Breast cancer statistics, 2019

Breast cancer statistics, 2019
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DOI:
10.3322/caac.21583
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发表时间:
2019-11-01
影响因子:
254.7
通讯作者:
Siegel, Rebecca L.
Siegel, Rebecca L.
中科院分区:
医学1区
文献类型:
--
作者:
DeSantis, Carol E.;Ma, Jiemin;Siegel, Rebecca L.

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本文是美国癌症协会每两年更新一次的美国女性乳腺癌统计数据,包括发病率、死亡率、存活率和筛查数据。在最近的五年期间(2012-2016),乳腺癌发病率每年略有增加0.3%,这主要是因为局部分期和激素受体阳性疾病的发病率上升。相比之下,乳腺癌死亡率继续下降,从到2017年下降了40%,避免了375,900人死于乳腺癌。值得注意的是,下降的速度已经从1998年到2011年的年降幅1.9%放缓到2011年到2017年的1.3%,这主要是由白人女性的趋势推动的。因此,乳腺癌死亡率的黑人和白人差距在过去30年扩大后,自2011年以来一直保持稳定。然而,尽管发病率较低(126.7比130.8),黑人的死亡率仍然高出40%(28.4‰对20.3‰);这一差距在年龄较大的黑人妇女中放大。
This article is the American Cancer Society's biennial update on female breast cancer statistics in the United States, including data on incidence, mortality, survival, and screening. Over the most recent 5-year period (2012-2016), the breast cancer incidence rate increased slightly by 0.3% per year, largely because of rising rates of local stage and hormone receptor-positive disease. In contrast, the breast cancer death rate continues to decline, dropping 40% from 1989 to 2017 and translating to 375,900 breast cancer deaths averted. Notably, the pace of the decline has slowed from an annual decrease of 1.9% during 1998 through 2011 to 1.3% during 2011 through 2017, largely driven by the trend in white women. Consequently, the black-white disparity in breast cancer mortality has remained stable since 2011 after widening over the past 3 decades. Nevertheless, the death rate remains 40% higher in blacks (28.4 vs 20.3 deaths per 100,000) despite a lower incidence rate (126.7 vs 130.8); this disparity is magnified among black women aged