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Cancer statistics, 2018
CA: A Cancer Journal for Clinicians ( IF 503.1 ) Pub Date : 2018-01-01 , DOI: 10.3322/caac.21442
Rebecca L Siegel 1 , Kimberly D Miller 2 , Ahmedin Jemal 3
Affiliation  

Each year, the American Cancer Society estimates the numbers of new cancer cases and deaths that will occur in the United States and compiles the most recent data on cancer incidence, mortality, and survival. Incidence data, available through 2014, were collected by the Surveillance, Epidemiology, and End Results Program; the National Program of Cancer Registries; and the North American Association of Central Cancer Registries. Mortality data, available through 2015, were collected by the National Center for Health Statistics. In 2018, 1,735,350 new cancer cases and 609,640 cancer deaths are projected to occur in the United States. Over the past decade of data, the cancer incidence rate (2005-2014) was stable in women and declined by approximately 2% annually in men, while the cancer death rate (2006-2015) declined by about 1.5% annually in both men and women. The combined cancer death rate dropped continuously from 1991 to 2015 by a total of 26%, translating to approximately 2,378,600 fewer cancer deaths than would have been expected if death rates had remained at their peak. Of the 10 leading causes of death, only cancer declined from 2014 to 2015. In 2015, the cancer death rate was 14% higher in non-Hispanic blacks (NHBs) than non-Hispanic whites (NHWs) overall (death rate ratio [DRR], 1.14; 95% confidence interval [95% CI], 1.13-1.15), but the racial disparity was much larger for individuals aged <65 years (DRR, 1.31; 95% CI, 1.29-1.32) compared with those aged ≥65 years (DRR, 1.07; 95% CI, 1.06-1.09) and varied substantially by state. For example, the cancer death rate was lower in NHBs than NHWs in Massachusetts for all ages and in New York for individuals aged ≥65 years, whereas for those aged <65 years, it was 3 times higher in NHBs in the District of Columbia (DRR, 2.89; 95% CI, 2.16-3.91) and about 50% higher in Wisconsin (DRR, 1.78; 95% CI, 1.56-2.02), Kansas (DRR, 1.51; 95% CI, 1.25-1.81), Louisiana (DRR, 1.49; 95% CI, 1.38-1.60), Illinois (DRR, 1.48; 95% CI, 1.39-1.57), and California (DRR, 1.45; 95% CI, 1.38-1.54). Larger racial inequalities in young and middle-aged adults probably partly reflect less access to high-quality health care. CA Cancer J Clin 2018;68:7-30. © 2018 American Cancer Society.

中文翻译:

癌症统计数据,2018 年

每年,美国癌症协会都会估计美国将发生的新癌症病例和死亡人数,并汇编有关癌症发病率、死亡率和存活率的最新数据。2014 年的发病率数据由监测、流行病学和最终结果计划收集;国家癌症登记计划;和北美中央癌症登记协会。2015 年的死亡率数据由国家卫生统计中心收集。2018 年,美国预计将有 1,735,350 例新癌症病例和 609,640 例癌症死亡病例。在过去十年的数据中,女性癌症发病率(2005-2014)稳定,男性每年下降约2%,而癌症死亡率(2006-2015)下降约1%。男性和女性每年 5%。从 1991 年到 2015 年,癌症总死亡率持续下降了 26%,这意味着如果死亡率保持在最高水平,癌症死亡人数将比预期减少约 2,378,600 人。在 10 大主要死因中,只有癌症在 2014 年至 2015 年间下降。2015 年,非西班牙裔黑人 (NHB) 的癌症死亡率总体上比非西班牙裔白人 (NHW) 高 14%(死亡率比 [DRR] ], 1.14; 95% 置信区间 [95% CI], 1.13-1.15),但年龄 <65 岁的人的种族差异(DRR,1.31;95% CI,1.29-1.32)与年龄 ≥ 的人相比要大得多65 岁(DRR,1.07;95% CI,1.06-1.09)并且因州而异。例如,对于所有年龄段的马萨诸塞州和纽约州 65 岁以上的人来说,NHB 的癌症死亡率低于 NHW,而对于年龄 <65 岁的人,哥伦比亚特区 NHB 的癌症死亡率高出 3 倍(DRR,2.89 ; 95% CI, 2.16-3.91) 并且在威斯康星州 (DRR, 1.78; 95% CI, 1.56-2.02)、堪萨斯州 (DRR, 1.51; 95% CI, 1.25-1.81)、路易斯安那州 (DRR, 1.49R) 高出约 50% ; 95% CI, 1.38-1.60), 伊利诺伊州 (DRR, 1.48; 95% CI, 1.39-1.57) 和加利福尼亚州 (DRR, 1.45; 95% CI, 1.38-1.54)。年轻人和中年人更大的种族不平等可能部分反映了获得高质量医疗保健的机会较少。CA Cancer J Clin 2018;68:7-30。© 2018 美国癌症协会。95% CI,1.56-2.02),堪萨斯州(DRR,1.51;95% CI,1.25-1.81),路易斯安那州(DRR,1.49;95% CI,1.38-1.60),伊利诺伊州(DRR,1.48,1.49;95) -1.57)和加利福尼亚(DRR,1.45;95% CI,1.38-1.54)。年轻人和中年人更大的种族不平等可能部分反映了获得高质量医疗保健的机会较少。CA Cancer J Clin 2018;68:7-30。© 2018 美国癌症协会。95% CI,1.56-2.02),堪萨斯州(DRR,1.51;95% CI,1.25-1.81),路易斯安那州(DRR,1.49;95% CI,1.38-1.60),伊利诺伊州(DRR,1.48,1.49;95) -1.57)和加利福尼亚(DRR,1.45;95% CI,1.38-1.54)。年轻人和中年人更大的种族不平等可能部分反映了获得高质量医疗保健的机会较少。CA Cancer J Clin 2018;68:7-30。© 2018 美国癌症协会。
更新日期:2018-01-01
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