| 穆慧娟,礼彦侠,于丽娅.2006—2015年辽宁省五城市恶性肿瘤发病与死亡情况及流行趋势分析[J].中国肿瘤,2020,29(9):644-651. |
| 2006—2015年辽宁省五城市恶性肿瘤发病与死亡情况及流行趋势分析 |
| Trend of Incidence and Mortality in Five Cities of Liaoning Province from 2006 to 2015 |
| 中文关键词 修订日期：2019-06-12 |
| DOI：10.11735/j.issn.1004-0242.2020.09.A002 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 辽宁 |
| 英文关键词:cancer registration malignant tumor incidence mortality Liaoning |
| 基金项目:辽宁省兴辽人才资助项目（XLYC1802131）；辽宁省自然科学基金指导计划项目（2018011044?鄄301） |
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| 中文摘要: |
| 摘 要：［目的］分析辽宁省五城市地区2006—2015年恶性肿瘤发病死亡情况及流行趋势。［方法］ 收集2006—2015年辽宁省五城市地区上报的恶性肿瘤发病与死亡资料，计算发病与死亡粗率、标化率、累积率（0～64岁和0～74岁）、截缩率和年龄别率等，标化率使用Segi’s世界标准人口年龄构成为标准进行计算；利用Joinpoint软件对发病、死亡趋势进行分析。［结果］2006—2015年恶性肿瘤发病粗率为343.59/10万，标化率为199.15/10万，十年间发病粗率年度变化百分比(APC)为4.08%（P<0.05），标化率APC无统计学意义；同期恶性肿瘤死亡粗率为215.83/10万，标化率为119.05/10万，死亡粗率APC为3.04%（P<0.05），标化率APC无统计学意义。居民0～岁组、30～岁组、60～岁组和70～岁组发病率APC分别为6.69%（P<0.05）、3.56% （P<0.05）、2.10%（P<0.05）和-2.43%（P<0.05）；同时期70～岁组和80～岁组恶性肿瘤死亡率APC为-3.43%（P<0.05）和-5.03%（P<0.05）。2006—2010年和2011—2015年居民发病率居前3位癌种均为肺癌、女性乳腺癌和胃癌，但甲状腺癌发病顺位由第11位上升到第8位，其标化发病率由5.41/10万升至10.63/10万，特别是女性甲状腺癌发病顺位由第8位升高到第3位。两个时间段居民死亡率居前3位均为肺癌、肝癌和胃癌。［结论］ 近十年辽宁五城市居民恶性肿瘤发病和死亡趋势基本保持平稳，需要加强高年龄组人群肿瘤发病和死亡数据的收集和核实，提升高龄组人群肿瘤数据的完整性和准确性；低年龄组甲状腺癌发病率增高可能导致五城市居民发病呈现低年龄组发病构成增加的趋势，需要开展进一步的研究进行验证。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality of malignant tumors and its trend in five cities of Liaoning province from 2006 to 2015. ［Methods］ The incidence and death data of malignant tumors reported in five cities of Liaoning province from 2006 to 2015 were collected，and the crude incidence and mortality rates，age-standardized rate(ASR)，cumulative rate(0～64 years old，0～74 years old)，truncated rate and age-specific rate were calculated. The ASR was calculated by Segi’s world(ASR world) standard population age composition. Joinpoint software was used to analyze the incidence and death trend. ［Results］From 2006 to 2015，the crude incidence rate of malignant tumor was 343.59/105 and the ASR world was 199.15/105. The annual percentage change(APC) of incidence was 4.08%(P<0.05) during the 10 years，and the APC of standardized rate was not significantly different. The crude mortality of malignant tumor was 215.83/105，the ASR world was 119.05/105 and the APC of crude mortality was 3.04%(P<0.05)，and the APC of ASR world was not significantly different. The APC of incidence in 0～，30～ 60～，and 70～ age groups was 6.69%(P<0.05)，3.56%(P<0.05)，2.10%(P<0.05)，and -2.43%(P<0.05)，respectively. The APC of mortality in the 70～ and 80～ age groups was -3.43%(P<0.05) and -5.03%(P<0.05)，respectively. From 2006 to 2010 and from 2011 to 2015，the cancer incidence of three top sites were lung，female breast and stomach. The incidence of thyroid cancer rose from the 11th to the 8th，and its standardized incidence increased from 5.41/105 to 10.63/105，especially，the incidence of female thyroid cancer rose from the 8th to the 3rd. In both periods，the cancer mortality of three top sites were lung，liver and stomach. ［Conclusion］ In recent ten years，the incidence and mortality of malignant tumors among residents in five cities of Liaoning basically remains stable. It is necessary to strengthen the collection and verification of cancer incidence and death data in elderly groups to improve the completeness and accuracy of tumor data. The increased incidence of thyroid cancer in the younger age groups requires attention and further studies. |
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