周 琴.广东省广州市2010~2013年结直肠癌疾病负担分析[J].中国肿瘤,2017,26(12):948-952.
广东省广州市2010~2013年结直肠癌疾病负担分析
Disease Burden of Colorectal Cancer in Guangzhou,2010~2013
投稿时间:2017-01-22  
DOI:10.11735/j.issn.1004-0242.2017.12.A005
中文关键词:  结直肠肿瘤  发病率  死亡率  伤残调整寿命年  疾病负担  广东
英文关键词:colorectal neoplasms  incidence  mortality  disability adjusted life years  burden of disease  Guangdong
基金项目:广东省自然科学基金(2016A030313504)
作者单位
周 琴 广州市疾病预防控制中心 
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中文摘要:
      摘 要:[目的] 分析广州市户籍人群2010~2013年结直肠癌的疾病负担。[方法] 2010~2013年广州市户籍人群结直肠癌发病资料来源于广州市肿瘤登记系统,死亡资料来源于广州市死因监测系统。ICD-10编码范围为C18~C20。本文采用伤残调整寿命年(DALY)、过早死亡损失寿命年(YLL)和伤残损失健康寿命年(YLD)对广州市户籍人群进行2010~2013年结直肠癌的疾病负担分析。[结果] 广州市2010~2013年户籍人群结直肠癌新发病例数为11 235例,发病世标率为23.16/10万(男性和女性分别为27.10/10万和19.58/10万);死亡4807例,死亡世标率为9.23/10万(男性和女性分别为11.18/10万和7.45/10万)。广州市户籍人群2010~2013年因结直肠癌造成的DALY、YLL和YLD分别是2.33/千人、1.69/千人和0.64/千人。男性均高于女性。YLL是DALY的主要构成部分,占72.53%。与2010年相比,2013年发病世标率、死亡世标率、DALY和YLL均有所上升。[结论] 广州市户籍人群2010~2013年结直肠癌发病率较高,发病率和死亡率均有逐年增加的趋势,DALY高于全国水平,疾病负担严峻,需要大力开展健康教育,促进居民养成健康的生活方式,同时进一步提高医疗诊治水平,从而降低由伤残和早死导致的疾病负担。
英文摘要:
      Abstract:[Purpose] To analyze the disease burden of colorectal cancer in Guangzhou between 2010 and 2013. [Methods] Colorectal cancer cases were collected from the Guangzhou Cancer Registry System. Death cases were from the biostatics system. ICD-10 codes of the cases ranged from C18 to C20.The disability-adjusted life years(DALY),years of life lost due to premature mortality(YLL),years lived with disability(YLD) of colorectal cancer were used for analysis of the disease burden. [Results] There were 11235 new cases and 4807 death cases of colorectal cancer during 2010~2013 in Guangzhou. The world standardized incidence was 23.16/105(27.10/105 in male and 19.58/105 in female),and the world standardized mortality was 9.23/105(11.18/105 in male and 7.45/105 in female). The DALY,YLL and YLD due to colorectal cancer were 2.33/103, 1.69/103 and 0.64/103,respectively. All indicators of colorectal cancer in male were higher than those in female. YLL was the main component of DALY,accounting for 72.53%. Comparing to 2010,the world standardized incidence,the world standardized mortality,DALY and YLL were increased in 2013.[Conclusion] The incidence of colorectal cancer is in high level in Guangzhou,2010~2013. The incidence and mortality are increasing yearly. The DALY due to colorectal cancer is higher than the national level in Guangzhou.
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