| 高彩云,叶延程,张雁山,等.2018年甘肃省武威市恶性肿瘤流行特征及2010—2018年变化趋势分析[J].中国肿瘤,2023,32(7):503-510. |
| 2018年甘肃省武威市恶性肿瘤流行特征及2010—2018年变化趋势分析 |
| Cancer Incidence and Mortality in Wuwei City in 2018 and Trend from 2010 to 2018 |
| 投稿时间：2023-04-04 |
| DOI：10.11735/j.issn.1004-0242.2023.07.A003 |
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| 中文关键词: 恶性肿瘤 发病率 死亡率 趋势分析 甘肃 |
| 英文关键词:cancer incidence mortality trend analysis Gansu |
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| 中文摘要: |
| 摘 要：［目的］ 分析2018年武威市恶性肿瘤发病与死亡特征及2010—2018年恶性肿瘤发病与死亡变化趋势。［方法］ 按照国家癌症中心制定的数据质量审核评价标准，对武威市符合质量控制标准要求的肿瘤登记点上报的恶性肿瘤发病、死亡和人口数据进行汇总分析。按性别和年龄组分层计算发病（死亡）率、标化发病（死亡）率、0~74岁累积率等统计指标。利用Joinpoint线性回归模型计算2010—2018年武威市恶性肿瘤发病率、死亡率的年度变化百分比（APC），分析恶性肿瘤发病和死亡趋势。中标率和世标率分别采用2000年全国普查标准人口年龄构成和Segi世界标准人口年龄构成计算。［结果］ 2018年武威市恶性肿瘤发病率为267.89/10万，中标率为192.21/10万，世标率为208.31/10万，累积发病率(0～74岁)为24.30%；恶性肿瘤死亡率为131.38/10万，中标率为93.71/10万，世标率为105.02/10万，累积死亡率(0～74岁)为11.51%。男性中标发病率和中标死亡率均高于女性。恶性肿瘤发病率在70~74岁年龄组达到发病高峰，死亡率在75~79岁年龄组达到高峰。2018年武威市恶性肿瘤发病前10位依次为胃癌、女性乳腺癌、肺癌、食管癌、肝癌、结直肠癌、宫颈癌、子宫体癌、卵巢癌、前列腺癌，占全部新发恶性肿瘤的79.38%；恶性肿瘤死亡前10位依次为胃癌、肝癌、肺癌、食管癌、结直肠癌、胰腺癌、女性乳腺癌、宫颈癌、脑及中枢神经系统肿瘤、胆囊癌，占全部死亡恶性肿瘤的90.35%。2010—2018年武威市恶性肿瘤中标发病率呈下降趋势(APC=-7.3%，95%CI：-17.6%~4.3%)，中标死亡率呈下降趋势(APC=-1.2%，95%CI：-7.5%~5.5%)，差异均无统计学意义（P均>0.05）。［结论］ 武威市恶性肿瘤发病和死亡水平呈平稳趋势，发病率和死亡率依旧相对偏高，防控形势严峻。胃癌、食管癌、肺癌、肝癌、乳腺癌等病种是武威市癌症防控工作的重点。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze cancer incidence and mortality in Wuwei City in 2018 and their trend from 2010 to 2018. ［Methods］ The cancer incidence， mortality and population data reported by tumor registries in Wuwei were assessed in accordance with the quality requirements set by the National Cancer Center. The crude incidence(mortality) rate， standardized incidence(mortality) rate and cumulative rate(0~74 years old) were calculated and stratified by gender and age group. The annual percentage change(APC) of cancer incidence and mortality from 2010 to 2018 was calculated using Joinpoint linear regression model. The age-standardized incidence(mortality) by Chinese standard population(ASIRC and ASMRC) and that of world standard population(ASIRW and ASMRW) were calculated using 2000 national population census and Segi’s world standard population， respectively. ［Results］ In 2018， the crude incidence rate of cancer in Wuwei was 267.89/105， ASIRC was 192.21/105， ASIRW was 208.31/105， and the cumulative rate(0~74 years old) was 24.30%. The crude mortality rate of cancer was 131.38/105， ASMRC was 93.71/105， ASMRW was 105.02/105， and the cumulative rate(0~74 years old) was 11.51%. The ASIRC and ASMRC were higher in male than those in female. The incidence of cancer peaked in the age group of 70~74 years old， and the mortality rate peaked in the age group of 75~79 years old. The top 10 malignant tumors of high incidence in Wuwei in 2018 were gastric cancer， female breast cancer， lung cancer， esophageal cancer， liver cancer， colorectal cancer， cervical cancer， uterine cancer，ovarian cancer and prostate cancer， accounting for 79.38% of all new malignant tumors. The top 10 malignant tumors of high mortality were gastric cancer， liver cancer， lung cancer， esophageal cancer， colorectal cancer， pancreatic cancer， female breast cancer， cervical cancer， brain tumor and gallbladder cancer， accounting for 90.35% of all deaths from malignant tumors. From 2010 to 2018， the incidence rate of malignant tumors in Wuwei showed a decreasing trend(APC=-7.3%， 95%CI： -17.6%~4.3%)， and the mortality rate showed a decreasing trend(APC=-1.2%， 95%CI：-7.5%~5.5%)， but the differences were not statistically significant(all P>0.05). ［Conclusion］ The level of cancer incidence and death in Wuwei is on a stable trend from 2010 to 2018， while the incidence and mortality rates remain relatively high. Stomach cancer， esophageal cancer， lung cancer， liver cancer and breast cancer should be the focus of cancer prevention and control in Wuwei City. |
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