| 许可葵,史百高,廖先珍.湖南省肿瘤登记地区2009~2012年恶性肿瘤发病及死亡资料分析[J].中国肿瘤,2016,25(4):241-250. |
| 湖南省肿瘤登记地区2009~2012年恶性肿瘤发病及死亡资料分析 |
| Incidence and Mortality of Cancer in the Registered Regions of Hunan Province，2009~2012 |
| 投稿时间：2015-12-22 |
| DOI：10.11735/j.issn.1004-0242.2016.04.A001 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 湖南省 |
| 英文关键词:cancer registration malignant tumor incidence mortality Hunan province |
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| 中文摘要: |
| 摘 要：［目的］ 了解湖南省2009~2012年肿瘤登记地区恶性肿瘤发病死亡情况，为肿瘤防治提供参考数据。［方法］ 对湖南省2009~2012年肿瘤登记地区恶性肿瘤发病死亡数据进行分析，计算主要肿瘤的发病率、死亡率、顺位、0～74岁累积率等指标，中标率的标准人口采用2000年中国人口普查的人口构成，世标率的标准人口使用的是Segi’s世界人口构成。［结果］ 2009~2012年湖南省6个肿瘤登记点人口人年数1 011.3867万人年，共收集新发病例19 695例，死亡病例12 466例。病理诊断率72.16%，只有死亡证明书比例3.20%，死亡发病比为0.63。全省恶性肿瘤发病率为194.73/10万，中标率为153.62/10万，世标率为149.26/10万，0～74岁累积率为17.37%。城市地区恶性肿瘤发病率为198.22/10万，而农村为193.36/10万(χ2=0.06，P＞0.05)，城市农村粗发病率比较无统计学差异，但标化率城市高于农村。男性恶性肿瘤发病率为219.18/10万，而女性为168.60/10万(χ2=6.46，P＜0.05)。男性发病前5位的是肺癌、肝癌、胃癌、结直肠肛门癌、鼻咽癌；女性发病前5位的是肺癌、乳腺癌、宫颈癌、肝癌、结直肠肛门癌。2009~2012年湖南省肿瘤登记地区居民恶性肿瘤死亡率为123.26/10万，中标率为95.10/10万，世标率为92.84/10万，0～74 岁累积率为10.97%。城市地区恶性肿瘤死亡率为121.78/10万，农村为123.84/10万，城市死亡率和农村比较相差不大(χ2=0.02，P＞0.05)，但中标率和世标率城市高于农村。男性恶性肿瘤死亡率为154.11/10万，高于女性的90.28/10万(χ2=16.81，P＜0.01）。男性死亡率前5位为肺癌、肝癌、胃癌、结直肠癌、鼻咽癌，女性死亡前5位为肺癌、肝癌、胃癌、乳腺癌、结直肠肛门癌。［结论］ 肺癌、肝癌、胃癌、结直肠肛门癌、鼻咽癌及女性乳腺癌、宫颈癌等是湖南省发病率、死亡率较高的恶性肿瘤，应作为湖南省恶性肿瘤防治的主要癌种。 |
| 英文摘要: |
| Abstract：［Purpose］ To estimate cancer incidence and mortality in the registered regions of Hunan in 2009~2012. ［Methods］ The cancer registration information of 2009~2012 from Hunan province’s local cancer registries were analyzed. Incidence/mortality rates，sequence，cumulative incidence/mortality rates (0~74 age years old) were descriptively calculated. The China 2000 Population Census data and Segi’s world population data were used for calculating the age-standardized cancer incidence/mortality. ［Results］ Data were obtained from 6 cancer registries in Hunan province covering person-years population 1 011.3867 ten thousand people. The estimates of new cancer cases and cancer deaths were 19 659 and 12 466 in 2009~2012，respectively. The percentage of morphologically verified cases (MV%) was 72.16%，3.20% of cases were identified through proportion of death certification only (DCO%)，and the mortality to incidence ratio of (M/I) 0.63. The cancer incidence in Hunan province was 194.73/105，the age-standardized incidence rates by Chinese standard population (ASR China) and by world standard population (ASR world) were 153.62/105 and 149.26/105，and the cumulative incidence rate (0~74 age years old) was 17.37%. The cancer incidence was 198.22/105 in urban areas and 193.36/105 in rural areas. Difference between urban and rural crude incidence was not statistically significant (χ2=0.06，P＞0.05)，but age-standardized incidence of urban was higher than that in rural areas. The cancer incidence in male was higher than that in female (219.18/105 vs 168.60/105，χ2=6.46，P＜0.05). The most common cancers in male were lung cancer，liver cancer，gastric cancer，colorectal cancer，and nasopharyngeal carcinoma，while in female were lung cancer，breast cancer，cervical cancer，liver cancer，and colorectal cancer. The cancer mortality of cancer registries in Hunan in 2009~2012 was 123.26/105，the age-standardized mortalities by Chinese standard population and by world standard population were 95.10/105 and 92.84/105 respectively，and the cumulative mortality rate (0~74 age years old) was 10.97%. Difference crude incidence between urban and rural areas was not statistically significant(χ2=0.02，P＞0.05)，but age-standardized mortality rates of urban was higher than that in rural areas. Cancer mortality in male was higher than that in female (154.11/105 vs 90.28/105，χ2=16.81，P＜0.01). The most common causes of death from cancer in male were lung cancer，liver cancer，gastric cancer，colorectal cancer and nasopharyngeal carcinoma，while in female were lung cancer，liver cancer，gastric cancer，breast cancer and colorectal cancer. ［Conclusion］ Lung cancer，liver cancer，gastric cancer，colorectal cancer，nasopharyngeal carcinoma，female breast cancer and cervical cancer are the major cancers threatening the health of the resident in the cancer registry areas of Hunan. Given the increasing cancer burden in 2009~2012，it should strengthen cancer prevention and control in Hunan province. |
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