Comparison of Cancer Incidence between China and the USA.

Comparison of Cancer Incidence between China and the USA.
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DOI:
10.3969/j.issn.2095-3941.2012.02.009
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发表时间:
2012-06
影响因子:
5.5
通讯作者:
Wang QS
Wang QS
中科院分区:
医学2区
文献类型:
--
作者:
Wang YC;Wei LJ;Liu JT;Li SX;Wang QS

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癌症的发病率在地球仪各地各不相同,特别是在欠发达地区和发达地区之间。本研究的目的是探讨中国和美国之间癌症发病率的差异。数据来自GLOBOCAN 2008数据库。美国新发癌症病例的估计数来自美国癌症协会,而中国的病例数(包括城市和农村地区)来自36个癌症登记处(2003-2005年)。分析了中国和美国主要地区的癌症发病率。在中国,肺癌是男性中发现的主要癌症类型;在女性中,乳腺癌是主要癌症类型。胃肠道癌症,如肝癌、胃癌和食道癌,在中国比在美国更常见。在中国和美国之间观察到皮肤黑色素瘤的发病率存在显著差异。在比较两国主要癌症部位的世界人口(ASRW)年龄标准化率差异时,男性中有4个部位(即,鼻咽、食管、胃和肝)和雌性的6个部位(即,鼻咽癌、食道癌、胃癌、肝癌、胆囊癌和宫颈癌)的发病率高于美国。两国癌症发病部位存在显著差异。癌症可以通过公众教育和宣传来预防。在中国,促进癌症预防的计划,特别是肺癌、乳腺癌和胃肠道癌的预防,也必须实施。
The incidence of cancer varies around the globe, especially between less-developed and developed regions. The aim of this study is to explore differences in cancer incidence between China and the USA. Data were obtained from the GLOBOCAN 2008 database. Estimated numbers of new cancer cases in the USA were obtained from the American Cancer Society, while the numbers of cases in China, including those in urban and rural areas, were obtained from 36 cancer registries (2003-2005). Cancer incidence for major sites between China and the USA were analyzed. In China, lung cancer was the predominant type of cancer detected in males; in females, breast cancer was the main type of cancer. Gastrointestinal cancers, such as those of the liver, stomach, and esophagus, were more commonly seen in China than in the USA. A significant difference in the incidence of melanoma of the skin was observed between China and the USA. During comparison of differences in the age-standardized rates by world population (ASRWs) of major cancer sites between the two countries, 4 sites in males (i.e., nasopharynx, esophagus, stomach, and liver) and 6 sites in females (i.e., nasopharynx, esophagus, stomach, liver, gallbladder, and cervix uteri) showed higher cancer incidence rates in China than in the USA. Significant differences in cancer incidence sites were found between the two countries. Cancer may be prevented through public education and awareness. Programs to promote cancer prevention in China, especially those of the lung, breast, and gastrointestinal region, must also be implemented.
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