2000~2021年浙江省子宫体癌流行现状与趋势分析
Analysis of the Epidemiological Status and Trends of Corpus Uteri Cancer in Zhejiang Province,2000 ~ 2021
投稿时间:2025-04-11  修订日期:2025-06-25
DOI:
中文关键词:  子宫体癌  浙江省  发病  死亡  流行特征  趋势分析  城乡
英文关键词:Corpus uteri cancer  Zhejiang Province  Incidence  Mortality  Epidemiological characteristics  Trend analysis  Urban-rural disparities
基金项目:
作者单位邮编
陆文雯 婺城区疾病预防控制中心 321025
陈静英 婺城区疾病预防控制中心 321025
陶瑞珏 婺城区人民医院 321025
韩郸轲 婺城区疾病预防控制中心 321025
王洪歆 婺城区疾病预防控制中心 321025
吴斌雄 婺城区疾病预防控制中心 321025
杜灵彬 浙江省肿瘤医院 310022
李辉章* 浙江省肿瘤医院 310022
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中文摘要:
      【目的】分析浙江省肿瘤登记地区2021年子宫体癌流行特征及2000~2021年的发病率与死亡率趋势变化,为建立高效的防控体系提供循证依据。【方法】利用浙江省肿瘤防治办公室收录的22个肿瘤登记处上报的2000至2021年子宫体癌肿瘤发病和死亡资料,使用SAS 9.4和Joinpoint 5.3.0软件分别计算发病和死亡粗率、标化率、截缩率及累积率、年龄别率及平均年度变化百分比(AAPC)等指标。【结果】2021年,浙江省肿瘤登记地区子宫体癌粗发病率为12.15/10万(峰值在55~59岁组),中标和世标发病率分别为6.99/10万和6.80/10万,居女性癌症发病顺位第10位;子宫体癌粗死亡率为1.85/10万(峰值在≥85岁组),中标和世标死亡率分别为0.88/10万和0.86/10万,居女性癌症死亡顺位的第14位。2000-2021年,子宫体癌粗发病率显著上升(AAPC=3.88%,95%CI=2.94%~5.00%,P<0.05),标化后增幅减缓(中标和世标发病率AAPC分别为2.15%和2.21%,P均<0.05),有统计学意义(P<0.05);粗死亡率无显著变化(AAPC=-0.78%,95%CI=-2.25%~1.69%,P>0.05),但标化后显著下降(中标和世标发病率AAPC分别为-2.77%和-2.75%,P均<0.05),有统计学意义(P<0.05)。【结论】浙江省子宫体癌发病率波动上升,中年女性风险高;死亡率波动下降,老年女性风险高,城乡差异显著。建议加强健康教育、健康生活方式推广及“三早”措施,缩小城乡差距,提升基层服务公平性。
英文摘要:
      [Purpose] To analyze the epidemiological characteristics of corpus uteri cancer in Zhejiang Province in 2021 and its incidence and mortality trends from 2000 to 2021, providing evidence for establishing an effective prevention and control system. [Methods] Data on corpus uteri cancer incidence and mortality (2000~2021) from 22 cancer registries in Zhejiang Province were collected. SAS9.4 and Joinpoint 5.3.0 were used to calculate crude rates, age-standardized rates (ASR), truncated rates, cumulative rates, age-specific rates, and average annual percentage changes (AAPC) for both incidence and mortality. [Results] In 2021, the crude incidence rate of corpus uteri cancer was 12.15/105(peak in 55–59 age group), with ASRC and ASRW of 6.99/105and 6.80/105, ranking 10th among female cancers. The crude mortality rate was 1.85/105?(peak in ≥85 age group), with ASRC and ASRW of 0.88/105and 0.86/105, ranking 14th in female cancer deaths. From 2000 to 2021, the crude incidence increased significantly (AAPC=3.88%,?95%CI=2.94%~5.00%,P<0.05), though the standardized incidence growth rate moderated (AAPC for ASRC and ASRW incidence rates were 2.15% and 2.21%, respectively, both?P<0.05), with statistical significance (P<0.05). The crude mortality rate exhibited no significant change (AAPC=-0.78%, 95%CI=-2.25%~1.69%,P>0.05), but standardized mortality rates declined significantly (AAPC for ASRC and ASRW mortality rates were -2.77% and -2.75%, respectively, both P<0.05), demonstrating statistical significance (P<0.05). [Conclusion] The incidence of corpus uteri cancer in Zhejiang shows a fluctuating upward trend, with higher risk in middle-aged women, while mortality exhibits a declining trend, with higher risk in elderly women and notable urban-rural disparities. Strengthened health education, promotion of healthy lifestyles, early detection, diagnosis, and treatment, along with efforts to reduce urban-rural gaps and improve primary healthcare equity, are recommended.
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