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首页> 外文期刊>Cancer: A Journal of the American Cancer Society >Thyroid cancer mortality is higher in Filipinos in the United States: An analysis using national mortality records from 2003 through 2012
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Thyroid cancer mortality is higher in Filipinos in the United States: An analysis using national mortality records from 2003 through 2012

机译：美国菲律宾人的甲状腺癌死亡率较高：使用2003年至2012年的国家死亡率记录分析

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BACKGROUND Well‐differentiated thyroid carcinoma has a favorable prognosis, but patients with multiple recurrences have drastically lower survival. Filipinos in the United States are known to have high rates of thyroid cancer incidence and disease recurrence. To the authors' knowledge, it is unknown whether Filipinos also have higher thyroid cancer mortality rates. METHODS The authors studied thyroid cancer mortality in Filipino, non‐Filipino Asian (NFA), and non‐Hispanic white (NHW) adults using US death records (2003‐2012) and US Census data. Age‐adjusted mortality rates and proportional mortality ratios (PMRs) were calculated. Sex, nativity status, age at death, and educational attainment also were examined. RESULTS The authors examined 19,940,952 deaths. The age‐adjusted mortality rates due to thyroid cancer were highest in Filipinos (1.72 deaths per 100,000 population; 95% confidence interval [95% CI], 1.51‐1.95) compared with NFAs (1.03 per 100,000 population; 95% CI, 0.95‐1.12) and NHWs (1.17 per 100,000 population; 95% CI, 1.16‐1.18). Compared with NHWs, higher proportionate mortality was observed in Filipino women (3‐5 times higher) across all age groups, and among Filipino men, the PMR was 2 to 3 times higher in the subgroup aged 55 years. Filipinos who completed a higher educational level had a notably higher PMR (5.0) compared with their counterparts who had not (3.5). CONCLUSIONS Negative prognostic factors for thyroid cancer traditionally include age 45 years and male sex. The results of the current study demonstrate that Filipinos die of thyroid cancer at higher rates than NFA and NHW individuals of similar ages. Highly educated Filipinos and Filipino women may be especially at risk of poor thyroid cancer outcomes. Filipino ethnicity should be factored into clinical decision making in the management of patients with thyroid cancer. Cancer 2017;123:4860‐7 . ? 2017 American Cancer Society .
机译：背景技术良好分化的甲状腺癌具有良好的预后，但多种复发的患者的存活率急剧下降。众所周知，美国的菲律宾人具有高甲状腺癌症发病率和疾病复发。为了提交人的知识，缺点是否具有更高的甲状腺癌死亡率。方法使用美国死亡记录（2003-2012）和美国人口普查数据，作者研究了菲律宾，非菲律宾亚洲（NFA）和非西班牙裔（NHW）成人的甲状腺癌死亡率。计算年龄调整的死亡率和比例死亡率（PMR）。还研究了性，诞生状态，死亡年龄和教育程度。结果作者审查了19,940,952人死亡。由于甲状腺癌的年龄调整后的死亡率在菲律宾人中最高（每10万人1.72人死亡; 95％置信区间[95％CI]，1.51-1.95）与NFA相比（每10万人1.03人口; 95％CI，0.95 - 1.12）和NHW（每10万人1.17人口; 95％CI，1.16-1.18）。与NHWS相比，在菲律宾女性（全年群体中3-5倍）和菲律宾人中，在菲律宾男性中观察到更高的成比例死亡率，亚群较大的亚群体较高2至3倍; 55年。与没有（3.5）的对方相比，完成了更高的教育水平的菲律宾人具有明显的PMR（5.0）。结论传统上包括甲状腺癌的阴性预后因素包括年龄＆ 45岁和男性。目前的研究结果表明，菲律宾癌的甲状腺癌率比NFA和NHW相似年龄的NFA患者。受过高等教育的菲律宾和菲律宾妇女可能特别是患甲状腺癌结果的风险。菲律宾民族应考虑在甲状腺癌患者管理中进行临床决策。癌症2017; 123：4860-7。还2017年美国癌症协会。

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