中国肿瘤杂志

快速检索			高级检索

2020年湖北省肺癌流行特征及2012-2020年变化趋势分析

Analysis of the Epidemic Characteristics of Lung Cancer in 2020 and the Trend from 2012 to 2020 in Hubei Province

投稿时间：2025-01-09 修订日期：2025-03-05

DOI：

中文关键词: 肺癌发病率死亡率趋势分析湖北

英文关键词:lung cancer incidence mortality trend analysis Hubei

基金项目:

作者	单位	邮编
秦宇	湖北省肿瘤医院湖北省肿瘤登记中心	430079
姚霜	湖北省肿瘤医院湖北省肿瘤登记中心	430079
庹吉妤	湖北省肿瘤医院湖北省肿瘤登记中心	430079
夏雅芬	湖北省肿瘤医院湖北省肿瘤登记中心	430079
张敏^*	湖北省肿瘤医院湖北省肿瘤登记中心	430079

摘要点击次数: 0

全文下载次数: 0

中文摘要:

摘要[目的]分析湖北省肿瘤登记地区2020年肺癌发病与死亡情况及2012-2020年的变化趋势。[方法]利用湖北省29个肿瘤登记处上报且质控合格的肺癌发病与死亡资料，估计2020年湖北省肺癌的城乡、性别、年龄别肺癌的发病和死亡例数、发病率和死亡率（粗率、中标率、世标率）及其构成比、0-74岁累计率等指标。分析2012-2020年湖北省肿瘤登记地区肺癌发病率和死亡率的变化趋势和中标发病率和死亡率的年度变化百分比（APC）及其95%置信区间（CI）。[结果]2020年湖北省预计新发肺癌病例数为41531例，占全省所有新发恶性肿瘤病例的23.17%，发病率为72.13/10万，中标发病率和世标发病率分别为38.19/10万、42.75/10万，0-74岁累积发病率为4.82%。2020年湖北省预计肺癌死亡病例数为31374例，占全部恶性肿瘤死亡病例的29.52%。死亡率为54.49/10万，中标率和世标率分别为27.66/10万和31.95/10万，0-74岁累积死亡率为3.36%。肺癌发病率呈现城市地区高于农村地区、男性高于女性的态势。肺癌发病率和死亡率均随着年龄的增长而升高，分别在75~岁和80-85岁达到高峰。2012-2020年，湖北省肺癌发病粗率和死亡粗率总体趋势较为平稳，中标发病率分别在2012-2018和2018-2020年间出现缓慢下降（APC=-1.76%，95%CI：-3.30%~1.03%）和上升（APC=3.33%，95%CI：0.61%~5.02%）的趋势，而中标死亡率在2016-2020年间呈现显著下降趋势（APC=-3.00%，95%CI：-6.58%~-1.13%）。[结论]湖北省肺癌发病与死亡水平均较高，疾病负担较重，且未出现显著下降趋势，后续应持续加强肺癌综合防治，大力推动目标人群特别是农村地区的肺癌筛查与早诊早治工作。

英文摘要:

Abstract [Purpose] To analyze the epidemiological characteristics of lung cancer in 2020 and the trend from 2012 to 2020 in Hubei Province. [Methods] Qualified lung cancer registry data reported by 29 tumor registries in Hubei Province was utilized to estimate the number of new lung cancer cases and deaths, incidence and mortality, constituent ratio, cumulative rate of 0-74 years old and other indicators of lung cancer in urban and rural areas, genders, age groups in 2020. We analyzed the trend, annual change percentage (APC) and 95% confidence interval (CI) of incidence and mortality of lung cancer in cancer registration areas of Hubei Province from 2012 to 2020. [Results] In 2020, the estimated number of new lung cancer cases in Hubei Province was 41531, accounting for 23.17% of all new cancer cases. The incidence was 72.13/105, with the ASIRC of 38.19/105 and ASIRW of 42.75/105 respectively. The cumulative incidence (0~74 years old) was 4.82%.The estimated number of lung cancer deaths in Hubei Province in 2020 was 31374, accounting for 29.52% of all cancer deaths. The mortality is 54.49/105, with the ASMRC of 27.66/105 and ASMRW of 31.95/105, respectively. The cumulative mortality (0~74 years old) was 3.36%.The incidence of lung cancer was higher in urban areas than it in rural areas, and higher in men than it in women. The incidence and mortality of lung cancer increase with age, and reaching the peak at 75~and 80-85 years old respectively. From 2012 to 2020, the overall trend of lung cancer crude incidence and mortality in Hubei Province was stable. The ASIRC showed a slow decline (APC=-1.76%, 95% CI: -3.30%~1.03%) in 2012-2018 and increase trend (APC=3.33%, 95% CI: 0.61%~5.02%) in 2018-2020, respectively, while ASMRC showed a significant decrease trend (APC=-3.00%, 95% CI: -6.58%~-1.13%) in 2016-2020. [Conclusion] The incidence and mortality levels of lung cancer in Hubei Province were relatively high, resulted in a heavy disease burden and no significant downward trend. In the future, we should continue to strengthen the comprehensive prevention and treatment of lung cancer, and promote lung cancer screening and early diagnosis and treatment for target populations vigorously, especially in rural areas.

在线阅读查看/发表评论下载PDF阅读器