英国威尔士宫颈癌、卵巢癌和子宫体癌的发病率和死亡率趋势：2002 至 2021 年连接点回归分析

IF 2.4 3区医学 Q3 ONCOLOGY

Cancer Epidemiology Pub Date : 2024-09-10 DOI:10.1016/j.canep.2024.102660

Sindhu Sekar , Srividhya Budithi, Sujeewa Fernando

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引用次数: 0

摘要

本研究的主要目的是研究 2002 年至 2021 年期间英国威尔士宫颈癌、卵巢癌和子宫体癌的长期趋势。我们的目标是确定这些癌症的发病率和死亡率的变化，为未来的医疗保健政策和癌症预防计划提供依据。方法我们从威尔士癌症情报和监测单位获取了 2002 年至 2019 年的发病率数据和 2002 年至 2021 年的死亡率数据。结果结果显示，宫颈癌的年龄标准化发病率（ASIR）在2002年至2019年期间保持稳定（AAPC = -0.5；95 %CI =-1.4-0.4）。然而，ASMR 从 2002 年的 4.88 显著下降至 2021 年的 3.03（AAPC = -2.3；95 %CI = -3.4 至 -1.1）。卵巢癌的 ASIR 从 2002 年的 27.39 显著下降至 2019 年的 17.87（AAPC = -2.6；95 %CI = -3.0 至 -2.1），ASMR 从 2002 年的 15.92 显著下降至 2021 年的 11.2（AAPC = -1.7；95 %CI = -2.5 至 -0.9），呈统计学显著下降趋势。相比之下，子宫体肿瘤的 ASIR 从 2002 年的 22.24 显著增加到 2019 年的 30.41（AAPC = 2.2；95 %CI = 1.2-3.4），ASMR 也从 2002 年的 3.27 显著增加到 2021 年的 6.42（AAPC = 3.结论该研究得出结论，虽然威尔士宫颈癌和卵巢癌的发病率和死亡率显著下降，但子宫体肿瘤的发病率在研究期间有所上升。这些研究结果表明，有必要继续努力改善早期检测和治疗策略，包括国家筛查计划和公共卫生倡议，以减轻这些癌症的负担。

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Trends in the incidence and mortality of cervical, ovarian, and corpus uteri cancers in Wales, UK: A joinpoint regression analysis from 2002 to 2021

Objectives

The primary objective of this study was to examine the secular trends of cervical, ovarian, and corpus uteri neoplasm in Wales, UK, over the period from 2002 to 2021. We aimed to identify changes in the incidence and mortality rates of these cancers to inform future healthcare policies and cancer prevention programs.

Methods

We sourced incidence data from 2002 to 2019 and mortality data from 2002 to 2021 from the Welsh Cancer Intelligence and Surveillance Unit. The data were analysed using Joinpoint regression to compute the average annual percentage change (AAPC) in age-standardized incidence rates (ASIR) and mortality rates (ASMR) per 100,000 population for each type of cancer.

Results

The results showed that the ASIR for cervical cancer remained stable between 2002 and 2019 (AAPC = −0.5; 95 %CI = −1.4–0.4). However, the ASMR significantly declined from 4.88 in 2002–3.03 in 2021 (AAPC = −2.3; 95 %CI = −3.4 to −1.1). The ASIR for ovarian cancer significantly decreased from 27.39 in 2002–17.87 in 2019 (AAPC = −2.6; 95 %CI = −3.0 to −2.1), and the ASMR showed a statistically significant decreasing trend from 15.92 in 2002–11.2 in 2021 (AAPC = −1.7; 95 %CI = −2.5 to −0.9). In contrast, the ASIR for corpus uteri neoplasm significantly increased from 22.24 in 2002–30.41 in 2019 (AAPC = 2.2; 95 %CI = 1.2–3.4), and ASMR also showed a statistically significant increasing trend from 3.27 in 2002–6.42 in 2021 (AAPC = 3.8; 95 %CI = 2.3–5.3).

Conclusions

The study concludes that while the incidence and mortality rates for cervical and ovarian cancers in Wales have significantly decreased, corpus uteri neoplasm rates have increased during the study period. These findings underscore the need for continued efforts to improve early detection and treatment strategies, including national screening programs and public health initiatives, to mitigate the burden of these cancers.

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来源期刊

Cancer Epidemiology 医学-肿瘤学

CiteScore

4.50

自引率

3.80%

发文量

200

审稿时长

39 days

期刊介绍： Cancer Epidemiology is dedicated to increasing understanding about cancer causes, prevention and control. The scope of the journal embraces all aspects of cancer epidemiology including: • Descriptive epidemiology • Studies of risk factors for disease initiation, development and prognosis • Screening and early detection • Prevention and control • Methodological issues The journal publishes original research articles (full length and short reports), systematic reviews and meta-analyses, editorials, commentaries and letters to the editor commenting on previously published research.