Cancer mortality continues to decline in the United States in the past 2 decades, which marks the notable achievement of cancer prevention and control. We compare the difference between US and China in the incidence and mortality and their time trends for all cancer sites and by common cancer site, as well as cancer survival and its trends. We find that the incidence and mortality continues to rise in China, while cancer survival stays lower. Facing the challenge of aging, double burden in cancer, and prevalence of cancer related risk factors, it is urgent to apply three level prevention strategies, put tobacco control, mass screening and clinical cancer care equalization on priority.

Cancer burden; Cancer control; Cancer statistics