Digestive system maliciousness (DSMTS) (DSMTS) represents a major public health challenge in sofigal, gastric, colorectal, liver, and pancreatic cancer -China. Hu recently a national epidemic study At al.published in CriticismAnalyzed trends from 2004 to 2021, revealed the complex pattern of burden and existence. While some cancer has progressed in reducing mortality, the overall effect remains important, with notable inequalities in demographic and geographical lines. Below are the major conclusions:
Major DSMT declines in mortality
Age-standard mortality (ASMRS) for esophageal, gastric, and liver cancer declined significantly in 18 years period: (i) Esophagel Cancer: ASMR declined by 4.30%with average annual percentage changes (AAPC); (ii) Gastric cancer: ASMR is reduced to AAPC of 4.14%; (iii) Lever Cancer: ASMR fell with AAPC of 52.58%. These reforms are attributed to better control of risk factors such as public health policies, early screening programs, Helicobacter Pylori (HPylori) And hepatitis B virus, and socio -economic development.
Cholorectal and pancreatic cancer
In contrast, a disturbed increase in colorectal and pancreatic cancer was shown: (i) colorectal cancer: raw mortality rate increased with AAPC of 3.59%; (ii) Pancreatic cancer: both raw and age-standard mortality increased, with AAPCs of 5.72% and 2.71% respectively. These growths are partially associated with western diets, increase in alcohol consumption, sedentary lifestyle and late stages Diagnosis,
Life expectancy and cause-Life expectancy (sela) improved
Between 2004 and 2021, the average life expectancy in China increased by 4.4 years. Importantly, when the deaths of DSMTS were fictionally eliminated, life expectancy (Sela) would increase to 4.06 years, underlining the significant health effects of these cancer. The benefits between men and men in rural areas were more pronounced, suggested improvement in health equity, but also highlighted the areas where further efforts were required.
Gender, geographical and socio -economic inequalities
Men had continuous timely death rateLost life from DSMTS compared to women (Pyll), and age-captivated mortality: (i) total Pyll: 16.3 million persons for men-5.4 million for year vs. women; (ii) Average years of life lost (AILL): 14.64 years vs. 13.52 years for men. These gaps reflect high smoking and alcohol use among men and delay health -receiving behavior.
Rural residents bored an odd burden: (i) is responsible for 15.1 million Pylls in rural areas, more than double from urban areas (6.6 million); (ii) Pancreatic cancer ASMR increased greatly in rural areas (AAPC = 4.62%). Limited access to quality healthcare and subsequent phase diagnosis contributes to these results.
cancer Burden Widely diverse by sector: (i) Eastern regions showed significant decrease in esophagals, gastric and liver cancer; (ii) in western regions, improvement, high values in high values, which later indicated diagnosis and poor treatment access; (iii) Pancreatic and colorectal cancers grow more rapidly in the west and central regions.
Contribution factor
(I) Screening and quick detection, Since 2005, the government -led screening initiatives have improved early diagnosis rates. Targeted programs in high-event areas, including Huaihe River Basin and Anyang, have been effective for especially esophageal cancer. (ii) Vaccination and risk factor control, The introduction of Hepatitis B vaccine in China’s National Vaccination Program in 2002 has played an important role in reducing the rates of liver cancer. Other reforms include better food safety, low Afflatoxin exposure and comprehensive HPylori Elimination. (iii) Westernization of lifestyle, As the economic condition improved, the diet pattern moved towards high fat, a low fiber diet with an increase in meat consumption. These changes are associated with increasing incidence of colorectal and pancreatic cancer. Motionless lifestyle, obesity, smoking, and alcohol abuse increased further risk, especially in the youth population. (iv) Clinical advance, Progress in imaging technologies-CT, MRI, and nuclear magnetic resonance increased pancreatic cancer detection, although late presentation remains common.
Finally, while many major digestive cancer has progressed in reducing mortality, the increasing burden of colorectal and pancreatic cancer, especially between rural and male population, indicates changes in China’s cancer epidemiology. Future efforts should focus on initial identity to maintain and expand recent benefits in health equity, primary prevention and life expectancy. As China leads to the goals of “Healthy China 2030” initiative, comprehensive cancer control is the cornerstone of public health advancement.
