JAMA:美国甲状腺腺癌发病与死亡率变化——1974-2013

2017-04-03 MedSci MedSci原创

1974-2013年,在美国被诊断为甲状腺癌的患者中,甲状腺癌的总发病率每年增加3%,中晚期甲状腺乳头状癌的发生率和癌死亡率增加。

在过去的40年里,美国甲状腺癌发病率大幅上升,但还没有研究确证乳头状甲状腺癌的发病率是否与甲状腺癌死亡率上升的趋势有关。研究人员希望通过调查研究,明确甲状腺癌发病率和死亡率与乳头状甲状腺癌发病率之间的关系。

调查结果显示,1974-2013这40年间,有77276例病人被诊断出患有甲状腺癌(平均确诊年龄48岁[SD 16]、58213人为女性[75%]),最主要的是乳头状甲状腺癌(64625例);1994年至2013年一共死亡2371人;1974年至2013年,平均每年甲状腺癌发病率增加3.6%(95% CI 3.2-3.9%),主要与乳头状甲状腺癌的增加有关(年平均增长 4.4%[95% CI 4.0-4.7%]);在1994至2013年间,疾病相关的死亡率平均每年增长了1.1%(95% CI 0.6-1.6%)。

调查后研究者认为:1974-2013年,在美国被诊断为甲状腺癌的患者中,甲状腺癌的总发病率每年增加3%,中晚期甲状腺乳头状癌的发生率和癌死亡率增加。调查结论与美国甲状腺癌的实际临床确诊数增长是一致的。

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    2017-04-28 flysky120

    学习一下了解知识

    0

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    2017-04-06 qjzhai1623

    中国情况如何

    0

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    2017-04-05 虈亣靌

    这篇文章对我有用,值得收藏!

    0

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    2017-04-03 绛珠草小姐

    学习了,多谢分享

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1799822, encodeId=cb691e99822e0, content=<a href='/topic/show?id=9e3fe127909' target=_blank style='color:#2F92EE;'>#癌发病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71279, encryptionId=9e3fe127909, topicName=癌发病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2c92500045, createdName=12498636m49(暂无昵称), createdTime=Fri Mar 09 04:06:00 CST 2018, time=2018-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=191402, encodeId=78511914027d, content=学习一下了解知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Fri Apr 28 09:43:07 CST 2017, time=2017-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185416, encodeId=654c1854167b, content=中国情况如何, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/AiafG5m7kibldQyTnpaQicxg1rnBqFdIGgQBJJs4lR8ibmh91PibzgL7R7pl2HSBjgFeeKRV0mMCvDh49LrgJPCYYvA/132, createdBy=abc91707732, createdName=qjzhai1623, createdTime=Thu Apr 06 00:15:04 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185330, encodeId=78df185330de, content=这篇文章对我有用,值得收藏!, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Wed Apr 05 13:45:29 CST 2017, time=2017-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184889, encodeId=a42d184889a0, content=学习了,多谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/1A51842815047D40BFDAA8D69AA8E519/100, createdBy=fd7f2029163, createdName=绛珠草小姐, createdTime=Mon Apr 03 16:47:03 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184854, encodeId=745318485430, content=看看了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Mon Apr 03 13:10:47 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184811, encodeId=cf9a1848118d, content=看来与早筛关系不大,确实是真增加了。那么与放射性碘使用有没有正比关系?, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Apr 03 09:40:19 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184785, encodeId=8758184e8570, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Mon Apr 03 08:41:25 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-03 xiaotaiyang1

    看看了解一下

    0

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    2017-04-03 lovetcm

    看来与早筛关系不大,确实是真增加了。那么与放射性碘使用有没有正比关系?

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1799822, encodeId=cb691e99822e0, content=<a href='/topic/show?id=9e3fe127909' target=_blank style='color:#2F92EE;'>#癌发病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=71279, encryptionId=9e3fe127909, topicName=癌发病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2c92500045, createdName=12498636m49(暂无昵称), createdTime=Fri Mar 09 04:06:00 CST 2018, time=2018-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=191402, encodeId=78511914027d, content=学习一下了解知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Fri Apr 28 09:43:07 CST 2017, time=2017-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185416, encodeId=654c1854167b, content=中国情况如何, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/AiafG5m7kibldQyTnpaQicxg1rnBqFdIGgQBJJs4lR8ibmh91PibzgL7R7pl2HSBjgFeeKRV0mMCvDh49LrgJPCYYvA/132, createdBy=abc91707732, createdName=qjzhai1623, createdTime=Thu Apr 06 00:15:04 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185330, encodeId=78df185330de, content=这篇文章对我有用,值得收藏!, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Wed Apr 05 13:45:29 CST 2017, time=2017-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184889, encodeId=a42d184889a0, content=学习了,多谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/1A51842815047D40BFDAA8D69AA8E519/100, createdBy=fd7f2029163, createdName=绛珠草小姐, createdTime=Mon Apr 03 16:47:03 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184854, encodeId=745318485430, content=看看了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Mon Apr 03 13:10:47 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184811, encodeId=cf9a1848118d, content=看来与早筛关系不大,确实是真增加了。那么与放射性碘使用有没有正比关系?, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Apr 03 09:40:19 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184785, encodeId=8758184e8570, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Mon Apr 03 08:41:25 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-03 shaosai

    好好学习,涨知识

    0

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