Chapter 12: Yale lung cancer model.

Chapter 12: Yale lung cancer model.
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DOI:
10.1111/j.1539-6924.2011.01754.x
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发表时间:
2012-07
期刊:
Risk analysis : an official publication of the Society for Risk Analysis
影响因子:
--
通讯作者:
Zheng T
Zheng T
中科院分区:
其他
文献类型:
--
作者:
Holford TR;Ebisu K;McKay L;Oh C;Zheng T

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年龄-时期-队列模型是一个很好的描述肺癌发病率和死亡率的时间趋势的模型。这种分析方法扩展到包括吸烟致癌模型的贡献。该策略的优点在于,它提供了一种在时间上校准适合于人口数据的模型的方法,并且可以容易地用于考虑许多不同的模型。此外,它提供了诊断,可以建议在描述人口率的特定致癌模型的时间限制。替代致癌模型可以嵌入在这个框架内。在这里实现了两阶段克隆扩展模型。该模型被用来估计烟草控制的影响,通过比较观察到的肺癌死亡人数与1965年完全控制的理想相比,如果没有控制,预计吸烟的有害影响的知识传播。结果表明,男性和女性实际上分别占本可以避免的肺癌死亡的35.2%和26.5%。
The age-period-cohort model is known to provide an excellent description of the temporal trends in lung cancer incidence and mortality. This analytic approach is extended to include the contribution of carcinogenesis models for smoking. Usefulness of this strategy is that it offers a way to temporally calibrate a model that is fitted to population data and it can be readily adopted for the consideration of many different models. In addition, it provides diagnostics that can suggest temporal limitations of a particular carcinogenesis model in describing population rates. Alternative carcinogenesis models can be embedded within this framework. The two stage clonal expansion model is implemented here. The model was used to estimate the impact of tobacco control following dissemination of knowledge of the harmful effects of cigarette smoking by comparing the observed number of lung cancer deaths to those expected if there had been no control compared to an ideal of complete control in 1965. Results indicate that 35.2% and 26.5% of lung cancer deaths that could have been avoided actually were for males and females, respectively.
DOI: 10.1111/j.1539-6924.2011.01681.x
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