消除对早产癌症死亡的社会经济和种族差异的影响
2011-09-18 19:45:45   来源:37度医学网   作者:  评论:0 点击:

  • Source: Altekruse, et al. 2

所有网站 50 54 68 51 55 69 40 41 59
24 29 36 23 28 35 27 32 41
Breast (female) 75 79 90 76 81 91 62 65 78
结肠 52 59 66 52 60 67 47 50 55
食道 5 10 19 6 11 20 3 9 13
霍奇金淋巴瘤 74 80 87 74 80 88 71 75 82
51 56 70 51 56 70 50 54 67
67 66 63 68 68 65† 59 53 49
白血病 36 42 55 36 43 56 34 34 47
Liver & bile duct 4 6 14 4 6 14 2 5 10
Lung & bronchus 13 13 16 13 14 17 12 11 13
Melanoma of the skin 83 87 93 83 87 93 60 70 § 74
多发性骨髓瘤 26 29 39 26 27 39 31 32 38
非霍奇金淋巴瘤 48 53 69 49 54 71 49 48 60
口腔 53 55 63 55 57 65 36 36 45
子房 37 40 45 37 39 45 43 41 37†
胰腺 3 3 6 3 3 6 2 5 5
前列腺 69 76 100 70 78 100 61 66 97
直肠 49 57 69 50 58 70 45 46 60
16 18 27 15 18 26 16 20 26
睾丸 83 93 96 83 93 97 73 # 87 87†
甲状腺 93 94 97 93 94 98 91 90 95†
膀胱 74 78 81 75 79 82 51 61 66
Uterine cervix 70 68 71† 71 70 73† 65 59 64†
Uterine corpus 88 84 84 89 85 86 61 58 61†

Relative survival rates cannot be calculated for all racial and ethnic subpopulations because accurate life expectancies are not available. However, based on cause-specific survival rates of cancer patients diagnosed from 1999 to 2006 in SEER areas of the United States, all minority male populations have a greater probability of dying from cancer within 5 years of diagnosis than whites. Among women, African Americans have the lowest 5-year cancer-specific survival (56.0%), followed by American Indians/Alaska Natives (60.6%), Hispanics (65.5%), whites (65.6%), and Asian Americans/Pacific Islanders (68.2%). 2 For the 4 major cancer sites (prostate, female breast, lung and bronchus, and colorectum), minority populations are generally more likely than non-Hispanic whites to be diagnosed at a distant stage of disease. 27

儿童癌症

Cancer is the second most common cause of death among children between the ages of 1 and 14 years in the United States, surpassed only by accidents. About one-third of the invasive cancers diagnosed in children aged birth to 14 years are leukemias (particularly acute lymphocytic leukemia), followed by cancer of the brain and other nervous system (27%), soft tissue sarcomas (7%, half of which are rhabdomyosarcoma), neuroblastoma (7%), renal (Wilms) tumors (5%), and Hodgkin and non-Hodgkin lymphomas (4% each). 2 Between 1998 and 2007, the overall incidence rate for cancer in children aged 14 years and younger increased by 0.6% per year while the death rate decreased by 1.0% per year. 12 Over the past 25 years, there have been significant improvements in the 5-year relative survival rate for all of the major childhood cancers due to new and improved treatments (Table 13 ). The 5-year relative survival rate among children for all cancer sites combined improved from 58% for patients diagnosed between 1975 and 1977 to 82% for those diagnosed between 1999 and 2006. 2

Table 13. Trends in Five-Year Relative Survival Rates * (%) for Children Under Age 15, United States, 1975 to 2006
网站 Year of Diagnosis
1975 to 1977 1978 to 1980 1981 to 1983 1984年至1986年 1987 to 1989 1990年至1992年 1993 to 1995 1996 to 1998 1999 to 2006
  • *

    Survival rates are adjusted for normal life expectancy and are based on follow-up of patients through 2007.

  • The difference in rates between 1975 to 1977 and 1999 to 2006 is statistically significant (p < 0.05).

  • The standard error of the survival rate is between 5 and 10 percentage points.

  • Source: Altekruse, et al. 2

所有网站 58 63 67 68 72

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