United States burden of melanoma and non-melanoma skin cancer from 1990 to 2019

医学 皮肤癌 入射(几何) 黑色素瘤 癌症 疾病负担 疾病负担 基底细胞癌 死亡率 潜在生命损失数年 疾病 人口学 基底细胞 内科学 人口 环境卫生 癌症研究 预期寿命 社会学 物理 光学
作者
Pushkar Aggarwal,Peter Knabel,Alan B. Fleischer
出处
期刊:Journal of The American Academy of Dermatology [Elsevier BV]
卷期号:85 (2): 388-395 被引量:194
标识
DOI:10.1016/j.jaad.2021.03.109
摘要

Background Skin cancer is the most common cancer worldwide. Objective To evaluate the burden of skin cancer in the US from 1990 to 2019. Methods Age-standardized incidence, prevalence, disability-adjusted life years (DALY), and mortality rates from skin cancer in the US were evaluated from the Global Burden of Disease 2019. Results Incidence, prevalence, DALY, and mortality rates for melanoma per 100,000 persons in 2019 were 17.0, 138, 64.8, and 2.2, respectively; for squamous cell carcinoma, rates were 262, 314, 26.6, and 0.8, respectively; and for basal cell carcinoma, rates were 525, 51.2, 0.2, and zero, respectively. Incidence and prevalence rates of melanoma and non-melanoma skin cancer (NMSC) have increased since 1990, while mortality rates have remained fairly stable. Males have had higher incidence, prevalence, DALY, and mortality rates from melanoma and NMSC every year since 1990. Incidence and prevalence of melanoma was relatively higher in the northern half of the US than in the southern half. Limitations Global Burden of Disease is derived from estimation and mathematical modeling. Conclusions Health care professionals can utilize differences and trends noted in this study to guide allocation of resources to reduce incidence and morbidity from skin cancer. Skin cancer is the most common cancer worldwide. To evaluate the burden of skin cancer in the US from 1990 to 2019. Age-standardized incidence, prevalence, disability-adjusted life years (DALY), and mortality rates from skin cancer in the US were evaluated from the Global Burden of Disease 2019. Incidence, prevalence, DALY, and mortality rates for melanoma per 100,000 persons in 2019 were 17.0, 138, 64.8, and 2.2, respectively; for squamous cell carcinoma, rates were 262, 314, 26.6, and 0.8, respectively; and for basal cell carcinoma, rates were 525, 51.2, 0.2, and zero, respectively. Incidence and prevalence rates of melanoma and non-melanoma skin cancer (NMSC) have increased since 1990, while mortality rates have remained fairly stable. Males have had higher incidence, prevalence, DALY, and mortality rates from melanoma and NMSC every year since 1990. Incidence and prevalence of melanoma was relatively higher in the northern half of the US than in the southern half. Global Burden of Disease is derived from estimation and mathematical modeling. Health care professionals can utilize differences and trends noted in this study to guide allocation of resources to reduce incidence and morbidity from skin cancer.
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