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利用2019年全球疾病负担研究评估食管癌的全球、区域和国家负担

Global, regional, and national burden of esophageal cancer using the 2019 global burden of disease study.

作者信息

Sun Liangchao, Zhao Kaikai, Liu Xiaoli, Meng Xue

机构信息

Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, China.

Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.

出版信息

Sci Rep. 2025 Jan 26;15(1):3284. doi: 10.1038/s41598-025-86244-z.

Abstract

Esophageal cancer, with its aggressive nature and high mortality, poses diverse epidemiological challenges worldwide. Over the past three decades, esophageal cancer has exhibited a substantial global burden, marked by a significant increase in absolute numbers, contrasting with a decline in age-standardized metrics. Prevalence nearly doubled, reaching 0.961 million in 2019, while the age-standardized rate (ASR) decreased to 11.6 per 100,000 cases. New incidence cases surged by 67.07%, yet the age-standardized incidence rate reduced to 6.5 per 100,000 cases. Deaths increased to 0.498 million, with a decline in age-standardized mortality to 6.1 per 100,000 cases. Disability-Adjusted Life Years (DALYs) rose to 11.67 million, but the ASR decreased to 139.8 per 100,000 cases. Gender-specific analysis revealed consistently higher rates in males, with increasing gaps over time. Correlations with SDI indicated a negative association, and frontier analysis underscored the impact of socio-economic progress on disease control. Projections suggest a continued rise in prevalence, incidence, deaths, and DALYs, with gender-specific variations. The research underscores the importance of continued efforts in public health and medical research to adapt to and manage the changing landscape of esophageal cancer globally.

摘要

食管癌具有侵袭性且死亡率高,在全球范围内带来了各种流行病学挑战。在过去三十年中,食管癌呈现出巨大的全球负担,其绝对病例数显著增加,而年龄标准化指标却有所下降。患病率几乎翻了一番,在2019年达到96.1万例,而年龄标准化率(ASR)降至每10万例11.6例。新发病例激增67.07%,但年龄标准化发病率降至每10万例6.5例。死亡人数增至49.8万,年龄标准化死亡率降至每10万例6.1例。伤残调整生命年(DALYs)增至1167万,但年龄标准化率降至每10万例139.8例。按性别分析显示,男性发病率始终较高,且随着时间推移差距不断扩大。与社会人口指数(SDI)的相关性表明存在负相关,前沿分析强调了社会经济进步对疾病控制的影响。预测表明,患病率、发病率、死亡人数和伤残调整生命年将持续上升,并存在性别差异。该研究强调了在公共卫生和医学研究方面持续努力以适应和应对全球食管癌变化态势的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c32f/11770103/3f1bdc58265a/41598_2025_86244_Fig1_HTML.jpg

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