| 郑雨虹,周海茸,杨华凤.2007—2019年江苏省南京市消化系统恶性肿瘤死亡特征与趋势分析[J].中国肿瘤,2021,30(12):919-925. |
| 2007—2019年江苏省南京市消化系统恶性肿瘤死亡特征与趋势分析 |
| Mortality Trend of Digestive System Cancer in Nanjing City of Jiangsu Province from 2007 to 2019 |
| 中文关键词 修订日期：2021-09-30 |
| DOI：10.11735/j.issn.1004-0242.2021.12.A007 |
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| 中文关键词: 消化系统恶性肿瘤 死亡率 变化趋势 江苏 |
| 英文关键词:digestive system cancer mortality trend Jiangsu |
| 基金项目:南京市卫生科技发展专项资金项目（ZKX18049）；南京市医学科技发展项目（YKK17199） |
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| 中文摘要: |
| 摘 要：［目的］ 分析南京市消化系统恶性肿瘤死亡特征和变化趋势。［方法］ 利用Excel对南京市2007—2019年常见消化系统恶性肿瘤（食管癌、胃癌、结直肠癌、肝癌、胆囊癌、胰腺癌）死亡监测资料进行整理，计算粗死亡率和世界人口标化死亡率（标化率），采用Joinpoint软件计算死亡率的年度变化百分比（annual percentage change，APC）和平均年度变化百分比（average annual percentage change，AAPC），分析肿瘤粗死亡率和标化率时间变化趋势。［结果］ 2007—2019年，南京市居民消化系统恶性肿瘤死亡累计88 923例，占所有恶性肿瘤死亡的55.00%，年均粗死亡率和标化率分别为105.51/10万、64.20/10万。食管癌、胃癌和肝癌的粗死亡率和标化率均呈下降趋势（P均＜0.001）；结直肠癌和胰腺癌的粗死亡率呈上升趋势（P均＜0.001），而标化率下降趋势无统计学意义（P均＞0.05）。胆囊癌的粗死亡率相对稳定，标化率呈现下降趋势（P＜0.001）。除胆囊癌外，其余5种消化系统恶性肿瘤标化率均是男性高于女性。消化系统恶性肿瘤死亡率随着年龄的增长而升高，40岁前死亡水平均较低，45岁后增长明显，55岁后大幅度增长。地区之间存在差异，郊区食管癌、胃癌和肝癌的标化率高于市区，而市区结直肠癌、胆囊癌、胰腺癌的标化率高于郊区。［结论］ 消化系统恶性肿瘤是导致南京市居民死亡的主要疾病，有待通过综合措施加强消化系统恶性肿瘤防治。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze the mortality characteristics and trends of digestive system cancer in Nanjing City from 2007 to 2019. ［Methods］ The death data of digestive system cancers(esophageal cancer， gastric cancer， colorectal cancer， liver cancer， gallbladder cancer， pancreatic cancer) in Nanjing City from 2007 to 2019 were collected， and the crude mortality rate(CMR) and age-standardized mortality rate(ASMR) were calculated. The Joinpoint software was used to calculate annual percentage change(APC) and average annual percentage change(AAPC) of mortality. The trends of CMR and ASMR were analyzed. ［Results］ From 2007 to 2019， there were a total of 88 923 deaths from digestive system cancer in Nanjing City， accounting for 55.00% of all malignant tumor deaths. The annual CMR and ASMR were 105.51/105 and 64.20/105， respectively. Both CMR and ASMR of esophageal cancer， gastric cancer and liver cancer showed a decreasing trends(all P<0.001)，The CMR of colorectal cancer and pancreatic cancer showed an increasing trend(all P<0.001)， while the ASMR did not change significantly(P>0.05). The CMR of gallbladder cancer was relatively stable， and the ASMR showed a downward trend(P＜0.001). Except for gallbladder cancer， the ASMR of other five digestive system cancers were all higher in males than that in females. The mortality rates of digestive system cancer increased with the growth of age， the mortality was low before 40 years old， increased after 45 years old， and had a significant rise after 55 years old. There were regional differences， the ASMR of esophageal cancer， gastric cancer and liver cancer in suburban areas were higher than those in urban areas， while the ASMR of colorectal cancer， gallbladder cancer and pancreatic cancer in urban areas were higher than those in suburban areas. ［Conclusion］ Digestive system cancers are the main cause of death in Nanjing City. Comprehensive measures should be taken to strengthen the prevention and control of digestive system cancer. |
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