| 韩 静,崔海华,邹佳哲,等.2018年内蒙古肿瘤登记地区结直肠癌流行现状及2011—2018年变化趋势分析[J].中国肿瘤,2023,32(7):492-502. |
| 2018年内蒙古肿瘤登记地区结直肠癌流行现状及2011—2018年变化趋势分析 |
| Cancer Incidence and Mortality of Colorectal Cancer in Inner Mongolia Cancer Registration Areas in 2018 and Trends from 2011 to 2018 |
| 投稿时间：2023-04-14 |
| DOI：10.11735/j.issn.1004-0242.2023.07.A002 |
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| 中文关键词: 结直肠癌 发病率 死亡率 时间趋势分析 内蒙古 |
| 英文关键词:colorectal cancer incidence mortality time trend analysis Inner Mongolia |
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| 中文摘要: |
| 摘 要：［目的］ 分析2018年内蒙古肿瘤登记地区结直肠癌发病、死亡流行特征及2011—2018年发病、死亡时间变化趋势。［方法］ 收集2018年内蒙古地区18个肿瘤登记地区上报的肿瘤登记数据，结合人口数据资料分性别、年龄别、城乡分层计算结直肠癌发病与死亡指标，并选取2011—2018年敖汉旗、开鲁县、临河区、牙克石市结直肠癌数据利用Joinpoint4.3.1.0统计软件进行趋势分析。［结果］ 2018年内蒙古肿瘤登记地区结直肠癌粗发病率27.22/10万，中标发病率18.55/10万，粗死亡率12.01/10万，中标死亡率8.04/10万。结直肠癌发病（死亡）率随年龄增长呈上升趋势。40岁及以上人群发病率随年龄增长呈波动上升趋势，男性在85岁及以上组达发病高峰（219.69/10万），女性在80~84岁组达发病高峰（184.18/10万）；40岁及以上人群死亡率随年龄增长呈先缓慢增长后快速上升趋势，男、女性均在85岁及以上组死亡率达最高峰，分别为219.69/10万、131.72/10万。2011—2018年4个肿瘤登记地区农村男性结直肠癌中标发病率呈先上升再下降的趋势（AAPC=6.3%，P=0.024）；农村女性中标发病率由11.14/10万下降至8.85/10万（AAPC=-3.6%，P=0.010）；男性中标死亡率呈明显上升趋势（AAPC=6.2%，P=0.029）。［结论］ 内蒙古肿瘤登记地区结直肠癌发病、死亡水平处于较高水平，需根据不同人群特点加强预防，建立高风险人群筛查模型，在高风险人群中全面实施二级预防，加以遏制结直肠癌疾病进展。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the epidemiological characteristics of colorectal cancer in Inner Mongolia cancer registration areas and the time trend analysis of incidence and mortality data from 2011 to 2018. ［Method］ The cancer registration data in 2018 reported from 18 cancer registration areas in Inner Mongolia were collected. Combined with the population data by gender， age， urban and rural stratification， the incidence and mortality of colorectal cancer were calculated. The colorectal cancer data in Aohan Qi， Kailu， Linhe and Yakeshi were selected for trend analysis using Joinpoint4.3.1.0 statistical software from 2011 to 2018. ［Results］In 2018， the crude incidence rate of colorectal cancer was 27.22/105， and the age-standardized incidence rate by Chinese standard population(ASIRC) was 18.55/105. The crude mortality rate was 12.01/105， and the age-standardized mortality rate by Chinese standard population(ASMRC) was 8.04/105. In 2018， the age-specific incidence and mortality rate of colorectal cancer in 18 cancer registration areas increased with age. The incidence rate showed a fluctuating upward trend after 40 years old. The peak incidence rate of male was 219.69/105 in the age group of 85+ years old and that of female was 184.18/105 in the age group of 80~84 years old. And the mortality rate increased slowly at first and then rapidly with age. The mortality rates of male and female in the age group of 85+ years old peaked at 219.69/105 and 131.72/105， respectively. From 2011 to 2018， the ASIRC of rural male showed a trend of first rising and then falling(AAPC=6.3%，P=0.024). ASIRC of rural female decreased from 11.14/105 to 8.85/105(AAPC=-3.6%，P=0.010). The ASMRC of total male showed an increasing trend(AAPC=6.2%，P=0.029). ［Conclusion］ The incidence and mortality of colorectal cancer in Inner Mongolia cancer registration areas are at a high level. It is necessary to strengthen prevention according to the characteristics of different populations in our region， establish a screening model for high-risk population， and comprehensively implement secondary prevention among high-risk population to curb the development of colorectal cancer. |
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