刘梦姣,胡莹云,廖先珍,等.2009—2018年湖南省肿瘤登记地区结直肠癌发病与死亡趋势分析[J].中国肿瘤,2023,32(3):191-196.
2009—2018年湖南省肿瘤登记地区结直肠癌发病与死亡趋势分析
Trend of Incidence and Mortality of Colorectal Cancer in Hunan Cancer Registration Areas from 2009 to 2018
投稿时间:2022-10-10  
DOI:10.11735/j.issn.1004-0242.2023.03.A005
中文关键词:  结直肠癌  发病率  死亡率  变化趋势  湖南
英文关键词:colorectal cancer  incidence  mortality  trend  Hunan
基金项目:湖南省自然科学基金(2022JJ40248)
作者单位
刘梦姣 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院/湖南省肿瘤防治研究办公室 中南大学湘雅公共卫生学院 
胡莹云 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院/湖南省肿瘤防治研究办公室 
廖先珍 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院/湖南省肿瘤防治研究办公室 
许可葵 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院/湖南省肿瘤防治研究办公室 
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中文摘要:
      摘 要:[目的] 分析湖南省肿瘤登记地区2009—2018年结直肠癌的发病与死亡情况。[方法] 收集2009—2018 年湖南省32个肿瘤登记点上报的结直肠癌发病、死亡和人口数据,统计分析结直肠癌的发病(死亡)率、中标发病(死亡)率、世标发病(死亡)率、年龄别发病(死亡)率、0~74 岁累积发病(死亡)率和年度变化百分比(annual percentage change,APC)等指标。[结果] 2009—2018年湖南省肿瘤登记地区结直肠癌新发病例数24 755例,死亡病例13 193例。男性结直肠癌中标发病率和中标死亡率(17.73/10万和9.34/10万)均明显高于女性(12.55/10万和6.00/10万)。城市地区结直肠癌中标发病率和中标死亡率(19.24/10万和9.60/10万)均高于农村地区(13.17/10万和6.71/10万)。2009—2018年湖南省肿瘤登记地区结直肠癌中标发病率和中标死亡率总体呈上升趋势(APC=3.8%,t=4.08,P=0.004;APC=5.4%,t=5.31,P<0.001)。结直肠癌年龄别发病率和死亡率的峰值均在80~84岁组。2009—2018年湖南省肿瘤登记地区年龄别发病率和死亡率呈持续上升趋势,发病率存在明显地区差异。[结论] 湖南省肿瘤登记地区结直肠癌发病率和死亡率呈明显上升趋势,应重视健康教育和早筛工作。
英文摘要:
      Abstract:[Purpose] To analyze the trends of incidence and mortality of colorectal cancer in Hunan cancer registration areas from 2009 to 2018. [Methods] The incidence, mortality and population data of colorectal cancer were collected from 32 cancer registries in Hunan Province. The incidence (mortality) rate, age-standardized incidence (mortality) rate by Chinese standard population(ASIRC/ASMRC), and world standard population(ASIRW/ASMRW), age-specific incidence (mortality) rate,0~74 years old cumulative incidence (mortality) rate and annual percentage change (APC) were analyzed. [Results] From 2009 to 2018, there were 24 755 new cases and 13 193 deaths of colorectal cancer in Hunan cancer registration areas. The ASIRC and ASMRC of colorectal cancer in female(12.55/105 and 6.00/105) were significantly lower than those in male(17.73/105 and 9.34/105). The ASIRC and ASMRC of colorectal cancer in urban areas(19.24/105 and 9.60/105) were higher than those in rural areas (13.17/105 and 6.71/105). The average incidence and mortality of colorectal cancer in Hunan from 2009 to 2018 showed an increasing trend (APC=3.8%, t=4.08, P=0.004; APC=5.4%, t=5.31, P<0.001). The peak age-specific incidence and mortality of colorectal cancer were at the age group of 80~84 years old. From 2009 to 2018, the age-specific incidence and mortality in Hunan cancer registration areas in showed a continuous upward trend. There was a significant regional variation in the incidence rate. [Conclusion] The incidence and mortality of colorectal cancer in Hunan cancer registration area were increasing significantly from 2009 to 2018. Attention sholud be paid to health education and early screening work.
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