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癌症治疗和生存统计,2014 年。

Cancer treatment and survivorship statistics, 2014.

机构信息

Epidemiologist, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.

出版信息

CA Cancer J Clin. 2014 Jul-Aug;64(4):252-71. doi: 10.3322/caac.21235. Epub 2014 Jun 1.

Abstract

The number of cancer survivors continues to increase due to the aging and growth of the population and improvements in early detection and treatment. In order for the public health community to better serve these survivors, the American Cancer Society and the National Cancer Institute collaborated to estimate the number of current and future cancer survivors using data from the Surveillance, Epidemiology, and End Results (SEER) program registries. In addition, current treatment patterns for the most common cancer types are described based on information in the National Cancer Data Base and the SEER and SEER-Medicare linked databases; treatment-related side effects are also briefly described. Nearly 14.5 million Americans with a history of cancer were alive on January 1, 2014; by January 1, 2024, that number will increase to nearly 19 million. The 3 most common prevalent cancers among males are prostate cancer (43%), colorectal cancer (9%), and melanoma (8%), and those among females are cancers of the breast (41%), uterine corpus (8%), and colon and rectum (8%). The age distribution of survivors varies substantially by cancer type. For example, the majority of prostate cancer survivors (62%) are aged 70 years or older, whereas less than one-third (32%) of melanoma survivors are in this older age group. It is important for clinicians to understand the unique medical and psychosocial needs of cancer survivors and to proactively assess and manage these issues. There are a growing number of resources that can assist patients, caregivers, and health care providers in navigating the various phases of cancer survivorship.

摘要

由于人口老龄化和增长以及早期检测和治疗的改进,癌症幸存者的数量持续增加。为了让公共卫生界更好地为这些幸存者服务,美国癌症协会和美国国家癌症研究所合作,利用监测、流行病学和最终结果(SEER)计划登记处的数据来估计当前和未来的癌症幸存者人数。此外,还根据国家癌症数据库和 SEER 及 SEER-医疗保险关联数据库中的信息描述了最常见癌症类型的当前治疗模式;还简要描述了与治疗相关的副作用。截至 2014 年 1 月 1 日,约有 1450 万美国癌症幸存者仍然活着;到 2024 年 1 月 1 日,这一数字将增加到近 1900 万。男性中最常见的三种流行癌症是前列腺癌(43%)、结直肠癌(9%)和黑色素瘤(8%),女性中最常见的癌症是乳腺癌(41%)、子宫体(8%)和结肠和直肠(8%)。幸存者的年龄分布因癌症类型而异。例如,大多数前列腺癌幸存者(62%)年龄在 70 岁或以上,而不到三分之一(32%)的黑色素瘤幸存者处于这个较年长的年龄组。临床医生了解癌症幸存者独特的医疗和社会心理需求并主动评估和管理这些问题非常重要。越来越多的资源可以帮助患者、护理人员和医疗保健提供者在癌症幸存者的各个阶段中导航。

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