| 王临池,周金意,韩仁强.江苏省2015年肺癌流行现况与2006—2015年变化趋势分析[J].中国肿瘤,2020,29(8):579-585. |
| 江苏省2015年肺癌流行现况与2006—2015年变化趋势分析 |
| Incidence and Mortality of Lung Cancer in Jiangsu Province in 2015 and the Trend of Changes During 2006—2015 |
| 中文关键词 修订日期：2020-03-03 |
| DOI：10.11735/j.issn.1004-0242.2020.08.A004 |
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| 中文关键词: 肺肿瘤 发病率 死亡率 趋势 江苏 |
| 英文关键词:lung neoplasms incidence mortality trend Jiangsu |
| 基金项目:国家重点研发计划（2016YFC1302603）；江苏省卫生计生委医学科研课题（H2017017）；江苏省卫生计生委预防医学科研课题（Y2015058）；苏州市医学重点学科（Szxk201816）；苏州市重大疾病、传染病预防和控制关键技术（研究）（GWZX201901）；苏州市科技局民生科技（医疗卫生应用基础研究）项目（SYS2018098）；苏州市科技局民生科技（科技示范）项目（SS201807）；江苏省预防医学科研课题（Y2018032） |
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| 中文摘要: |
| 摘 要：［目的］ 探讨江苏省2015年肺癌发病和死亡流行现状及2006—2015年变化趋势。［方法］ 运用江苏省疾病预防控制中心2018年收集的2015年肿瘤登记资料，分析不同性别、城乡及年龄别的肺癌发病（死亡）率、中国人口标化率（中标率）、世界人口标化率（世标率）、年龄别发病（死亡）率、0~74岁累积发病（死亡）率等指标，并结合2015年江苏省户籍人口数据，估计江苏省肺癌发病（死亡）数。利用江苏省2006—2015年肿瘤登记数据，分析肺癌发病（死亡）率的年度变化百分比（APC）。［结果］ 无论发病还是死亡，肺癌均位居2015年江苏省恶性肿瘤顺位的第1位。2015年江苏省肺癌估计发病例数和死亡例数分别为42 234例和35 800例；发病率为55.43/10万，中标率为30.56/10万；死亡率为46.98/10万，中标率为24.93/10万。无论城乡、不同性别，江苏省2006—2015年肺癌发病率和死亡率均呈明显上升趋势，全省平均年度增幅分别为4.06%（P<0.001）和3.95%（P<0.001）；发病、死亡率年平均上升幅度女性显著高于男性，城市明显高于农村。排除人口构成影响后，仅全省女性和城市地区的中标发病率呈现明显上升趋势，APC分别为2.01%（P<0.001）和1.58%（P<0.001）；死亡变化趋势中仅城市地区的死亡中标率呈现显著上升趋势（APC=2.24%，P<0.001）。［结论］ 2006—2015年江苏省肺癌发病率、死亡率呈上升趋势，且肺癌发病、死亡处于较高水平，不同性别、城乡流行情况存在差异，应加强城市中老年人群的肺癌预防和控制。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality of lung cancer in Jiangsu Province in 2015 and the trend of changes during 2006-2015. ［Methods］ The cancer registration data were obtained from Jiangsu Provincial Center for Disease Control and Prevention. The crude rates of lung cancer incidence and mortality，age-standardized incidence/mortality rates，age specific incidence/mortality rates，cumulative incidence/mortality rates(0～74 years) were calculated. Chinese population census in 2000 and world Segi’s standard population were applied for age-standardized incidence/mortality rates. The annual percentage change(APC) of lung cancer incidence and mortality was analyzed by using the cancer registration data from 2006 to 2015. ［Results］ The incidence and mortality rates of lung cancer ranked the first place in malignant tumors. In 2015，the estimated number of lung cancer new cases and deaths were 42 234 and 35 800 respectively. The crude incidence rate of lung cancer in Jiangsu was 55.43/105 in 2015，age-standardized incidence rates by Chinese standard population(ASIRC) was 30.56/105. In the same period，the crude mortality rate of lung cancer was 46.98/105，age-standardized mortality rates by Chinese standard population(ASMRC) was 24.93/105. The APC of lung cancer incidence and mortality from 2006 to 2015 was 4.06% and 3.95%，respectively. The annual trend of incidence and mortality increased more significantly in female than in male. The incidence and mortality in urban areas were 2.00 and 2.56 times more than rural areas，respectively，and the trend were statistically significant(P<0.05). The ASIRC of female and urban showed an upward trend(APCfemale=2.01%，APCurban= 1.58%，P< 0.001). The mortality rate in urban areas had an upward trend(APC=2.24%，P<0.05). ［Conclusion］ The incidence and mortality of lung cancer in Jiangsu Province during 2006-2015 presented upward trend and still at a high level now. There are gender，urban and rural differences in the incidence and mortality of lung cancer；therefore，prevention and control of lung cancer should be more focused on middle-aged and elderly people in urban areas. |
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