文小焱,潘惊萍,段占祺.2013—2017年四川省居民恶性肿瘤疾病负担研究[J].中国肿瘤,2020,29(10):758-762.
2013—2017年四川省居民恶性肿瘤疾病负担研究
Disease Burden of Malignant Tumor in Sichuan Province,2013—2017
中文关键词  修订日期:2020-03-17
DOI:10.11735/j.issn.1004-0242.2020.10.A007
中文关键词:  疾病负担  恶性肿瘤  伤残调整寿命年  四川
英文关键词:burden of disease  malignant tumor  disability adjusted life years  Sichuan
基金项目:四川省医学会课题(S17012)
作者单位
文小焱 成都市第三人民医院 
潘惊萍 四川省卫生健康信息中心 
段占祺 四川省卫生健康信息中心 
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中文摘要:
      摘 要:[目的] 分析2013—2017年四川省恶性肿瘤疾病负担现状,为制定疾病预防控制措施提供参考依据。[方法] 收集2013—2017年四川省恶性肿瘤死亡数据,通过计算伤残调整寿命年(DALY)、早逝寿命损失年(YLL)和伤残寿命损失年(YLD) 来评估居民疾病负担水平。[结果] 2013—2017年四川省居民恶性肿瘤DALY负担为每千人口15.55人年,其中YLL率与 YLD 率分别为每千人口15.20人年与 0.35人年,YLL负担高于YLD(P<0.001);恶性肿瘤疾病负担随着年龄的增加不断增长,在60~69岁和70~79岁达到高峰,DALY率分别可达每千人口43.43人年和42.70人年。前5位恶性肿瘤疾病负担顺位分别为肺癌、肝癌、食管癌、胃癌和结直肠癌,占所有恶性肿瘤负担的70.98%。[结论] 恶性肿瘤给四川省居民带来较重的疾病负担,且随着年龄的增长而不断增加,早死是其疾病负担的主要来源。老年人是恶性肿瘤疾病负担重点防控人群,重点防控肿瘤包括肺癌和消化系统恶性肿瘤。
英文摘要:
      Abstract:[Purpose] To analysis the disease burden of malignant tumor in Sichuan Province from 2013 to 2017. [Methods] Data on cancer deaths in Sichuan Province from 2013 to 2017 were collected. Disability-adjusted life year(DALY),years of life lost(YLL) and years lived with disability(YLD) were used to analyze the disease burden of malignant tumor. [Results] From 2013 to 2017,DALY burden caused by malignant tumor in Sichuan were 15.55 person-year per 1000 population. The rate of YLL and YLD of cancers were15.20 and 0.35 person-year per 1000 population,respectively,and the YLL was higher than YLD(P<0.001). The burden of malignant tumor increased with age,the peak values of disease burden at age groups of 60~69 and 70~79. The DALY would reach to 43.43 person-years and 42.70 person-years per 1000 population,respectively. The five leading malignant tumors were lung cancer,liver cancer,esophageal cancer,stomach cancer and colorectal cancer,accounting for 70.98% of the total. [Conclusion] Malignant tumor brings heavy burden to residents of Sichuan,and it increases with age. Premature death is the main source of disease burden. The prevention and control of the burden of malignant tumors should focus on elderly people. The lung cancer and malignant tumor of the digestive system are the priority for cancer prevention.
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