| 李 莹,章 剑,朱爱萍.2012—2013年江苏省江阴市新发恶性肿瘤生存率分析[J].中国肿瘤,2020,29(4):241-245. |
| 2012—2013年江苏省江阴市新发恶性肿瘤生存率分析 |
| Survival Rate of Patients Newly Diagnosed with Malignant Cancers in Jiangyin City from 2012 to 2013 |
| 中文关键词 修订日期：2019-12-20 |
| DOI：10.11735/j.issn.1004-0242.2020.04.A001 |
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| 中文关键词: 恶性肿瘤 发病 观察生存率 相对生存率 江苏 |
| 英文关键词:cancer incidence observed survival rate relative survival rate Jiangsu |
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| 中文摘要: |
| 摘 要：［目的］ 分析2012—2013年江苏省江阴市居民新发恶性肿瘤患者的生存率情况，为恶性肿瘤的防治提供科学依据。［方法］ 收集江阴市恶性肿瘤登记系统2012年1月1日至2013年12月31日新发恶性肿瘤患者资料和随访资料，随访截止日期为2018年12月31日；采用寿命表法和Ederer Ⅱ法计算各肿瘤的观察生存率（observed survival rate，OSR）和期望生存率，相对生存率（relative survival rate ，RSR）是OSR与期望生存率之比；不同性别、年龄组间生存率比较采用Log-rank检验。［结果］ 2012—2013年江阴市登记恶性肿瘤新发病例合计7611例，平均粗发病率为313.78/10万，中标率为179.18/10万，5年OSR为32.22%，5年RSR为56.44%，5年RSR最低的为胰腺癌（9.63%），其次为肝癌（21.41%）、肺癌（27.51%）、食管癌（41.99%），5年RSR最高的为甲状腺癌（112.54%）。男性恶性肿瘤5年OSR和5年RSR均低于女性，差异有统计学意义（χ2=185.303，P<0.05）；男、女性5年生存率最低的均为胰腺癌，最高的分别为前列腺癌和甲状腺癌。不同年龄组之间比较，江阴市全部恶性肿瘤及发病前十位的癌种5年OSR差异均有统计学意义（P＜0.05）；全部恶性肿瘤5年OSR随着年龄的增加而呈下降趋势，差异有统计学意义（χ2趋势=693.181，P＜0.05）。［结论］ 江阴市2012—2013年新发恶性肿瘤中胰腺癌、肝癌、肺癌、食管癌患者生存状况较差，甲状腺癌、男性前列腺癌和女性乳腺癌生存状况较好，男性恶性肿瘤总体生存率明显低于女性，5年生存率随年龄增加而下降。 |
| 英文摘要: |
| Abstract：［Purpose］To analyze the survival rate of patients newly diagnosed with malignant cancers in Jiangyin City from 2012 to 2013.［Methods］The data of patients newly diagnosed with malignant cancers from Jiangyin Cancer Registry during January 2012 to December 2013 were collected and followed-up till December 2018. Observed survival rate(OSR) and expected survival rate were calculated by the Life-table program and Ederer Ⅱ method. The relative survival rate(RSR) was equal to OSR divided by expected survival rate. Log-rank test was used to compare the survival rates among different age groups and genders.［Results］Totally 7611 cases of malignant cancers were registered in Jiangyin City from 2012 to 2013，with an average crude incidence of 313.78/105 and the age-standardized incidence rate by Chinese population of 179.18/105. The 5-year OSR was 32.22%，whereas the 5-year RSR was 56.44%. Pancreatic cancer had the lowest 5-year RSR of 9.63%，followed by liver cancer(21.41%)，lung cancer(27.51%) and esophageal cancer(41.99%). Thyroid cancer had the highest 5-year RSR of 112.54%. The 5-year OSR and 5-year RSR in males were significantly lower than those in females(χ2=185.303，P<0.05). Pancreatic cancer had the lowest 5-year RSR both in males and females，whereas the highest 5-year RSR were prostate cancer and thyroid cancer. There were significant differences in overall 5-year OSR of cancer and the OSR of top 10 cancers among different age groups(P<0.05). The overall 5-year OSR of all malignant cancers were decreased significantly with the increasing age(χ2trend =693.181，P<0.05).［Conclusion］The patients with pancreatic cancer，liver cancer，lung cancer and esophageal cancer have lower survival rate in Jiangyin City from 2012 to 2013. Thyroid cancer and male prostate cancer and female breast cancer have better survival rate. The overall survival rate of male malignancies is significantly lower than that of female，and the overall 5-year OSR of malignant cancers are decreased significantly with the increasing age. |
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