全球老龄化和癌症负担的预测与预报:GLOBOCAN 和全球疾病负担研究的数据分析

IF 7.6 Q1 ONCOLOGY
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引用次数: 0

摘要

目标分析全球人口老龄化对癌症流行病学的影响,重点关注 60 岁及以上人群的发病率和死亡率。方法我们利用开放源码数据,从联合国人口司网站检索人口年龄估计值。GLOBOCAN 2020 数据库提供了 2020 年和 2040 年癌症病例和死亡人数的估计数据,而 2019 年全球疾病负担数据库提供了 2000 年至 2019 年全球新增癌症病例的估计数据。纳入标准考虑了 60 岁及以上的人群,重点关注最致命的五大癌症。结果2021年,全球60岁以上人口占13.7%,其中欧洲/北美和澳大利亚/新西兰所占比例最高。预计到 2040 年,老年人口将达到 19.2%。2020 年,在全球新增的 1930 万癌症病例中,64% 发生在 60 岁及以上的人群中,导致 71.3% 的癌症相关死亡。最常见的五种癌症部位是肺癌、结肠直肠癌、前列腺癌、乳腺癌和胃癌。预计老年人的癌症发病率和死亡率将大幅上升,到 2040 年,新增病例将达到 2070 万例,死亡人数将达到 1270 万。高龄、吸烟、饮食因素、饮酒和高体重指数(BMI)被认为是这一人群罹患各种癌症的主要风险因素。这项研究强调了在癌症预防、筛查和治疗方面对老年人进行有针对性干预的紧迫性。尽管存在公认的局限性,但这些研究结果为在不断变化的人口趋势中管理老年人癌症的策略提供了有价值的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nowcasting and forecasting global aging and cancer burden: analysis of data from the GLOBOCAN and Global Burden of Disease Study

Objective

To analyze the impact of global population aging on cancer epidemiology, with a focus on the incidence and mortality rates among individuals aged 60 years and above.

Methods

We utilized open-source data, retrieving population age estimates from the United Nations Population Division website. The GLOBOCAN 2020 database provided estimates for cancer cases and deaths in 2020 and 2040, while the Global Burden of Disease 2019 database supplied estimates of new cancer cases worldwide from 2000 to 2019. Inclusion criteria considered individuals aged 60 years and over, focusing on the top five deadliest cancers. The cohort-component method was employed for population prediction, with age-specific incidence and mortality rates estimated for 2020 used to forecast the cancer burden.

Results

In 2021, the global population aged over 60 years accounted for 13.7%, with Europe/North America and Australia/New Zealand having the highest proportions. The older population is predicted to reach 19.2% by 2040. In 2020, of the 19.3 million new cancer cases worldwide, 64% occurred in individuals aged 60 and above, contributing to 71.3% of cancer-related deaths. The five most common cancer sites were the lung, colorectum, prostate, breast, and stomach. Cancer incidence and deaths are projected to rise significantly among older individuals, reaching 20.7 million new cases and 12.7 million deaths by 2040. Older age, tobacco use, dietary factors, alcohol consumption, and high body mass index (BMI) were identified as major risk factors for various cancers in this demographic.

Conclusions

This study reveals a significant rise in cancer incidence and mortality among the elderly due to global population aging. The urgency for targeted interventions in cancer prevention, screening, and treatment for older individuals is emphasized. Despite acknowledged limitations, these findings contribute valuable insights to inform strategies for managing cancer in the elderly amidst evolving demographic trends.

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