学术论文

      综合防治,抗击癌症的必由之路——美国癌症数据的启示

      Comprehensive strategies, the route leading to cancer prevention and control——What we learned from US Cancer Statistics

      摘要:
      美国在癌症预防和控制上取得了举世瞩目的成就,最重要的表现是过去二十多年癌症死亡率发生了持续下降.通过对中美在总的癌症负担、癌症发展趋势、癌症瘤别构成及其变化、癌症生存率及其变化上的对比分析,发现中国的癌症负担显现出发病率和死亡率双双持续上升、生存率较低的特征,面临老龄化、癌症双重负担、癌症相关行为危险因素普遍流行等挑战,需要采取三级预防并重的综合防控策略,侧重控烟、早筛和提供规范均等的癌症诊疗服务.
      Abstract:
      Cancer mortality continues to decline in the United States in the past 2 decades, which marks the notable achievement of cancer prevention and control. We compare the difference between US and China in the incidence and mortality and their time trends for all cancer sites and by common cancer site, as well as cancer survival and its trends. We find that the incidence and mortality continues to rise in China, while cancer survival stays lower. Facing the challenge of aging, double burden in cancer, and prevalence of cancer related risk factors, it is urgent to apply three level prevention strategies, put tobacco control, mass screening and clinical cancer care equalization on priority.
      作者: 郑莹 周昌明
      Author: Zheng Ying Zhou Changming
      作者单位: 复旦大学附属肿瘤医院肿瘤预防部, 上海,200032
      年,卷(期): 2018, 7(2)
      在线出版日期: 2018年5月17日
      基金项目: 国家重点研发计划资助