Global trends in colorectal cancer mortality: projections to the year 2035

被引:475
作者
Araghi, Marzieh [1 ]
Soerjomataram, Isabelle [1 ]
Jenkins, Mark [2 ]
Brierley, James [3 ]
Morris, Eva [4 ]
Bray, Freddie [1 ]
Arnold, Melina [1 ]
机构
[1] Int Agcy Res Canc, Sect Canc Surveillance, 150 Cours Albert Thomas, F-69372 Lyon 08, France
[2] Univ Melbourne, Ctr MEGA Epidemiol, Carlton, Vic, Australia
[3] Univ Toronto, Dept Radiat Oncol, Toronto, ON, Canada
[4] Univ Leeds, Leeds Inst Canc Studies & Pathol, Div Epidemiol & Biostat, St Jamess Univ Hosp, Leeds, W Yorkshire, England
关键词
colorectal cancer; mortality; projections; worldwide; DOSE-RESPONSE METAANALYSIS; BODY-MASS INDEX; RISK; BURDEN; COLON; FLUOROURACIL; LEUCOVORIN; COUNTRIES; THERAPY; SMOKING;
D O I
10.1002/ijc.32055
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Colorectal cancer (CRC) is the third most common cancer worldwide and the fourth most common cause of cancer death. Predictions of the future burden of the disease inform health planners and raise awareness of the need for cancer control action. Data from the World Health Organization (WHO) mortality database for 1989-2016 were used to project colon and rectal cancer mortality rates and number of deaths in 42 countries up to the year 2035, using age-period-cohort (APC) modelling. Mortality rates for colon cancer are predicted to continue decreasing in the majority of included countries from Asia, Europe, North America and Oceania, except Latin America and Caribbean countries. Mortality rates from rectal cancer in general followed those of colon cancer, however rates are predicted to increase substantially in Costa Rica (+73.6%), Australia (+59.2%), United States (+27.8%), Ireland (+24.2%) and Canada (+24.1%). Despite heterogeneous trends in rates, the number of deaths is expected to rise in all countries for both colon and rectal cancer by 60.0% and 71.5% until 2035, respectively, due to population growth and ageing. Reductions in colon and rectal cancer mortality rates are probably due to better accessibility to early detection services and improved specialized care. The expected increase in rectal cancer mortality rates in some countries is worrisome and warrants further investigations.
引用
收藏
页码:2992 / 3000
页数:9
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