| 胡葵茹,周心玫,刘利群.2016年云南省宣威市肺癌疾病负担估算[J].中国肿瘤,2021,30(2):137-143. |
| 2016年云南省宣威市肺癌疾病负担估算 |
| Disease Burden of Lung Cancer in Xuanwei，2016 |
| 中文关键词 修订日期：2020-07-26 |
| DOI：10.11735/j.issn.1004-0242.2021.02.A006 |
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| 中文关键词: 肺癌 疾病负担 云南 |
| 英文关键词:lung cancer burden of disease Yunnan |
| 基金项目:国家重点研发计划项目（2016YFC1302602）；中国医学科学院医学与健康科技创新工程（2016?鄄I2M?鄄3?鄄001）；中华医学基金会项目（15?鄄208） |
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| 中文摘要: |
| 摘 要：［目的］ 描述云南省宣威市2016年肺癌所致的疾病负担。 ［方法］ 收集2016年宣威市人口及死因数据，并通过模型进行漏报校正。通过抽样的6个乡镇的肺癌患病数据，推算宣威市肺癌的患病人数。假定宣威的肺癌分期与全国一致，通过全球疾病负担 2017公布的数据估算中国肺癌的伤残权重（disability weights，DW）。计算不同性别、年龄别和地区肺癌死亡率、患病率、过早死亡损失寿命年（years of life lost，YLL）、伤残损失寿命年（years lived with disability，YLD）和伤残调整生命年（disability-adjusted life-years，DALY）。 ［结果］ 2016年宣威市肺癌死亡1521例，死亡率为99.42/10万，占总死亡的15.2%；患病4940例，患病率为322.98/10万。DALY值为4.10万人年，其中YLL 4.02万人年（98.06%），YLL率为2626人年/10万。高发区约为中发区的2.5倍，为低发区的4.9倍；YLD为793.93人年，YLD率为51.90人年/10万，其中高、中、低发区分别为111.86、45.68、21.15人年/10万。 ［结论］ 宣威市肺癌所致的疾病负担严重，远远高于全国平均水平。积极控制肺癌发病危险因素，重点推动无烟立法对降低宣威肺癌疾病负担十分重要。 |
| 英文摘要: |
| Abstract：［Purpose］ To estimate the disease burden of lung cancer in Xuanwei，Yunnan Province in 2016. ［Methods］ Data of population and cause of death from Xuanwei in 2016 were collected，and the underreporting mortality was adjusted with DisMod Ⅱ model. The prevalence of lung cancer in Xuanwei was estimated by sampling from 6 townships. Assuming the proportion of different lung cancer stages in Xuanwei was consistent with that of the national level，disability weights(DW) value of lung cancer was estimated through the data published by the Global Burden of Disease in 2017. The mortality，prevalence，years of life lost(YLL)，years lived with disability(YLD) and disability-adjusted life-years(DALY) of lung cancer by different genders，ages and regions were calculated. ［Results］ In 2016，there were 1521 deaths of lung cancer in Xuanwei，with a mortality rate of 99.42/105，accounting for 15.2% of the total deaths；4940 cases were affected，with a prevalence of 322.98/105. The DALY value was 41 000 person-years，of which YLL was 40 200 person-years(98.06%)，and the YLL rate was 2626/105. The high-risk area was about 2.5 times that of the middle-risk area and 4.9 times that of the low-risk area；YLD was 793.93 person-years，and the YLD rate was 51.90/105. Among them，the YLD in high-risk，middle-risk and low-risk areas were 111.86/105，45.68/105 and 21.15/105，respectively.［Conclusion］ The disease burden of lung cancer in Xuanwei is more serious than the national average. Active control of the risk factors of lung cancer by focusing on promoting smoke-free legislation is essential to reduce the burden of lung cancer in Xuanwei. |
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