2020美国国家癌症年度报告(2022年)

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2020美国国家癌症年度报告(2022年)

 

 Original

 Article

  Annual

 Report

 to

 the

 Nation

 on

 the

 Status

 of

 Cancer,

 Part

 I: National

 Cancer

 Statistics

 S.

 Jane

 Henle y ,

 MSPH

 1;

 Elizabeth

 M. W ar d,

 PhD 2 ;

 Susan

 Sc ott,

 MPH

  3 ;

 Jiemin

 Ma, PhD ,

 MHS

 4 ; R obert

 N.

 Anderson,

 PhD 5 ;

 Albert

 U .

 Firth,

 BS 6 ;

 Cheryll

 C.

 T homas,

 MSPH1 ;

 F arhad

 Islami,

 MD ,

 PhD

 4 ; Hannah

 K.

 W eir ,

 PhD

  1;

 Denise

 Riedel

 L e wis,

 PhD ,

 MPH

  3 ;

 R ecinda

 L.

 Sherman,

 MPH, PhD ,

 CTR 2 ;

 Manxia

 W u,

 MD ,

 MPH1 ;

 V icki

 B.

 Benar d,

 PhD 1 ;

 Lisa

 C.

 Richardson,

 MD ,

 MPH 1 ;

 Ahmedin

 Jemal,

 D VM,

 PhD

  4 ; K a thleen

 Cr onin,

 PhD ,

 MPH 3 ;

 and

 Bets y

 A.

 K ohler ,

 MPH 2

  B A CK G RO U N D :

 T he

 American

 Canc er

 Society ,

 the

 C ent ers

 f or

 Disease

 C ontr ol

 and

 Pre v ention,

 the

 Na tional

 Canc er

 Ins titut e ,

 and

 the North

 American

 As socia tion

 of

 C entr al

 Canc er

 R egis tries

 collabor a t e

 t o

 pr o vide

 annual

 upda t es

 on

 canc er

 occurr enc e

 and

 tr ends

 in the

 Unit ed

 S ta t es. M E TH O DS :

 Da ta

 on

 ne w

 canc er

 diagnoses

 during

 200 1

 thr ough

 20 16

 w er e

 obtained

 fr om

 the

 C ent ers

 f or

 Disease C ontr ol

 and

 Pre v ention-funded

 and

 Na tional

 Canc er

 Ins titut e-funded

 population-based

 canc er

 r egis try

 pr ogr ams

 and

 compiled

 by the

 North

 American

 As socia tion

 of

 C entr al

 Canc er

 R egis tries.

 Da ta

 on

 canc er

 dea ths

 during

 200 1

 thr ough

 20 17

 w er e

 obtained

 fr om the

 Na tional

 C ent er

 f or

 Health

 S tatistics"

 Na tional

 V ital

 S tatis tics

 S y s t em.

 T r ends

 in

 incidenc e

 and

 dea th

 r a t es

 f or

 all

 canc ers

 combined and

 f or

 the

 leading

 canc er

 types

 by

 se x,

 r acial/ ethnic

 gr oup ,

 and

 age

 w er e

 es tima t ed

 by

 joinpoint

 analy sis

 and

 char act erized

 by

 the a v er age

  annual

  percent

  change

  during

  the

  mos t

  r ec ent

  5

  y ears

  (20 12-20 16

  f or

  incidenc e

  and

  20 13-20 17

  f or

  mortality).

  R E SU L TS: Over all,

  canc er

  incidenc e

  r a t es

  decr eased

  0 .6%

 on

  a v er age

  per

  y ear

  during

  20 12

  thr ough

  20 16,

  but

  tr ends

  diff ered

  by

  se x,

  r acial/ ethnic

 gr oup ,

 and

 canc er

 type .

 Among

 males,

 canc er

 incidenc e

 r a t es

 w er e

 s table

 ov er all

 and

 among

 non-Hispanic

 whit e

 males

 but decr eased

 in

 other

 r acial/ ethnic

 gr oups;

 r a t es

 incr eased

 f or

 5

 of

 the

 17

 mos t

 common

 canc ers,

 w er e

 s table

 f or

 7

 canc ers

 (including pr os ta t e ),

 and

 decr eased

 f or

 5

 canc ers

 (including

 lung

 and

 br onchus

 [lung]

 and

 c olor ectal).

 Among

 f emales,

 canc er

 incidenc e

 r a t es incr eased

 during

 20 12

 t o

 20 16

 in

 all

 r acial/ ethnic

 gr oups,

 incr easing

 on

 a v er age

 0 .2%

 per

 y ear;

 r a t es

 incr eased

 f or

 8

 of

 the

 18

 mos t common

 canc ers

 (including

 br eas t),

 w er e

 s table

 f or

 6

 canc ers

 (including

 c olor ectal),

 and

 decr eased

 f or

 4

 canc ers

 (including

 lung). Over all,

 canc er

 dea th

 r a t es

 decr eased

 1.5%

 on

 a v er age

 per

 y ear

 during

 20 13

 t o

 20 17 ,

 decr easing

 1.8%

 per

 y ear

 among

 males

 and

 1.4% per

 y ear

 among

 f emales.

