International Variation in Female Breast Cancer Incidence and Mortality Rates
International Variation in Female Breast Cancer Incidence and Mortality Rates
复制标题
DOI：
10.1158/1055-9965.epi-15-0535
复制
发表时间：
2015-10-01
影响因子：
3.8
通讯作者：
Jemal, Ahmedin
中科院分区：
文献类型：
--
作者：
DeSantis, Carol E.;Bray, Freddie;Jemal, Ahmedin
背景：乳腺癌是最常见的癌症，也是全世界妇女癌症相关死亡的主要原因。在此，我们使用最新的数据研究女性乳腺癌发病率的全球趋势。方法：乳腺癌发病率和死亡率估计值来自GLOBOCAN 2012（globocan.iarc.fr）。我们分析了从1993年起的趋势，从39个国家的发病率数据从国际癌症研究机构和死亡率数据从57个国家从World Health Organisation.Results：32个国家的发病率和死亡率的数据，在最近的一段时间内出现分歧的发病率增加，死亡率下降，主要在北方/西欧的9个国家。法国、以色列、意大利、挪威和西班牙的发病率和死亡率均下降。与此相反，哥伦比亚、厄瓜多尔和日本的发病率和死亡率都有所上升。巴西、埃及、危地马拉、科威特、毛里求斯、墨西哥和Moldow.Conclusions的死亡率也有所上升：尽管乳腺癌发病率在增加或保持稳定，但大多数高收入国家的乳腺癌死亡率正在下降。与此相反，令人关切的是，在一些国家，特别是在人类发展经历迅速变化的国家，发病率和死亡率不断上升。乳腺癌发病率和趋势的广泛变化反映了风险因素模式的差异以及早期发现和及时治疗的可获得性和可用性。影响：必须优先考虑提高对乳腺癌的认识以及早期发现和改善治疗的好处，以成功实施乳腺癌控制计划，特别是在转型国家。(C)2015年AACR。
Background: Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer-related death among women worldwide. Herein, we examine global trends in female breast cancer rates using the most up-to-date data available.Methods: Breast cancer incidence and mortality estimates were obtained from GLOBOCAN 2012 (globocan.iarc.fr). We analyzed trends from 1993 onward using incidence data from 39 countries from the International Agency for Research on Cancer and mortality data from 57 countries from the World Health Organization.Results: Of 32 countries with incidence and mortality data, rates in the recent period diverged-with incidence increasing and mortality decreasing-in nine countries mainly in Northern/Western Europe. Both incidence and mortality decreased in France, Israel, Italy, Norway, and Spain. In contrast, incidence and death rates both increased in Colombia, Ecuador, and Japan. Death rates also increased in Brazil, Egypt, Guatemala, Kuwait, Mauritius, Mexico, and Moldova.Conclusions: Breast cancer mortality rates are decreasing in most high-income countries, despite increasing or stable incidence rates. In contrast and of concern are the increasing incidence and mortality rates in a number of countries, particularly those undergoing rapid changes in human development. Wide variations in breast cancer rates and trends reflect differences in patterns of risk factors and access to and availability of early detection and timely treatment.Impact: Increased awareness about breast cancer and the benefits of early detection and improved access to treatment must be prioritized to successfully implement breast cancer control programs, particularly in transitioning countries. (C) 2015 AACR.