| 陈 琼,刘曙正,郭兰伟.2016年河南省恶性肿瘤的发病与死亡分析[J].中国肿瘤,2020,29(8):571-578. |
| 2016年河南省恶性肿瘤的发病与死亡分析 |
| Cancer Incidence and Mortality in Henan Province，2016 |
| 中文关键词 修订日期：2020-04-01 |
| DOI：10.11735/j.issn.1004-0242.2020.08.A003 |
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| 中文关键词: 恶性肿瘤 发病 死亡 河南 |
| 英文关键词:cancer incidence mortality Henan |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 估算河南省2016年恶性肿瘤的发病与死亡情况。［方法］ 按照《中国肿瘤登记手册》以及国际癌症研究中心的登记质量标准评估2016年河南省肿瘤登记数据的完整性、有效性和可靠性，分城乡、性别、年龄组及部位计算登记人群的发病率和死亡率，结合2016年全省人口数据估算全省各部位的恶性肿瘤发病、死亡数据，计算各项统计指标。人口标准化率按照2000年中国标准人口结构（中标率）和Segi’s 世界标准人口结构（世标率）进行计算。［结果］ 河南省2016年恶性肿瘤新发病例数约29.83万例，恶性肿瘤发病率为275.77/10万（男性为286.18/10万，女性为265.31/10万），中标率为210.21/10万，世标率为207.71/10万，0~74岁累积率为24.41%。城市地区发病率为306.87/10万，中标率为215.27/10万；农村地区发病率为269.19/10万，中标率为209.22/10万。河南省2016年恶性肿瘤死亡例数约为18.75万例，恶性肿瘤死亡率为173.28/10万（男性为201.89/10万，女性为142.61/10万），中标率为124.16/10万，世标率为124.12/10万，0~74岁累积率为14.07%。城市地区恶性肿瘤死亡率为195.38/10万，中标死亡率为127.63/10万；农村地区死亡率为168.77/10万，中标死亡率为123.75/10万。河南省最常见的恶性肿瘤为肺癌、胃癌、食管癌、肝癌和乳腺癌等，前10位发病约占全部恶性肿瘤发病的81.08%。肺癌、胃癌、食管癌、肝癌和结直肠癌等是主要的肿瘤死因，前10位死亡占全部恶性肿瘤死亡病例的86.66%。［结论］ 河南省恶性肿瘤疾病负担仍然较重，其城乡差异及男女性别差异明显，肺癌以及消化系统肿瘤是河南省高发肿瘤，应针对恶性肿瘤流行特点及危险因素加大综合防控力度。 |
| 英文摘要: |
| Abstract：［Purpose］ To estimate the cancer incidence and mortality in Henan ?妆rovince，2016. ［Methods］ The quality of local cancer registration data of 2016 including completeness，validity and reliability were assessed according to the criteria of Guideline on Cancer Registration in China and IARC/IACR. Cancer incidence and mortality stratified by gender，age and areas(urban/rural) were calculated，the provincial cancer incidence and mortality were estimated with provincial population data. China’s 2000 census population and Segi’s population were used to calculate the age-standardized rate. ［Results］ Total 298.3 thousands new cancer cases were reported in Henan in 2016，and the crude incidence rate was 275.77/105(males and females were 286.18/105 and 265.31/105). Age-standardized incidence rate by Chinese standard population(ASIRC) and by world standard population(ASIRW) were 210.21/105 and 207.71/105，respectively，with the cumulative incidence rate(0~74 years old) of 24.41%. The cancer incidence and ASIRC were 306.87/105 and 215.27/105 in urban areas and 269.19/105 and 209.22/105 in rural areas，respectively. Approximately 187.5 thousands cancer deaths were reported in 2016，and the crude mortality rate was 173.28/105(males and females were 201.89/105 and 142.61/105). Age-standardized mortality rate by Chinese standard population(ASMRC) and by World standard population(ASMRW) were 124.16/105 and 124.12/105，respectively，with the cumulative incidence rate(0~74 years old) of 14.07%. The cancer mortality and ASMRC were 195.38/105 and 127.63/105 in urban areas and 168.77/105 and 123.75/105 in rural areas，respectively. The most common cancers were lung cancer，gastric cancer，esophageal cancer，liver cancer and breast cancer，and the top 10 cancer incidence accounted for 81.08% of the total cancer cases. The most common cancer deaths were lung cancer，gastric cancer，esophageal cancer，liver cancer and colorectal cancer，and the top 10 cancer deaths accounted for 86.66% of total cancer deaths. ［Conclusions］ The cancer disease burden in Henan Province remains high，lung cancer and digestive system cancer are the main cancer types in Henan Province，corresponding prevention and control measures should be enhanced according to the cancer epidemic characteristics and risk factors in Henan Province. |
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