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| 2009-2019年江苏省肿瘤登记地区膀胱癌发病年龄变化趋势分析 |
| Trend analysis on incidence and age at diagnosis for bladder cancer in cancer registration areas of Jiangsu Province, 2009-2019 |
| 投稿时间：2024-01-22 修订日期：2024-03-27 |
| DOI： |
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| 中文关键词: 膀胱癌 发病率 发病年龄 变化趋势 江苏 |
| 英文关键词:Keywords: Bladder cancer Incidence rate Age of onset Trend analysis Jiangsu |
| 基金项目:江苏省老年健康科研项目（LKM2023038）；苏州市科技局民生科技（科技示范）项目（SS202010）；苏州市科技发展计划(医疗卫生科技创新)项目（SKYD2022007，SKYD2023161） |
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| 中文摘要: |
| [摘要] 目的 分析2009-2019年江苏省肿瘤登记地区膀胱癌发病趋势及年龄变化情况 方法 基于江苏省16个肿瘤登记处2009-2019年连续完整，且各项质控指标均合格的肿瘤登记资料，计算膀胱癌发病率、年龄别发病率、平均发病年龄、标化平均发病年龄、年龄别发病构成比等指标。利用Joinpoint软件对发病趋势进行分析，计算平均年度变化百分比（AAPC值）。构建出生队列模型，并计算1929—2019年出生的男性与女性的癌症发病率，并分析其发病趋势。采用Segi世界标准人口构成对相关指标进行标化调整。利用线性回归模型分析平均发病年龄、标化平均发病年龄与发病年份间的关系。结果 江苏省膀胱癌发病率由2009年的4.27/10万上升到2019年7.04/10万，发病率和世标率均呈上升趋势（AAPC粗率=4.62%,AAPC世标率=1.92%,P均<0.001）。分性别来看，男性发病率上升幅度高于女性，男性发病率AAPC=5.32%，女性发病率AAPC=1.98%。出生队列结果显示，60岁及以上年龄组人群的发病率随年份的增加呈明显上升趋势，其中80岁以上年龄组增幅最快（AAPC=3.27%,P=0.007）；2009-2019年江苏省膀胱癌的平均发病年龄呈明显升高趋势，平均年增长0.17岁，调整年龄结构后，标化平均发病年龄无明显变化趋势。结论 2009-2019年江苏省膀胱癌发病率呈上升趋势，男性发病率明显高于女性。 |
| 英文摘要: |
| [Abstract] Objective To analyse the trend of bladder cancer incidence and age changes in cancer registration areas of Jiangsu Province from 2009 to 2019. Methods The data of this study were based on the continuous and complete tumour registries of 16 tumour registries in Jiangsu Province from 2009 to 2019, and all quality control indicators were qualified. Bladder cancer incidence rate, age-specific incidence rate, mean age at incidence, standardised mean age at incidence, and age-specific incidence composition ratio were calculated. Segi World Standard Population Composition was used to adjust the relevant indicators for standardisation. Incidence trends were analysed using Joinpoint software to calculate the average annual percentage change (AAPC ). Birth cohort models were constructed and cancer incidence rates were calculated for people born from 1929-2019 and analysed for incidence trends.and the linear regression models were used to analyse the relationship between mean age at onset, standardised mean age of onset and year .Results The incidence rate of bladder cancer in Jiangsu Province increased from 4.27/100,000 in 2009 to 7.04/100,000 in 2019, incidence rate increased from 2009 to 2019 (CR: AAPC =4.62%, ASIRW: AAPC =1.92%, P <0.001). Incidence rate of males increased more than that of females by gender, for males AAPC=5.32% and for females AAPC=1.98%; The incidence rate of people in the age group of 60 years and above showed a significant upward trend , among which the age group of 80 years and above had the fastest increase (AAPC=3.27%); the mean age of onset of bladder cancer showed an increasing trend from 2009 to 2019, with an average annual increase of 0.17 years, However, there was no significant trend of change in the standardised mean age of onset after adjusting the age structure. Conclusion The incidence of bladder cancer showed an increasing trend from 2009 to 2019 in Jiangsu Province, with a significantly higher incidence in males than in females. |
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