韩仁强,周金意,郑荣寿.2014年中国脑瘤发病与死亡分析[J].中国肿瘤,2019,28(3):161-166.
2014年中国脑瘤发病与死亡分析
Incidence and Mortality of Brain Tumor in China,2014
投稿时间:2018-09-10  
DOI:10.11735/j.issn.1004-0242.2019.03.A001
中文关键词:  脑瘤  发病率  死亡率  肿瘤登记  中国
英文关键词:brain tumor  incidence  mortality  caner registry  China
基金项目:中国医学科学院医学与健康科技创新工程(2016-12M-2-004);科技部基础工作专项(2014FY121100);江苏省卫生计生委医学科研课题(H2017017)
作者单位
韩仁强 江苏省疾病预防控制中心 
周金意 江苏省疾病预防控制中心 
郑荣寿 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院 
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中文摘要:
      摘 要:[目的] 分析2014年中国脑瘤发病和死亡情况。[方法] 按全国肿瘤登记中心制定的质控方法和评价标准,对2017年449个肿瘤登记处上报的2014年肿瘤登记资料进行评估,确定339个登记处数据符合入选标准,可汇总为全国肿瘤登记分析数据源。将其中脑瘤数据按城乡、性别和年龄组的发病率和死亡率分层,并结合2014年全国人口资料,估计全国脑瘤的发病和死亡情况。分别采用2000年中国普查标准人口年龄构成和Segi ’s世界标准人口年龄构成计算中国人口标化率(简称中标率)和世界人口标化率(简称世标率)。 [结果] 2014年,全国339个肿瘤登记处覆盖人口共288 243 347人(城市144 061 915人,农村144 181 432人)。脑瘤死亡/发病比为0.56,病理组织学诊断比例为48.45%,只有死亡医学证明书比例为2.66%。估计全国脑瘤新发病例10.12万例,发病率为7.40/10万,中标率为5.63/10万,世标率5.55/10万,0~74岁累积发病率为0.58%。城市地区脑瘤发病率为7.73/10万,中标率为5.64/10万;农村地区脑瘤发病率为7.00/10万,中标率为5.63/10万。估计全国脑瘤死亡病例5.63万例,死亡率为4.11/10万,中标率为2.97/10万,世标率2.98/10万,0~74岁累积死亡率为0.31%。城市地区脑瘤死亡率为4.09/10万,中标率为2.80/10万;农村地区脑瘤死亡率为4.14/10万,中标率为3.19/10万。[结论] 脑瘤是我国常见癌种之一,其疾病负担呈逐年加重趋势,应加强脑瘤的预防、控制和研究工作。
英文摘要:
      Abstract:[Purpose] To estimate the incidence and mortality of brain tumor in China in 2014. [Methods] On the basis of the method and criteria of data quality control from the National Center for Cancer Registry,data in 2014 from 449 cancer registries in China were evaluated. Eligible data from 339 registries were accepted for the pooled analysis. Stratified by areas(urban/rural),gender and age groups,incidence and mortality of brain tumor were calculated. Combined with national population data of 2014,the incidence and mortality of brain tumor in China were estimated. Chinese population census in 2000 and world Segi’s standard population were used for age-standardized incidence/mortality rates. [Results] The 339 cancer registries covered a population of 288 243 347(144 061 915 in urban,144 181 432 in rural). The brain tumor mortality to incidence ratio was 0.56. The proportion of morphological verification and proportion of death certification only were 48.45% and 2.66%,respectively. The estimates number of new cases of brain tumor were about 101 200 in China in 2014,with a crude incidence rate of 7.40/105. The age-standardized incidence rate by Chinese standard population(ASRC) and world Segi’s standard population(ASRW) of brain tumor were 5.63/105 and 5.55/105,respectively. Cumulative incidence rate (0~74 years old) of brain tumor in China was 0.58%. The crude and ASRC incidence rates in urban areas were 7.73/105 and 5.64/105,respectively,whereas those were 7.00/105 and 5.63/105 in rural areas. The estimates of brain tumor deaths were about 56 300 in China in 2014,with a crude mortality rate of 4.11/105. The ASRC and ASRW mortality rates were 2.97/105 and 2.98/105,respectively,with a cumulative mortality rate(0~74 years old) of 0.31%. The crude and ASRC mortality rates were 4.09/105 and 2.80/105 in urban areas,respectively,whereas those were 4.14/105 and 3.19/105 in rural areas. [Conclusion] With gradually increasing disease burden,brain tumor is one of the most common cancer in China. Based on the practical situation,effective prevention,control and research strategy should be implemented.
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