首页|全球及中国乳腺癌的流行病学趋势及防控启示:2018-2022年《全球癌症统计报告》解读

全球及中国乳腺癌的流行病学趋势及防控启示:2018-2022年《全球癌症统计报告》解读

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目的 根据世界卫生组织国际癌症研究机构和美国癌症学会联合编制的全球癌症统计报告2018、2020、2022年版,总结全球乳腺癌及中国乳腺癌的负担与流行病学趋势.方法 整理分析全球癌症统计报告2018、2020、2022年版中全球乳腺癌与中国乳腺癌的数据.结果 2022年全球新发乳腺癌估计约230.9万,居第2位,乳腺癌粗发病率为54.1/10万,年龄标准化发病率(age-standardized incidence rate,ASIR)为46.8/10万;2022年全球乳腺癌死亡估计约66.6万,居第4位,粗死亡率为11.3/10万,年龄标准化死亡率(age-standardized mortality rate,ASMR)为12.6/10万.乳腺癌发病率和死亡率在不同地区/国家间存在较大差异,且与人类发展指数相关:在经济发达地区粗发病率较高,同时粗死亡率相对呈现增加的趋势,但ASMR较低;在经济欠发达地区粗发病率相对较低,同时粗死亡率相对呈现降低的趋势,但ASMR较高.2022年中国乳腺癌新发病例数估计约35.7万,居第4位,粗发病率为51.7/10万,ASIR为33.0/10万;2022年中国乳腺癌死亡病例估计约7.5万,居第7位,粗死亡率为10.9/10万,ASMR为6.1/10万.2018-2022年期间我国乳腺癌的发病率与死亡率均呈现出下降趋势.结论 全球及中国均面临严峻的乳腺癌疾病负担,乳腺癌的防治道路任重道远.
Epidemiological trends and implications of breast cancer prevention and control in China and the world:an interpretation of the Global Cancer Statistics Report 2018-2022
Objective To summarize the burden and epidemiological trends of global breast cancer and China's breast cancer according to the 2018,2020 and 2022 versions of the global cancer statistics report jointly prepared by the International Cancer Research Institute of the World Health Organization and the American Cancer Society.Method The data of global and Chinese breast cancer in the 2018,2020,2022 edition of the Global Cancer Statistical Report were analyzed.Results In 2022,the global new breast cancer was estimated to be about 2.309 million,ranking the second.The crude incidence rate of breast cancer was 54.1 per 100 000,and the age standardized incidence rate(ASIR)was 46.8 per 100 000.In 2022,the global breast cancer death would be about 666 000,ranking the fourth,with the crude mortality rate of 11.3 per 100 000,age standardized mortality rate(ASMR)was 12.6 per 100 000.The incidence rate and mortality rate of breast cancer vary greatly between regions/countries,and were related to the human development index;the crude incidence rate was high in economically developed regions,and the crude mortality rate was relatively increasing,but the ASMR was low.In economically underdeveloped areas,the crude incidence rate was relatively low,and the crude mortality rate was relatively decreasing,but ASMR was high.In 2022,the number of breast cancer patients in China would be 357 000,ranking the fourth,with a crude incidence rate of 51.7 per 100 000 and an ASIR of 33.0 per 100 000.In 2022,there would be about 75 000 deaths from breast cancer in China,ranking the seventh,with a crude mortality rate of 10.9 per 100 000 and an ASMR of 6.1 per 100 000.From 2018 to 2022,the incidence rate and mortality rate of breast cancer in China show a downward trend.Conclusions Both the world and China are facing a severe burden of breast cancer,and breast cancer prevention and treatment has a long way to go.

breast cancermorbiditymortalitypreventionrisk factorguide interpretation

邬昊、吕青

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四川大学华西医院乳腺疾病中心(成都 610041)

乳腺癌 发病 死亡 预防 危险因素 报告解读

四川大学华西医院临床研究孵化项目

2021HXFH011

2024

中国普外基础与临床杂志
四川大学华西医院

中国普外基础与临床杂志

CSTPCD
影响因子:0.858
ISSN:1007-9424
年,卷(期):2024.31(7)
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