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| 山东省肥城市2003-2020年胃癌发病与死亡趋势分析 |
| Analysis of Incidence and Mortality Trends of Gastric Cancer in Feicheng, Shangdong Province 2003-2020 |
| 投稿时间：2025-12-18 修订日期：2026-03-21 |
| DOI： |
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| 中文关键词: 胃癌 发病率 死亡率 趋势 |
| 英文关键词:Gastric cancer Incidence Mortality Trends |
| 基金项目:十四五国家重点研发计划课题基于健康预期寿命及其价值的健康干预策略研究（课题号：2022YFC3600805）；医防协同框架下重点癌症“防治管康”一体化管理模式的构建与实践研究( 课题号YGK2024005) |
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| 中文摘要: |
| 摘要:[目的]分析2003-2020年肥城市胃癌发病、死亡情况及变化趋势，为胃癌防治策略制定提供参考。[方法]依据国家癌症中心制定的数据质量标准，汇总分析肥城市肿瘤登记处的2003-2020年胃癌发病、死亡情况并计算胃癌的粗发病/死亡率、中标发病/死亡率。应用Joinpoint回归分析其变化趋势，并计算平均年度变化百分比(AAPC)。[结果] 2003-2020年，肥城市胃癌新发病例8538例，占全部恶性肿瘤发病的16.14%；死亡病例6458例，占全部恶性肿瘤死亡的17.53%。粗发病率和死亡率分别为标化发病率和死亡率分别为37.03/10万、28.54/10万，分性别的发病比和死亡比分别为2.84和2.79。趋势分析显示：胃癌发病率总体变化平稳(AAPC:-0.984,P>0.05),死亡率则呈下降趋势(AAPC:-2.346,P<0.05)。[结论] 2003—2020年肥城市胃癌发病率总体平稳，死亡率呈下降趋势，但总体疾病负担仍较重。应重点加强对男性和中老年人群的胃癌筛查与早诊早治。 |
| 英文摘要: |
| Abstract:[Objective] To analyze the incidence and mortality trends of gastric cancer in Feicheng City, from 2003 to 2020, and to provide evidence for early diagnosis and treatment strategies.[Methods] Data on gastric cancer incidence and mortality from Feicheng Cancer Registry(2003-2020) were collated and analyzed based on quality control criteria from the National Cancer Center of China. Crude and age-standardized incidence and mortality rates were calculated. Joinpoint regression analysis was performed to assess trends with the average annual percentage change(AAPC) and corresponding P-values reported. [Results] From 2003 to 2020,8538 new gastric cancer cases were reported in Feicheng City, accounting for 16.14% of all malignant tumors；6,458 deaths were reported, accounting for 17.53% of all cancer-related deaths. The age-standardized incidence and mortality rates were 37.03/100,000 and 28.54/100,000. Incidence ratio and mortality ratio between males and females were 2.84 and 2.79. Trend analysis showed that the incidence rate remained stable (AAPC: -0.984, P > 0.05), while the mortality rate showed a significant downward trend (AAPC: -2.346, P < 0.05).[Conclusion] From 2003 to 2020, the incidence of gastric cancer in Feicheng City remained generally stable, while the mortality rate declined. However, the overall disease burden remains high. More attention should be paid to early screening and diagnosis, especially among males and middle-aged and elderly populations. |
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