降趋势,除胰腺癌外其他癌症的死亡率保持稳定或下降,而胰腺癌的生存率最低。治疗模式显示,食管癌和胃癌的内镜治疗有所增加,结直肠癌的治疗方法保持稳定。这份统计概述旨在增进对消化器官癌症领域的理解,并为该领域的研究、政策和临床决策提供参考。