丁璐璐,朱 健,张永辉.启东市1972~2011年胃癌发病趋势分析[J].中国肿瘤,2014,23(8):642-647.
启东市1972~2011年胃癌发病趋势分析
An Analysis of Incidence Trend of Stomach Cancer in Qidong,1972~2011
投稿时间:2014-04-14  
DOI:10.11735/j.issn.1004-0242.2014.08.A004
中文关键词:  胃癌  发病率  流行病学  启东
英文关键词:stomach cancer  incidence  epidemiology  Qidong
基金项目:
作者单位
丁璐璐 启东肝癌防治研究所/启东市人民医院 
朱 健 启东肝癌防治研究所/启东市人民医院 
张永辉 启东肝癌防治研究所/启东市人民医院 
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中文摘要:
      摘 要:[目的] 探讨启东市1972~2011年胃癌发病率变化趋势。[方法] 基于启东市1972~2011年癌症发病登记数据库,对胃癌发病率作性别、年龄别、时间趋势分析,计算指标包括粗发病率、中国人口标化率(中标率)、世界人口标化率(世标率)、35~64岁截缩率、0~74岁累积率、累积风险、变化百分比(PC)及年均变化百分比(APC)等。[结果] 1972~2011年启东胃癌发病15 401例(男性9804例,女性5597例),粗发病率为34.26/10万,占全部癌症发病的16.60%,位居癌症发病第2位。中标率和世标率分别为16.25/10万和25.59/10万;35~64岁截缩发病率为40.03/10万;0~74岁累积发病率为3.15%,累积风险为3.10%。40年间胃癌发病的粗率、中标率和世标率的变化百分比(PC)分别为+21.90%、-55.32%与-51.20%,年均变化百分比(APC)分别为+0.49%、-2.12%、-2.06%。各时期胃癌发病率显示25~74岁各年龄组的发病率有下降趋势。年龄—出生队列方法分析显示,25~79岁各年龄组出生队列发病率有下降趋势。[结论] 启东胃癌40年粗发病率总体维持在较高水平,但标化发病率已呈下降趋势。启东人群中胃癌的进一步下降,是可以预期的。
英文摘要:
      Abstract:[Purpose] To investigate the incidence trend of stomach cancer from 1972 to 2011 in Qidong.[Methods] The cancer registration data of 1972~2011 were collected and analyzed for the incidence of stomach cancer by gender,age,and time trend. Crude incidence,age-standardized incidence by Chinese standard population(ASR China) and by world standard population(ASR world),truncated rate (35~64 age years old),cumulative rate (0~74 age years old),cumulative risk,percentage change (PC),annual percentage change (APC),incidence by period and birth-cohort were calculated.[Results] The new stomach cancer cases were 15 401(male 9804,female 5597) from 1972 to 2011,accounted for 16.60% of the total cancer incidence,ranked 2nd. The crude incidence,ASR China and ASR world were 34.26/105,16.25/105 and 25.59/105,respectively. Truncated rate (35~64 age years old),cumulative rate (0~74 age years old) and cumulative risk were 40.03/105,3.15% and 3.10%,respectively. During the forty years period,the PCs of crude incidence,ASR China and ASR world of stomach cancer were +21.90%,-55.32% and -51.20%,and the APCs,+0.49%,-2.12% and -2.06%,respectively. Age-specific incidence rates by period decreased with age in people among 25~74 years,and birth-cohort incidence showed down trends among 25~79 years. [Conclusion] The incidence of stomach cancer during 1972~2011 in Qidong maintained at a higher level,but the age-standardized rates were descending. The further tendency of falling in stomach cancer could be anticipated.
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