2019年四川省肿瘤登记地区恶性肿瘤发病与死亡 及2015-2019年变化趋势分析
Cancer incidence and mortality in Sichuan cancer registration areas in 2019 and its trend from 2015 to 2019
投稿时间:2023-12-13  修订日期:2024-04-10
DOI:
中文关键词:  恶性肿瘤  发病率  死亡率  四川省
英文关键词:cancer  incidence  mortality  Sichuan Province
基金项目:
作者单位邮编
袁芝佩 四川省疾病预防空中中心慢病所 610041
王丹 广安市疾病预防控制中心 638500
成姝雯 四川省疾病预防控制中心 610041
董婷 四川省疾病预防控制中心 610041
胥馨尹 四川省疾病预防控制中心 610041
张新 四川省疾病预防控制中心 610041
邓颖* 四川省疾病预防控制中心 610041
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中文摘要:
      目的: 分析2019年四川省肿瘤登记地区恶性肿瘤发病和死亡情况,以及2015-2019年变化趋势,为癌症防控提供参考依据。方法: 分析2019年收集到质量合格的121个肿瘤登记处的肿瘤发病与死亡数据,分别计算不同性别、年龄段、城乡的粗发病/死亡率、中国人口标准化率(简称: 中标率)、世界人口标准化率(简称: 世标率)、累积率、截缩率和前10位恶性肿瘤发病/死亡顺位等指标,并分析2015-2019年标化发病/死亡率、累积率、截缩率变化趋势。结果: 2019年四川省肿瘤登记地区恶性肿瘤粗发病率为276.99/10万(城市地区289.83/10万,农村地区268.92/10万; 男性326.15/10万,女性225.43/10万),中标发病率为 156.72/10万,世标发病率为154.11万,累积率( 0~74岁) 为17.87%; 发病前5位依次为肺癌、肝癌、结直肠癌、乳腺癌、食管癌; 恶性肿瘤粗死亡率为185.09/10万(男性243.89/10万,女性123.42万; 城市地区188.00/10万,农村183.27/10万) ,中标死亡率为97.18/10万,世标死亡率为96.83/10万,累积率( 0~74岁) 为11.16%; 死亡前5位依次为肺癌、肝癌、食管癌、胃癌、结直肠癌。2015-2019年四川省肿瘤登记地区恶性肿瘤中标发病率、0~74岁累积发病率以及35~64岁截缩发病率及死亡率均呈下降趋势,差异有统计学意义(P<0.05),平均每年下降1.93%、2.25%,2.56%,13.51%。 结论: 四川省恶性肿瘤发病率略低于西部平均水平,低于全国;肺癌、肝癌、结直肠癌、乳腺癌和食管癌是全省的重点癌种,50岁以上人群是恶性肿瘤高发人群,应针对重点癌种和人群开展综合防治工作。
英文摘要:
      Objective: To analyse cancer incidence and mortality in Sichuan cancer registration areas in 2019 and its trend from 2015 to 2019, in order to provide scientific advice for cancer prevention and control. Methods: Cancer data collected from 121 cancer registries in 2019 were analysed, including incidence/mortality, Chinese population standardisation rate (ASRC), world population standardisation rate (ASRW), cumulative rate, truncation rate and top 10 of incidence/mortality, and the trend of ASIRC, ASMRC, cumulative incidence rate and truncation incidence rate from 2015 to 2019 were analysed. Results: In 2019, the incidence of cancer registration areas in Sichuan Province was 276.99/105(289.83/105 in urban areas and 268.92/105 in rural areas; male (326.15/105), female (225.43/105), the ASIRC and ASIRW were 156.72/105 and 154.11/105, respectively. The cumulative incidence rate (0-74 years old) was 17.87%. The top 5 incidence cancers were lung cancer, liver cancer, colorectal cancer, breast cancer and esophageal cancer. The mortality rate was 185.09/105(243.89/105 for males and 123.42/105 for females; 188.00/105 in urban areas, 183.27/105 in rural areas), the ASMRC was 97.18/105, the ASMRW was 96.83/105, and the cumulative mortality rate (0-74 years old) was 11.16%. The top 5 deaths were lung cancer, liver cancer, esophageal cancer, stomach cancer and colorectal cancer. From 2015 to 2019, the successful incidence of malignant tumor, the cumulative incidence of 0-74 years old, and the truncated incidence and mortality of 35-64 years old showed a decreasing trend, with statistical significance (P < 0.05), and the average annual decrease was 1.93%, 2.25%, 2.56%, 13.51%. Conclusion: The cancer incidence in Sichuan Province is slightly lower than the average level in western China and lower than the whole country. Lung cancer, liver cancer, colorectal cancer, breast cancer and esophageal cancer are the major types of cancer in the province, and people over 50 years old are the groups with a high incidence of cancer, and comprehensive prevention and control should be carried out according to the key major and groups of cancer.
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