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| 扬中市2006 - 2020年主要恶性肿瘤发病与死亡趋势分析 |
| Trends in Incidence and Mortality of the Five Major Cancer Types in Yangzhong City, Jiangsu Province, China from 2006 to 2020 |
| 投稿时间：2025-09-15 修订日期：2025-11-26 |
| DOI： |
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| 中文关键词: 扬中市 高发区 肿瘤 发病率 死亡率 |
| 英文关键词:Yangzhong City High-incidence area Cancer Incidence rate Mortality rate |
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| 摘要点击次数: 52 |
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| 中文摘要: |
| [目的] 本研究旨在了解2020年扬中市主要恶性肿瘤的发病率和死亡率，并评估2006至2020年的变化趋势。[方法] 收集2006-2020年扬中市肿瘤登记处的肿瘤登记数据，计算粗发病率/死亡率以及采用世界Segi标准人口标化的年龄标化发病率/死亡率（Age-Standardized Incidence Rate by the World Segi’s standard population, ASIRW/Age-Standardized Mortality Rate by by the World Segi’s standard population, ASMRW）。通过Joinpoint回归模型评估主要恶性肿瘤的ASIRW和ASMRW的长期趋势，并以年度变化百分比（Annual Percent Change, APC）和平均年度变化百分比（Average Annual Percent Change, AAPC）表示。[结果]2020年扬中市报告新增肿瘤病例1264例，肿瘤死亡879例。粗发病率为451.27/10万，ASIRW为187.52/10万；粗死亡率为313.82/10万，ASMRW为114.03/10万。胃癌（C16）、食管癌（C15）、肺癌（C33-34）、结直肠癌（C18-21）和肝癌（C22）是排名前5位的常见恶性肿瘤，占新发恶性肿瘤73.42%和死亡恶性肿瘤79.75%。2006-2020年，所有恶性肿瘤的年度ASIRW和ASMRW的AAPC分别为-2.54%和-3.70%（均P<0.05）。胃癌、食管癌和肝癌的ASIRW及ASMRW均显著下降（均P<0.05）；相反，肺癌的ASIRW显著上升（P<0.05）。[结论] 本研究表明，扬中市胃癌、食管癌和肝癌的疾病负担呈下降趋势，而肺癌的疾病负担呈上升趋势。未来应加强对肿瘤风险因素的识别和肿瘤负担的减轻工作。 |
| 英文摘要: |
| [Objective]? This research aims to investigate the incidence and mortality of the main types of cancer in Yangzhong City in 2020 and estimate the changing trends from 2006 to 2020.?[Methods] The cancer data from 2006 to 2020 were collected from the cancer registries in Jiangsu Province. The crude and age-standardized incidence/mortality rates by the?World Segi’s standard population?(ASIRW/ASMRW) were calculated. The long-term trends of ASIRW and ASMRW for five main types of cancer were estimated by the Joinpoint regression model and characterized by annual percent changes (APC) and average annual percent changes (AAPC).?[Results]??In Yangzhong City, 1,264 newly diagnosed cancer cases and 879 cancer deaths were reported in 2020. The crude incidence rate and ASIRW were 451.27/105 and 187.52/105, respectively. The crude mortality rate and ASMRW was 313.82/105 and 114.03/105, respectively. Cancers of the stomach (C16), esophageal (C15), lung(C33-34), colorectal(C18-21), and liver(C22) were the top 5 common cancers; they totally accounted for 73.42% of all new cancer cases and 79.75% of all cancer deaths. From 2006 to 2020, the AAPC of annual ASIRW and ASMRW for all cancers was -2.54% and -3.70% (all P<0.05), respectively. The ASIRW?and ASMRW for stomach,?esophageal, and liver cancer declined significantly (all P<0.05). In contrast, the ASIRW increased significantly for lung cancer (P<0.05). [Conclusions]?This study showed a decreasing burden of stomach, esophageal, and liver cancer in Yangzhong City but an increasing burden of lung cancer. Future efforts to identify cancer risk factors and reduce cancer burden should be strengthened. |
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