2020年新疆肿瘤登记地区恶性肿瘤发病与死亡特征及 2016—2020年变化趋势分析
Cancer Incidence and Mortality in Registration Areas of Xinjiang Autonomous Region in 2020 and Trends from 2016 to 2020
投稿时间:2025-01-02  修订日期:2025-06-11
DOI:
中文关键词:  恶性肿瘤  发病率  死亡率  变化趋势  
英文关键词:cancer  incidence  mortality  trends
基金项目:“天山英才”医药卫生高层次人才培养计划
作者单位邮编
阿迪拉·苏力旦 新疆维吾尔自治区疾病预防控制中心慢病所 830000
张荣* 新疆维吾尔自治区疾病预防控制中心慢病所 830000
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中文摘要:
      目的 分析新疆肿瘤登记地区2020年恶性肿瘤发病与死亡特征以及2016年—2020年变化趋势。方法 收集2020年新疆4个肿瘤登记地区上报的肿瘤发病与死亡资料,按照城乡、性别分层,分别计算恶性肿瘤的发病和死亡粗率、中国人口标化率(中标率)、世界人口标化率(世标率)、年龄别率、0~74岁累积率等,中标率和世标率分别采用2000年中国标准人口年龄构成和Segi’s世界标准人口年龄构成为标准进行计算。应用Joinpoint对2016—2020年恶性肿瘤发病和死亡进行趋势分析,估算平均年度百分比变化(Annual Average Percentage Change,AAPC)。结果 2020年新疆肿瘤登记地区恶性肿瘤发病率为291.67/10万(男性286.64/10万,女性296.64/10万),中标发病率为190.43/10万,世标发病率为206.58/10万,累积发病率(0~74岁)为20.51%。全区恶性肿瘤粗死亡率为185.58/10万(男性218.79/10万,女性152.78/10万),中标率为109.13/10万,世标率为126.64/10万,累积率(0~74岁)为11.54%。发病第一位的恶性肿瘤是肺癌,发病率为51.13/10万,其后依次是女性乳腺癌、甲状腺癌、结直肠癌和胃癌;死亡第一位的恶性肿瘤是肺癌,死亡率为41.14/10万,其后依次是肝癌、结直肠癌、胃癌和女性乳腺癌。2016-2020年新疆恶性肿瘤的发病和死亡率无显著改变(发病AAPC=2.95%,死亡AAPC=8.51%,P均>0.05)。结论 肺癌、消化系统肿瘤(结直肠癌、胃癌、肝癌)仍是威胁新疆居民健康的主要癌症。同时,女性乳腺癌进入发病前五和死亡前五,提示进一步强化筛查与早诊早治。
英文摘要:
      Objective To analyze cancer incidence and mortality in Xinjiang cancer registration areas in 2020 and the trends from 2016 to 2020. Method Collect the tumor incidence and death data reported by four tumor registration regions in Xinjiang in 2020, and calculate the crude incidence and death rate of malignant tumors, the standardized rate of Chinese population (bid winning rate), the standardized rate of world population (world standard rate), the age category rate, and the cumulative rate of 0-74 years old according to the urban and rural, gender stratification, respectively. The bid winning rate and the world standard rate are calculated according to the age composition of China's standard population in 2000 and the age composition of Segi's world standard population.Using Joinpoint to conduct trend analysis on the incidence and mortality of malignant tumors from 2016 to 2020, and estimate the Annual Average Percentage Change (AAPC). Results In 2020, the reported incidence rate(crude rate) in Xinjiang cancer registration areas was 291.67/105 (286.64/105 for male,296.64/105 for female), ASIRC and ASIRW were 190.43/105and 206.58/105and the cumulative incidence rate(0~74 years old)was 20.51%. The reported mortality rate(crude rate)was 185.58/105 ((218.79/105for male, 152.78/105for female),ASMRC and ASMRW were 109.13/105and 126.64/105,and the cumulative mortality rate(0-74 years old) was 11.54%.Among the rankings of cancer incidence lung cancer ranked first, incidence rate(crude rate) 51.13/105 ,followed by female breast cancer,thyroid cancer,colorectal cancer and stomach cancer. Among the rankings of cancer mortality lung cancer ranked first, mortality rate(crude rate)41.14/105, followed by liver cancer, colorectal cancer,stomach cancer and female breast cancer. There was no significant change in the incidence and mortality of malignant tumors from 2016 to 2020( incidence AAPC=2.95%,mortality AAPC=8.51%, P>0.05). Conclusion Lung cancer and digestive system cancers (colorectal cancer, gastric cancer, liver cancer) remain the primary malignancies threatening the health of residents in Xinjiang. Meanwhile, female breast cancer has entered the top five in both incidence and mortality rankings, underscoring the need to further strengthen screening programs and promote early detection and timely treatment.
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