| 汪 荃,韩仁强,李 莹.2015年江苏省胃癌流行现状及趋势分析[J].中国肿瘤,2019,28(11):838-844. |
| 2015年江苏省胃癌流行现状及趋势分析 |
| Incidence，Mortality and Trend of Stomach Cancer in Jiangsu Province |
| 投稿时间：2019-03-26 |
| DOI：10.11735/j.issn.1004-0242.2019.11.A007 |
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| 中文关键词: 胃癌 发病率 死亡率 趋势 江苏 |
| 英文关键词:stomach cancer incidence mortality trend Jiangsu |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 分析江苏省2015年胃癌发病和死亡现状及2006～2015年胃癌发病、死亡变化趋势。［方法］ 利用2018年江苏省疾控中心收集并质控后的35个登记处2015年肿瘤登记资料，从中抽取胃癌数据，计算分城乡、性别及年龄组发病（死亡）率、年龄别发病（死亡）率、中国人口标化率（中标率）、世界人口标化率（世标率）、累积发病（死亡）率（0~74岁）、截缩发病（死亡）率（35~64岁）等指标。结合江苏省2015年户籍人口资料，估算全省胃癌发病（死亡）数。汇总2006至2015年全省肿瘤登记资料，利用Joinpoint软件分析胃癌世标发病（死亡）率的平均年度变化百分比（AAPC）。［结果］ 2015年江苏省估计胃癌新发病例32 744例（男性22 928例，女性9816例），约占全部恶性肿瘤发病的14.05%，位居恶性肿瘤发病顺位第2位；估计胃癌死亡24 663例（男性17 085例，女性7578例），占全部恶性肿瘤的15.87%，位居恶性肿瘤死亡顺位第2位。江苏省胃癌发病率为42.97/10万，中标率为23.83/10万，世标率为23.67/10万，累积发病率（0～74岁）为2.95%。胃癌死亡率为32.37/10万，中标率为17.00/10万，世标率为16.68/10万，累积死亡率（0～74岁）为1.91%。江苏省胃癌发病中标率在2006至2015年AAPC为-3.97%（95%CI：-4.9%～-3.0%），胃癌死亡中标率AAPC为-3.98%（95%CI：-5.0%～-3.0%）。［结论］ 2006至2015年江苏省胃癌发病率、死亡率呈下降趋势，但胃癌发病、死亡仍处于较高水平，城乡流行存在差异，应针对性加强重点人群尤其是城市中老年人群的预防和控制。 |
| 英文摘要: |
| Abstract：［Purpose］ To estimate the incidence and mortality of stomach cancer in Jiangsu province. ［Methods］ New cases and deaths of gastric cancer from 2006 to 2015 from 42 cancer registries in Jiangsu were collected and data from 35 registries were qualified after assessment and pooled for analysis. The data were stratified by urban and rural，gender and age groups. The crude rates of stomach cancer incidence and mortality，age-standardized incidence/mortality rates，age-specific incidence/mortality rates，cumulative incidence/mortality rates(0～74 years) and truncated incidence/mortality rates(35～64 years) were calculated. Chinese population census in 2000 and world Segi’s standard population were applied for age-standardized incidence/mortality rates. Joinpoint regression was performed to the average annual percentage changes(AAPC) in two rate during 2006 to 2015. ［Results］ The number of new cases of stomach cancer were 32 744 in Jiangsu province in 2015，accounting for 14.05% of all cancer incidence and ranking the second of cancer incidence. The crude incidence rate was 42.97/105，the age-standardized incidence rates by Chinese standard population(ASIRC）and by world standard population(ASIRW) were 23.83/105 and 23.67/105，respectively. The cumulative incidence rate(0～74 years) was 2.95%. The deaths of stomach cancer were 24 663 in Jiangsu in 2015，accounting for 15.87% of all cancer deaths and ranking the second of all cancer mortality. The crude mortality rate was 32.37/105，the age-standardized mortality rates by Chinese standard population(ASMRC）and by world standard population(ASMRW)，cumulative(0～74 years old) and truncated(35～64 years old) mortality rates were 17.00/105，16.68/105，1.91% and 17.11/105，respectively. The AAPC of ASIRC and ASMRC was -3.97%(95%CI：-4.9%～-3.0%）and -3.98%（95%CI：-5.0%～-3.0%），respectively and showed a downward trend(P<0.001) in Jiangsu from 2006～2015.［Conclusion］ During 2006 to 2015，the incidence and mortality of stomach cancer presented a declining trend in Jiangsu province，but the rates are still relatively high and there is significant difference between urban and rural areas. The effective prevention and control efforts for stomach cancer，particularly for middle-aged and elderly population in urban areas should be strengthened. |
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