Colorectal Cancer Incidence in the United States, 1999-2004 An Updated Analysis of Data From the National Program of Cancer Registries and the Surveillance, Epidemiology, and End Results Program
Colorectal Cancer Incidence in the United States, 1999-2004 An Updated Analysis of Data From the National Program of Cancer Registries and the Surveillance, Epidemiology, and End Results Program
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DOI：
10.1002/cncr.24216
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发表时间：
2009-05-01
期刊：
影响因子：
6.2
通讯作者：
Coughlin, Steven S.
中科院分区：
文献类型：
--
作者：
Rim, Sun Hee;Seeff, Laura;Coughlin, Steven S.
背景技术背景：通过使用最近的国家癌症监测数据，作者按亚群调查了结直肠癌（CRC）的发病率，为基于人口统计学的CRC指南的讨论提供信息。方法：数据包括CRC发病率（1999-2004年），来自国家癌症登记和监测、流行病学和最终结果项目数据库。根据性别、亚部位、疾病分期、人种和种族，报告了40 - 44岁、45 - 49岁、50 - 64岁和≥ 65岁人群的发病率（年龄特异性和根据2000年美国标准人群调整的年龄）。计算率比（RR）和率差（RD）以比较不同亚群的CRC发生率。结果：男性的发病率高于女性，黑人的发病率高于白人和其他种族。亚洲人/太平洋岛民（API），美洲印第安人/阿拉斯加原住民（AI/AN）和西班牙裔的发病率始终低于白人和非西班牙裔。性别差异在年龄>65岁的人口中最大，而种族差异在年龄> 65岁的人口中更明显。
BACKGROUND: By using recent national cancer surveillance data, the authors investigated colorectal cancer (CRC) incidence by subpopulation to inform the discussion of demographic-based CRC guidelines. METHODS: Data included CRC incidence (1999-2004) from the combined National Program of Cancer Registries and Surveillance, Epidemiology, and End Results Program databases. Incidence rates (age-specific and age-adjusted to the 2000 US standard population) were reported among individuals ages 40 to 44 years, 45 to 49 years, 50 to 64 years, and >= 65 years by sex, subsite, disease stage, race, and ethnicity. Rate ratios (RR) and rate differences (RD) were calculated to compare CRC rates in different subpopulations. RESULTS: Incidence rates were greater among men compared with women and among blacks compared with whites and other races. Incidence rates among Asians/Pacific Islanders (APIs), American Indians/Alaska Natives (AI/ANs), and Hispanics consistently were lower than among whites and non-Hispanics. Sex disparities were greatest in the population aged >65 years, whereas racial disparities were more pronounced in the population aged