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| （福建专题报道约稿）1991-2020年福建省长乐区胃癌发病和死亡趋势分析 |
| Analysis of the trend of gastric cancer in Changle District, Fujian Province from 1991 to 2020 |
| 投稿时间：2024-04-29 修订日期：2024-08-22 |
| DOI： |
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| 中文关键词: 肿瘤登记 胃癌 发病率 死亡率 趋势分析 福建 长乐 |
| 英文关键词:tumor registration gastric cancer morbidity mortality trend analysis Fujian Changle |
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| 中文摘要: |
| 摘要：［目的］分析1991-2020年福建省长乐区胃癌发病与死亡变化趋势。［方法］根据长乐区1991-2020年肿瘤登记资料中胃癌发病和死亡数据，计算胃癌的发病和死亡粗率、中标率，采用 Joinpoint 线性回归模型分析胃癌发病和死亡的变化趋势，计算年度变化百分比（APC）及平均年度变化百分比（AAPC）。［结果］1991—2020年长乐地区胃癌年均发病率62.28/10万，中标率55.71/10万，中标率从1991年的100.94/10万下降至2020年26.45/10万，AAPC值为-4.34%（P<0.05）；长乐地区胃癌年均死亡率50.58/10万，中标率44.35/10万，中标率从1991年93.07/10万下降到2020年20.03/10万，APC值为-4.71%（P<0.05）。1991-2020年长乐区胃癌发病率在小于45 岁、45-54 岁、55-64 岁、 65-74 岁和大于75岁年龄组均呈下降趋势，其中45-54岁年龄组下降趋势最为显著；胃癌死亡率在小于45 岁、45-54 岁、55-64 岁和65-74 岁年龄组呈下降趋势，其中45-54岁年龄组下降趋势最为显著，大于75岁年龄组死亡率没有明显变化。1991-2020年期间，长乐区胃癌发病中位年龄延迟了7岁，死亡中位年龄延迟了13岁。［结论］1991-2020年福建省长乐区胃癌防治取得显著成效，发病率和死亡率均呈下降趋势,但仍处于较高水平，需进一步开展具有针对性的防控措施 |
| 英文摘要: |
| Abstract:[Purpose] analyzed the trend of incidence and death of gastric cancer in Changle District, Fujian Province from 1991 to 2020.[Methods] According to the incidence and death data of gastric cancer in the tumor registration data from 1991 to 2020, the crude rate and age-standardized e rate by Chinese standard population of gastric cancer were calculated, the change trend of gastric cancer was analyzed by the Joinpoint linear regression model, and the annual percentage (APC) and the average annual percentage (AAPC) were calculated.[Results] From 1991 to 2020, the annual incidence of gastric cancer in Changle region was 62.28/105, the age-standardized incidence rate by Chinese standard population（ASIRC）was 55.71/105, the ASIRC decreased from 100.94/105 in 1991 to 26.45/105 in 2020, and the AAPCwas-4.34% (P <0.05); the annual mortality rate of gastric cancer was 50.58/105, the age-standardized mortality rate by Chinese standard population（ASMRC）was 44.35/105, the ASMRC decreased from 93.07/105 in 1991 to 20.03/105 in 2020, and the APC was-4.71% (P <0.05). From 1991 to 2020, the incidence of gastric cancer in Changle region decreased in younger than 45,45-54,55-64,65-74 and older than 75 age groups, with the most significant decrease in the 45-54 age group；mortality decreased in age younger than 45,45-54,55-64 and 65-74 age groups, with the most significant decrease in 45-54 age groups, with no significant change in mortality greater than 75 age group. Between 1991 and 2020, the median age of gastric cancer onset and death was delayed by 7 years and 13 years.[Conclusion] From 1991 to 2020, the prevention and control of gastric cancer in Changle District, Fujian Province, with the incidence and mortality decreasing, but they are still at a high level, so further targeted prevention and control measures are needed. |
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