2020年厦门市恶性肿瘤发病、死亡和生存分析(福建专题报道约稿)
Analysis of Incidence, Mortality and Survival of Malignant Tumors in Xiamen City in 2020
投稿时间:2024-04-25  修订日期:2024-08-16
DOI:
中文关键词:  恶性肿瘤  流行病学  生存分析  现时法
英文关键词:Malignant tumor  Epidemiology  Survival analysis  Period survival analysis
基金项目:福建省卫生健康科技计划项目资助(项目编号:2022RKB016)
作者单位邮编
池家煌* 厦门市疾病预防控制中心 361021
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中文摘要:
      摘要 目的:了解厦门市恶性肿瘤发病、死亡和生存情况,为政策制定提供参考。 方法:从福建省肿瘤登记信息直报平台收集厦门市恶性肿瘤发病死亡资料,计算发病和死亡的粗率、中标率、累计率、截缩率,用现时法分析生存率。结果:2020年厦门市户籍居民恶性肿瘤报告发病率350.46/10万,中标率275.12/10万,0-74岁累计率29.70%,35-64岁截缩率477.37/10万,发病前五位癌种为:肺癌、乳腺癌、甲状腺癌、结直肠癌和肝癌。男性发病率高于女性(中标率为280.14/10万VS 271.45/10万)。恶性肿瘤死亡率150.62/10万,中标率109.62/10万,0-74岁累计率12.27%,35-64岁截缩率160.38/10万,死亡前五位癌种为:肺癌、肝癌、结直肠癌、食管癌和胃癌。男性死亡率高于女性(中标率155.01/10万VS 69.11/10万)。恶性肿瘤5年观察生存率(OS)、相对生存率(RS)和年龄标化相对生存率(ARS)分别为53.09%(95%CI:51.80-54.36)、56.30%(95%CI:54.94-57.65)、48.14%(95%CI:46.67-49.64),男性5年ARS低于女性(40.23% VS 57.75%)。结论:厦门市恶性肿瘤综合诊治水平处于全国中等水平,但发病率较高,应加强防控,重点关注甲状腺癌、肺癌、乳腺癌、结直肠癌等癌种的增长趋势。
英文摘要:
      Abstract Objective To understand the incidence, mortality and survival of malignant tumors in Xiamen City, so as to provide reference for policy formulation. Method The data relating to the incidence and mortality of malignant tumors in Xiamen was collected from the Tumor Registration Information Direct Reporting Platform of Fujian Province to calculate the crude rate, age-standardized rate (ASR) by Chinese population , cumulative rate and truncated rate. The survival rate was analyzed by Period Analysis method. Results: In 2020, the reported incidence rate of malignant tumors in Xiamen residents was 350.46/105. The ASR in China, the cumulative rate between 0 and 74 years old, and the truncated rate of incidence between 35 and 64 years old were 275.12/105, 29.70%, 477.37/105, respectively. The top five cancers of incidence were: lung cancer, breast cancer, thyroid cancer, colorectal cancer, and liver cancer. The incidence of malignant tumor in male was higher than that in female(the ASR in China: 280.14 /105 VS 271.45/105). The mortality rate of malignant tumors was 150.62/105. The ASR in China, the cumulative rate between 0 and 74 years old,, and the truncated rate between 35 and 64 years old of death were 109.62/105,12.27%, 160.38/105, respectively. The top five site of death were lung, liver, colorectum, esophagus, and stomach. The mortality of malignant tumor in male 205.22/105 was much higher than that in female 98.02/105 (the ASR in China: 155.01 /105 VS 69.11/105). The 5-year observed survival rate (OS), relative survival rate (RS) and age-standardized relative survival rate (ARS) were 53.09% (95%CI: 51.80-54.36), 56.30% (95%CI:54.94-57.65) and 48.14% (95%CI:46.67-49.64), respectively. The 5-year ARS was lower in male than that in female (40.23% VS 57.75%). Conclusion: The comprehensive diagnosis and treatment level of malignant tumors in Xiamen is in the middle level of the country, but the incidence rate is high. Prevention and control should be strengthened, focusing on the growth trend of thyroid cancer, lung cancer, breast cancer, colorectal cancer and so on.
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