| 朱 健,陈建国,张永辉.启东市1972~2011年结直肠癌发病趋势分析[J].中国肿瘤,2014,23(8):648-655. |
| 启东市1972~2011年结直肠癌发病趋势分析 |
| An Analysis of Incidence Trend of Colorectal Cancer in Qidong，1972～2011 |
| 投稿时间：2014-04-14 |
| DOI：10.11735/j.issn.1004-0242.2014.08.A005 |
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| 中文关键词: 结直肠癌 发病率 流行病学 启东 |
| 英文关键词:colorectal cancer incidence epidemiology Qidong |
| 基金项目: |
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| 摘要点击次数: 1935 |
| 全文下载次数: 947 |
| 中文摘要: |
| 摘 要：［目的］ 探讨启东市1972~2011年结直肠癌发病变化趋势，为制定结直肠癌预防控制措施与策略提供依据。［方法］ 采用启东市1972~2011年癌症发病登记数据库，对结直肠癌发病率作性别、年龄、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、累积风险率、变化百分比（PC）及年均变化百分比（APC）等。［结果］ 1972~2011年启东结直肠癌发病6035例（男性2926例，女性3109例），粗发率为13.43/10万，占全部癌症发病的6.50%，位居癌症发病第4位。中标率和世标率分别为6.20/10万和9.80/10万；35~64岁截缩发病率为14.36/10万；0~74岁累积发病率为1.16%；结直肠癌发病的累积风险为1.15%。40年间结直肠癌发病的粗率、中标率和世标率的变化百分比（PC）分别为373.63%、67.42%与88.38%，年均变化百分比（APC）分别为4.21%、1.38%、1.58%。各时期结直肠癌发病率显示55岁以上各年龄组发病率有显著的上升趋势。年龄—出生队列方法分析显示，45岁以后的各年龄组出生队列发病率有明显的上升趋势。40年中结肠癌、直肠癌的粗率分别为3.93/10万、9.49/10万，中标率分别为1.81/10万、4.39/10万，世标率分别为2.87/10万、6.94/10万。40年中直肠癌在结直肠癌的占比为70.72%，近期直肠癌的占比有所下降。［结论］ 启东40年来结直肠癌发病率有明显上升趋势，应加强结直肠癌的防控。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the incidence trend of colorectal cancer from 1972 to 2011 in Qidong，and to provide basis for making control measures and strategies for prevention.［Methods］ The cancer registration data of 1972～2011 were collected and analyzed for the incidence of colorectal 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 colorectal cancer cases were 6035 (male 2926，female 3109)，accounted for 6.50% of the total cancer incidence，ranked 4th. The crude incidence，ASR China and ASR world were 13.43/105，6.20/105 and 9.80/105，respectively. Truncated rate (35～64 age years old)，cumulative rate(0～74 age years old) and cumulative risk were 14.36/105，1.16% and 1.15%，respectively.During the forty years period，the PCs of crude incidence，ASR China and ASR world were +373.63%，+67.42% and +88.38%，and the APCs，4.21%，1.38% and 1.58%，respectively. Age-specific incidence by period of colorectal cancer remarkably increased with age in people aged over 55 years，and birth-cohort incidence rates showed up trends over 45 years. For the rectum cancer，the crude incidence，ASR China and ASR world were 3.93/105，1.81/105，and 2.87/105；and for the colon cancer，9.49/105，4.39/105，and 6.94/105，respectively. The proportion of rectum cancer among colon and rectum cancers was 70.72%，and it is reduced in recent periods.［Conclusion］ The incidence of colorectal cancer remarkably increased in Qidong during 1972～2011. More attention should be paid to the incidence trend of colorectal cancer. |
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