骆文书,姚杏娟,吉俊敏.2015年江苏省膀胱癌发病与死亡及2006—2015年变化趋势分析[J].中国肿瘤,2021,30(2):112-118.
2015年江苏省膀胱癌发病与死亡及2006—2015年变化趋势分析
Incidence,Mortality of Bladder Cancer in 2015 and Trend of Changes from 2006 to 2015 in Jiangsu Province
中文关键词  修订日期:2020-04-10
DOI:10.11735/j.issn.1004-0242.2021.02.A002
中文关键词:  膀胱癌  发病率  死亡率  趋势  江苏
英文关键词:bladder cancer  incidence  mortality  trend  Jiangsu
基金项目:国家重点研发计划(2016YFC1302603);江苏省卫生计生委医学科研课题(H2017017);江苏省卫生计生委预防医学科研课题(Y2015058)
作者单位
骆文书 常州市疾病预防控制中心 
姚杏娟 常州市疾病预防控制中心 
吉俊敏 常州市疾病预防控制中心 
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中文摘要:
      摘 要:[目的] 分析江苏省2015年膀胱癌发病、死亡流行现状及2006—2015年变化趋势。[方法] 利用江苏省疾病预防控制中心收集并质控合格的35个登记处的2015年肿瘤登记资料,结合全省户籍人口数据,估算全省膀胱癌的发病数和死亡数,按城乡、性别、年龄组分层,计算膀胱癌发病(死亡)率以及相应的年龄别发病(死亡)率、中国人口标化率(中标率)、世界人口标化率(世标率)、累积发病(死亡)率(0~74岁)及其在全部恶性肿瘤中的构成和顺位等指标。中标率和世标率分别采用2000年全国人口普查的标准人口构成和Segi’s世界标准人口构成进行推算。汇总和分析江苏省2006—2015年肿瘤登记资料,利用Joinpoint软件分析膀胱癌中标发病(死亡)率的平均年度变化百分比(AAPC)。[结果] 估计江苏省2015年新发膀胱癌病例4526例,占全部恶性肿瘤发病的1.94%,位居恶性肿瘤发病顺位第14位。膀胱癌发病率为5.94/10万,中标发病率为3.22/10万。估计江苏省2015年因膀胱癌死亡病例1934例,占全部恶性肿瘤死亡的1.24%,位居恶性肿瘤死亡顺位第13位。膀胱癌死亡率为2.54/10万,中标死亡率为1.15/10万。2006—2015年,江苏省膀胱癌总体中标发病率以年均1.1%的幅度明显上升;但分城乡、性别统计,膀胱癌中标发病率的变化趋势均不明显。10年间全省整体、城乡和不同性别人群膀胱癌中标死亡率均无显著下降趋势(P>0.05)。[结论] 江苏省膀胱癌的发病率呈逐年升高趋势,应针对其主要危险因素,采取综合防治措施,降低其疾病负担。
英文摘要:
      Abstract:[Purpose] To analyze the incidence and mortality of bladder cancer in 2015 and the trend of changes from 2006 to 2015 in Jiangsu province. [Methods] The data from 35 qualified cancer registries in Jiangsu province were collected and reviewed. Based on the household registration data of Jiangsu province in 2015,the number of new cases and deaths of bladder cancer were estimated. The data were stratified by area,gender or age groups. The crude incidence/mortality rates of bladder cancer,age-specific incidence/mortality rates,age-standardized incidence/mortality rates by Chinese population census in 2000(ASIRC,ASMRC) and world Segi’s standard population(ASIRW,ASMRW),cumulative incidence/mortality rates(0~74 years),the ratio and ranking for bladder cancer were calculated. The Joinpoint software was used to calculate the average annual percentage changes(AAPC) of ASIRC,ASIRW and ASMRC,ASMRW with 95% CI from 2006 to 2015. [Results] In 2015,there were 4526 new bladder cancer cases in Jiangsu province,accounting for 1.94% of all cancer incidences and ranking the 14th of cancer incidence. The crude incidence of bladder cancer was 5.94/105,and ASIRC was 3.22/105. It was estimated that 1934 cases died of bladder cancer in 2015,accounting for 1.24% of all cancer deaths and ranking the 13th in cancer mortality. The crude mortality of bladder cancer was 2.54/105,and ASMRC was 1.15/105. The overall ASIRC significantly increased from 2006 to 2015 in Jiangsu,with an AAPC of 1.1%(P<0.001);but when stratified by areas and gender the upward trend of ASIRC was not significant. During 2006 to 2015,the ASMRC showed a downward trend in the whole province(AAPC=
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