| 崔俊鹏,陆 艳,王临池,等.2007—2016年江苏省苏州市居民恶性肿瘤发病及生存分析[J].中国肿瘤,2023,32(6):470-474. |
| 2007—2016年江苏省苏州市居民恶性肿瘤发病及生存分析 |
| Incidence and Survival of Malignant Tumors in Suzhou Residents of Jiangsu Province from 2007 to 2016 |
| 投稿时间：2022-12-13 |
| DOI：10.11735/j.issn.1004-0242.2023.06.A010 |
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| 中文关键词: 恶性肿瘤 发病 观察生存率 相对生存率 江苏 |
| 英文关键词:malignant tumor incidence observed survival rate relative survival rate Jiangsu |
| 基金项目:江苏省卫生计生委科研课题（Y2018032）；江苏省老年健康科研项目（LKM2023038）；苏州市科技发展计划（民生科技）（SS202010）；苏州市重大疾病、传染病预防和控制关键技术（研究）项目（GWZX201901）；苏州市科技发展计划（民生科技）项目（SYS2018098）；苏州市科技发展计划(医疗卫生科技创新)项目（SKYD2022007） |
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| 中文摘要: |
| 摘 要：［目的］ 分析 2007—2016 年苏州市居民恶性肿瘤发病及5年生存情况。［方法］ 收集苏州市慢性病监测系统2007年1月至2016年12月恶性肿瘤患者登记资料，随访截止日期为2021年12月31日。使用SAS 9.4和Stata 15.0软件进行分析，计算粗发病率和标化发病率，应用寿命表法计算观察生存率，Ederer Ⅱ法计算相对生存率，相对生存标化采用国际癌症生存标准进行调整。采用平均年度变化百分比（AAPC）分析变化趋势。［结果］ 2007—2016年间苏州市居民恶性肿瘤发病数合计112 351例，粗发病率为343.65/10万，中标率为196.07/10万，男性粗发病率高于女性。2007—2016年间苏州市居民全部恶性肿瘤5年观察生存率为36.9%，5年相对生存率为40.4%，其中男性5年相对生存率为35.8%，女性5年相对生存率为45.2%。2007—2016年苏州市居民胰腺癌、肝癌、肺癌5年相对生存率较低，女性乳腺癌、甲状腺癌5年相对生存率较高；女性（AAPC=3.5%，P<0.001）、全人群（AAPC=2.2%，P=0.008）恶性肿瘤5年相对生存率呈逐年递增趋势。［结论］ 2007—2016年苏州市居民恶性肿瘤5年相对生存率呈逐年递增趋势，但恶性肿瘤发病率较高，胰腺癌、肝癌、肺癌5年相对生存率依然较低，应重点关注其高危人群的癌症筛查情况，降低其发病及死亡水平。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence of malignant tumors and survival of patients in Suzhou City of Jiangsu Province from 2007 to 2016. ［Methods］ The data of new cases of malignant tumors during January 2007 to December 2016 were collected from Suzhou Cancer Registry and patients were followed-up till 31 December， 2021. The overall survival rate(OSR) and relative survival rate(RSR) were calculated by the Life-table program and Ederer Ⅱ method. Statistical analysis were performed with Stata 15.0 and SAS 9.4 software. Standardized survival rate was adjusted by international cancer survival criteria. The average annual percentage change(AAPC) was used to analyze trends in change. ［Results］ A total of 112 351 cases of malignant tumors were registered in Suzhou City from 2007 to 2016. The crude incidence was 343.65/105 and the age-standardized incidence rate by Chinese standard population(ASIRC) was 196.07/105. The crude incidence was higher in male than that in female. The 5-year OSR was 36.9% and the 5-year RSR was 40.4%； the 5-year RSR in male and female was 35.8% and 45.2%， respectively. The 5-year RSR of pancreatic cancer， liver cancer and lung cancer was low， while that of female breast cancer and thyroid cancer was high. The 5-year RSR showed an increasing trend both for females（AAPC=3.5%，P<0.001） and whole population（AAPC=2.2%，P=0.008）. ［Conclusion］ From 2007 to 2016， the incidence of malignant tumors was relatively high in Suzhou City， but the 5-year RSR showed an upward trend. However， the 5-year RSR of pancreatic cancer， liver cancer and lung cancer was still low； therefore， the cancer screening of high-risk groups should be focused on to reduce their incidence and death. |
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