 During

 20 13

 t o

 20 17 ,

 canc er

 dea th

 r a t es

 decr eased

 f or

 all

 canc ers

 combined

 among

 both

 males

 and

 f emales in

 each

 r acial/ ethnic

 gr oup ,

 f or

 11

 of

 the

 19

 mos t

 common

 canc ers

 among

 males

 (including

 lung

 and

 c olor ectal),

 and

 f or

 14

 of

 the

 20 mos t

 common

 canc ers

 among

 f emales

 (including

 lung,

 c olor ectal,

 and

 br eas t).

 T he

 lar ges t

 declines

 in

 dea th

 r a t es

 w er e

 observed

 f or melanoma

 of

 the

 skin

 ( decr easing

 6. 1%

 per

 y ear

 among

 males

 and

 6.3%

 among

 f emales )

 and

 lung

 ( decr easing

 4.8%

 per

 y ear

 among males

 and

 3. 7%

 among

 f emales ).

 Among

 childr en

 y ounger

 than

 15

 y ears,

 canc er

 incidenc e

 r a t es

 incr eased

 an

 a v er age

 of

 0 .8%

 per y ear

 during

 20 12

 t o

 20 16,

 and

 canc er

 dea th

 r a t es

 decr eased

 an

 a v er age

 of

 1.4%

 per

 y ear

 during

 20 13

 t o

 20 17 .

 Among

 adolescents and

 y oung

 adults

 aged

 15

 t o

 3 9

 y ears,

 canc er

 incidenc e

 r a t es

 incr eased

 an

 a v er age

 of

 0 .9% per

 y ear

 during

 20 12

 t o

 20 16,

 and

 canc er dea th

 r a t es

 decr eased

 an

 a v er age

 of

 1. 0%

 per

 y ear

 during

 20 13

 t o

 20 17 .

 CONC L U S I ON S:

 Although

 ov er all

 canc er

 dea th

 r a t es

 continue t o

 decline ,

 incidenc e

 r a t es

 ar e

 le v eling

 off

 among

 males

 and

 ar e

 incr easing

 slightly

 among

 f emales.

 T hese

 tr ends

 r eflect

 popula tion changes

 in

 canc er

 risk

 f act ors,

 screening

 t es t

 use ,

 diagnos tic

 pr actic es, and

 tr ea tment

 adv anc es. Man y

 canc ers

 can

 be

 pr e v ent ed

 or tr ea t ed

 eff ectiv ely

 if

 the y

 ar e

 f ound

 early .

 P opula tion-based

 canc er

 incidenc e

 and

 mortality

 da ta

 can

 be

 used

 t o

 inform

 eff orts

 t o decr ease

 the

 canc er

 bur den

 in

 the

 Unit ed

 S ta t es

 and

 r egularly

 monit or

 pr ogr es s

 t o w ar d

 goals.

 Canc er 20 20;0:1-25 .

 ©

 2020

 American Canc er

 Society .

 KEY W ORD S:

 Annual

 R eport

 t o

 the

 Na tion,

 canc er ,

 epidemiology ,

 incidenc e ,

 mortality ,

 Na tional

 Pr ogr am

 of

 Canc er

 R egis tries

 (NPCR), Na tional

 V ital

 S tatis tics

 S y s t em

 (NV S S),

 North

 American

 As socia tion

 of

 C entr al

 Canc er

 R egis tries

 (NA A C CR),

 Surv eillanc e ,

 Epidemiology , and

 End

 R esults

 (SEER)

 pr ogr am,

 tr ends.

  C orr esponding

 A uthor :

 S.

 Jane

 Henley ,

 MSPH,

 Division

 of C anc er

 P r ev en tion

 and

 C on tr ol ,

 Na tional

 C en t er

 f or

 Chr onic

 Disease

 P r ev en tion

 and

 Health

 P r omotion,

 C en t ers f or

 Disease

 C on tr ol and

 P r ev en tion,

 4770

 Buf or d H ighw a y

 NE ,

 Mail

 St op S107-4,

 Chamblee ,

 GA

 30341-3717

 (shenley@c dc .go v).

 1 Division

 of C anc er

 P r ev en tion

 and

 C on tr ol ,

 Na tional

 C en t er

 f or

 Chr onic

 Disease

 P r ev en tion

 and

 Health

 P r omotion,

 C en t ers

 f or

 Disease

 C on tr ol and

 P r ev en tion, A tlan ta,

 G eor g ia;

 2 Nor th

 Amer ican

 A ssocia tion

 of C en tr al

 C anc er

 R egistr ies ,

 Spr ing field ,

 I llinois;

 3 Division

 of C anc er

 C on tr ol and

 P opula tion

 S cienc es ,

 Na tional

 C anc er I nstitut e ,

 Na tional

 I nstitut es

 of Health,

 B ethesda,

 M ar yland;

 4 Sur v eillanc e

 and

 Health

 S er vic es

 R esear ch,

 Amer ican

 C anc er

 S ociet y ,

 A tlan ta,

 G eor g ia;

 5 Na tional

 C en t er

 f or Health

 Sta tistics ,

 C en t ers

 f or

 Disease

 C on tr ol and

 P r ev en tion,

 H y a ttsville ,

 M ar yland;

 6 I nf or ma tion

 M anagemen t

 S er vic es ,

 I nc .,

 R ock ville ,

 M ar yland

 S ee

 edit or ial

 and

 c ompanion

 ar ticle

 on

 pages

 1-2

 and

 1-17,

 this

 issue .

