| 韩仁强,缪伟刚,武 鸣,等.2018年江苏省恶性肿瘤流行现状及2009—2018年变化趋势分析[J].中国肿瘤,2023,32(5):339-347. |
| 2018年江苏省恶性肿瘤流行现状及2009—2018年变化趋势分析 |
| Cancer Incidence and Mortality in Jiangsu Province in 2018 and Trends from 2009 to 2018 |
| 投稿时间：2023-02-01 |
| DOI：10.11735/j.issn.1004-0242.2023.05.A003 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 趋势 平均年度变化百分比 江苏 |
| 英文关键词:cancer registry malignant tumor incidence mortality trend average annual percentage change 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） |
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| 中文摘要: |
| 摘 要：［目的］ 分析江苏省2018年恶性肿瘤发病和死亡情况及2009—2018年变化趋势。［方法］ 利用全省质控合格的48个肿瘤登记处的2018年肿瘤登记数据，分城乡、性别计算不同癌种的年龄别发病（死亡）率，并结合2018年全省户籍人口资料，估算全省恶性肿瘤发病（死亡）数、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）和0~74岁累积发病（死亡）率，以及前10位恶性肿瘤发病（死亡）顺位等指标。利用江苏省16个登记处2009—2018年肿瘤登记数据，采用Joinpoint回归模型计算全部恶性肿瘤发病（死亡）中标率的平均年度变化百分比（AAPC），分析变化趋势。中标率和世标率分别采用2000年中国人口普查标准人口年龄构成和Segi世界标准人口年龄构成进行计算。［结果］ 2018年江苏省估计新发和死亡恶性肿瘤病例分别为26.72万例和16.79万例。全省恶性肿瘤发病率及其中标率分别为341.60/10万和184.62/10万，死亡率及其中标率分别为214.63/10万和102.20/10万。恶性肿瘤发病率和中标率均为城市高于农村，而死亡率及其中标率均为农村高于城市。肺癌、胃癌、结直肠癌、食管癌和肝癌是江苏省发病第1~5位的癌种，其构成合计占全部恶性肿瘤发病的59.64%。肺癌、胃癌、食管癌、肝癌和结直肠癌是导致江苏省居民死亡第1~5位的癌种，其构成合计占全部恶性肿瘤死亡的70.98%。60~79岁老年人是江苏省恶性肿瘤防控优先考虑的重点人群，其次为40~59岁中年人，其发病数分别占全人群的55.19%和25.84%。2009—2018年江苏省男性恶性肿瘤的中标发病率以年均0.70%的速度明显下降（P<0.05），而全省女性、城市和农村地区中标发病率则明显升高，年均升幅为0.40%~2.10%（P均<0.05）。同期全省男性、全省女性、城市和农村地区的中标死亡率均明显降低，其AAPC为1.20%~1.80%（P均<0.05）。［结论］ 江苏省恶性肿瘤的发病和死亡处于较高水平，且发病率有不断上升趋势，恶性肿瘤的整体防控形势严峻。应针对恶性肿瘤高发人群，根据不同地区流行特点采取有效的综合防控措施，以逐步降低其疾病负担。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the cancer incidence and mortality in Jiangsu Province in 2018 and the trends from 2009 to 2018. ［Methods］ The cancer data in 2018 were collected from 48 cancer registries in Jiangsu Province. Age-specific incidence and mortality rates stratified by area(urban/rural)， gender and cancer sites were calculated; the crude incidence/mortality rates， age-standardized incidence/mortality rates by Chinese standard population(ASIRC/ASMRC)， and by world standard population(ASIRW/ASMRW)， cumulative incidence/mortality rates(0~74 years) were also calculated. Chinese population census in 2000 and world Segi’s standard population were used for calculation of age-standardized incidence/mortality rates. Based on the data from 16 cancer registries in 2009 to 2018， trends in ASIRC and ASMRC for all cancers were estimated by Joinpoint regression model and characterized by average annual percentage changes(AAPC). ［Results］ A total of 267 200 new cancer cases and 167 900 cancer deaths occurred in Jiangsu in 2018. The crude incidence rate and ASIRC were 341.60/105 and 184.62/105， respectively. The crude mortality rate was 214.63/105 and ASMRC was 102.20/105. The crude incidence and ASIRC were both higher but the crude mortality rate and ASMRC were both lower in urban areas than those in rural areas. Cancers of lung， stomach， colorectum， esophagus and liver were the top 5 common cancers， accounting for 59.64% of total new cancer cases. Lung cancer， stomach cancer，esophageal cancer， liver cancer and colorectal cancer were the top 5 leading causes of cancer deaths， accounting for 70.98% of total cancer deaths in Jiangsu. People aged of 60~79 years had the highest cancer incidence rate， followed by those aged 40~59 years， accounting for 55.19% and 25.84% of all new cancer cases， respectively. From 2009 to 2018， the AAPC of ASIRC in male was -0.70%(P<0.05)， while the AAPC in female， urban and rural areas were 2.10%， 0.40% and 0.60%(all P<0.05)， respectively. The AAPC of ASMR in male and female， urban and rural areas from 2009 to 2018 were -1.80%， -1.20%， -1.40% and -1.70%(all P<0.05)， respectively. ［Conclusion］ The incidence and mortality of cancer in Jiangsu is at a relatively high level， with increasing trend of incidence. Based on the epidemiological characteristics of the cancer in different regions， comprehensive prevention and control measures targeting to the high risk population should be taken to reduce the disease burden of malignant tumors. |
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