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2019年至2021年胰腺癌及其可归因风险因素的全球、区域和国家负担,并预测至2044年。

Global, regional and national burden of pancreatic cancer and its attributable risk factors from 2019 to 2021, with projection to 2044.

作者信息

Li Xiao, Zhang Yi, Yan Zeyi, Jiang Wenkai, Rui Shaozhen

机构信息

The Second Clinical Medical School, Lanzhou University, Lanzhou, China.

The First School of Clinical Medicine, Lanzhou University, Lanzhou, China.

出版信息

Front Oncol. 2025 Jan 14;14:1521788. doi: 10.3389/fonc.2024.1521788. eCollection 2024.

Abstract

BACKGROUND

To estimate the global burden of pancreatic cancer in 2019 and 2021 including incidence, mortality, and disability-adjusted-life-years (DALYs).

METHODS

Data on pancreatic cancer incidence, mortality and DALYs were downloaded from the Global Health Data Exchange. The 95% uncertainty intervals (UIs) were reported for annual numbers and rates (per 100,000 populations).

RESULTS

In 2021, there were 508,532 (95% UI: 462,09 to 547,208) incident cases of pancreatic cancer globally, of which 273,617 (250,808 to 299,347; 53.8%) were in males. The age-standardized incidence rate was 6.0 (5.5 to 6.5) per 100,000 people in 2019 and decreased to 5.9 (5.4 to 6.4) per 100,000 people in 2021. There was a 3.9% increase in the number of deaths from pancreatic cancer from 486,869 (446,272 to 517,185) in 2019 to 505,752 (461,224 to 543,899) in 2021. There was a 3.5% increase in DALYs due to pancreatic cancer, increasing from 10.9 million (10.1 to 11.7) in 2019 to 11.3 million (10.5 to 12.2) in 2021. In 2021, the highest age-standardized death rates were observed in Greenland and Monaco, and the highest age-standardized DALY rates were observed in Greenland and Uruguay. The numbers of incident cases and deaths peaked at the ages of 70 to 74 years. The pancreatic cancer burden increased as the socio-demographic index increased. To 2044, the number of incident cases and deaths will be more than 875 thousand and 879 thousand, respectively.

CONCLUSION

The disease burden of pancreatic cancer remains high, especially in high-income regions. More cancer prevention measures are needed in the future to reduce the burden of pancreatic cancer.

摘要

背景

评估2019年和2021年胰腺癌的全球负担,包括发病率、死亡率和伤残调整生命年(DALYs)。

方法

从全球卫生数据交换中心下载胰腺癌发病率、死亡率和DALYs的数据。报告了年度数字和比率(每10万人)的95%不确定性区间(UIs)。

结果

2021年,全球胰腺癌新发病例有508,532例(95%UI:462,09至547,208),其中273,617例(250,808至299,347;53.8%)为男性。2019年年龄标准化发病率为每10万人6.0(5.5至6.5),2021年降至每10万人5.9(5.4至6.4)。胰腺癌死亡人数从2019年的486,869例(446,272至517,185)增加到2021年的505,752例(461,224至543,899),增长了3.9%。因胰腺癌导致的DALYs增加了3.5%,从2019年的1090万(1010至1170)增加到2021年的1130万(1050至1220)。2021年,格陵兰和摩纳哥的年龄标准化死亡率最高,格陵兰和乌拉圭的年龄标准化DALY率最高。新发病例数和死亡数在70至74岁时达到峰值。随着社会人口指数的增加,胰腺癌负担加重。到2044年,新发病例数和死亡数将分别超过87.5万和87.9万。

结论

胰腺癌的疾病负担仍然很高,尤其是在高收入地区。未来需要更多的癌症预防措施来减轻胰腺癌的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dae/11772166/8154e5aea3d8/fonc-14-1521788-g001.jpg

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