 Elizabeth

 M.

 War d is

 a

 c onsultan t

 t o

 Nor th

 Amer ican

 A ssocia tion

 of C en tr al

 C anc er

 R egistr ies .

 T his

 ar ticle

 has

 been

 c on tr ibut ed

 t o

 b y

 US

 G o v er nmen t

 emplo y ees ,

 and

 their w or k

 is

 in the

 public

 domain

 in the

 Unit ed

 Sta t es .

 We

 g r a t efully

 ack no wledge

 the

 c on tr ibutions

 of the

 sta t e

 and

 r eg ional

 canc er

 r egistr y

 staff

 and

 health

 depar tmen t

 personnel

 f or

 their w or k

 in c ollec ting

 the

 da ta

 used

 in this

 repor t.

 I n

 addition,

 w e

 thank

 I nf or ma tion

 M anagemen t

 S er vic es ,

 I nc .,

 f or

 assistance

 in c ompiling the

 da ta

 used

 in this

 repor t.

 T he

 funders

 had

 no

 r ole

 in the

 desig n

 of the

 study ;

 the

 c ollec tion,

 analy sis ,

 or

 in t er pr eta tion

 of the

 da ta;

 the

 wr iting

 of the

 ar ticle;

 or

 the

 decision

 t o

 submit

 the

 ar ticle

 f or publica tion.

 T he

 findings

 and

 c onclusions

 in this

 ar ticle

 are

 those

 of the

 authors

 and

 do not

 nec essar ily

 r epr esen t

 the

 official

 positions

 of the

 authors"

 agencies

 (the

 Amer ican

 C anc er S ociet y ,

 the

 C en t ers

 f or

 Disease

 C on tr ol and

 P r ev en tion,

 the

 Na tional

 C anc er

 I nstitut e ,

 or

 the

 Nor th

 Amer ican

 A ssocia tion

 of C en tr al

 C anc er

 R egistr ies).

 DOI:

 10.1002/cncr .32802,

 Rec eiv ed:

 D ec ember

 16,

 2019;

 Re vised:

 Januar y

 17,

 2020;

 A ccept ed:

 Januar y

 31,

 2020,

 Published

 online

 M on th

 00,

 2020

 in W iley

 Online Libr ar y

 (wiley onlinelibr ar y .c om)

  Cancer Month

 0 ,

 2020

  1

 Original

 Article

  INTRODUCTION

 Each

 y ear ,

  the

 Centers

 for

 D isease

 Contr ol

 and P r ev ention

 (CDC),

 the

 American

 Cancer

 S ociety (A CS),

 the

 N ational

 Cancer

 I nstitute

 (NCI),

 and the

  N or th

  American

  Association

  of

  Central

  Cancer R egistries

  (NAA CCR)

  collaborate

  to

  pr o vide

  updated information

 about

 cancer

 occurrence

 and

 tr ends

 in

 the U nited

  S tates

  and

  to

  addr ess

  a

  special

  topic

  of

  inter - est. 1

 P ar t

 I of

 this

 r epor t

 focuses

 on

 national

 cancer

 sta - tistics,

  and

  par t

  II

 characteriz es

  progr ess

  in

  achieving H ealthy

 P eople

 2020 objectiv es

 related

 to

 four

 common cancers. 2

  MA TERIALS

 AND

 METHOD S

 Data Sour c es

 Cancer

 incidenc e

 da ta

 P opulation-based

  cancer

  incidence

  data

  b y

  age,

  sex, and

  race/ethnicity

  w er e

  obtained

  fr om

  r egistries

  that par ticipate

 in

 the

 CDC’ s

 N ational

 P r ogram

 of

 Cancer R egistries

 (NPCR)

 and/or

 the

 NCI’ s

 S ur v eillance, E pidemiology ,

  and

 E nd

 R esults

 (SEER)

 P r ogram. 3

 D ata

  fr om

  r egistries

  that

  satisfied

  NAA CCR’ s

  criteria for

 data

 quality

 and

 completeness

 w er e

 included

 in

 the analyses;

 an

 ex ception

 was

 that

 data

 fr om

 N e w

 M exico did

 not

 meet

 NAA CCR

 completeness

 criteria

 but,

 after r evie w , w er e

 included

 in

 this

 r epor t. 4

 F or

 rate

 analyses, 49 states

 and

 1 territor y

 (P uer to

 Rico)

 met

 data

 criteria for

 ev er y

 y ear

 during

 2012 thr ough

 2016, whereas,

 for tr end

 analyses,

 46 states

 met

 data

 criteria

 for

 ev er y

 y ear during

 2001 thr ough

 2016, r epr esenting

 99% and

 93% of

 ...

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