| 缪伟刚,韩仁强,罗鹏飞.2015年江苏省肝癌流行现状及2006—2015年变化趋势分析[J].中国肿瘤,2021,30(3):211-217. |
| 2015年江苏省肝癌流行现状及2006—2015年变化趋势分析 |
| Incidence and Mortality of Liver Cancer in Jiangsu Province in 2015 and Its Trend from 2006 to 2015 |
| 中文关键词 修订日期：2020-04-20 |
| DOI：10.11735/j.issn.1004-0242.2021.03.A005 |
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| 中文关键词: 肝癌 发病率 死亡率 趋势 江苏 |
| 英文关键词:liver 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，H217018）； |
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| 中文摘要: |
| 摘 要：［目的］ 分析江苏省2015年肝癌发病与死亡现状及2006—2015年变化趋势。［方法］收集整理江苏省经质量控制合格的的35个肿瘤登记处的2015年肿瘤登记资料，按性别、城乡和年龄组分层计算肝癌发病率和死亡率，并结合2015年江苏省相应分组的户籍人口资料，推算全省2015年肝癌的发病（死亡）数，以及全省肝癌的发病（死亡）率、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）、0~74岁累积发病（死亡）率及其在全部恶性肿瘤发病（死亡）中的构成和顺位等。汇总和整理全省各登记处2006—2015年肿瘤登记资料，应用Joinpoint软件，计算肝癌10年间的发病（死亡）中标率的平均年度变化百分比（AAPC）。中标率和世标率分别采用2000年中国人口普查标准人口构成和Segi’s世界标准人口年龄构成进行标化。［结果］ 江苏省2015年估计新发肝癌病例21 851例，约占全部恶性肿瘤发病构成的9.38%，位居恶性肿瘤发病顺位第4位。2015年江苏省肝癌发病率为28.68/10万，发病中标率为17.09/10万，发病世标率为16.78/10万，0~74岁累积发病率为1.94%。2015年江苏省估计肝癌死亡病例20 128例，约占全部恶性肿瘤死亡构成的12.95%，位居恶性肿瘤死亡顺位第4位。肝癌死亡率为26.42/10万，死亡中标率为15.52/10万，死亡世标率为15.24/10万，0~74岁累积死亡率为1.75%。2006—2015年江苏省肝癌发病中标率和死亡中标率均呈明显下降趋势，其AAPC分别为-5.30%(95%CI：-6.34%~-4.25%)和-5.72%(95%CI：-6.85%~ -4.58%)。分城乡统计，无论男、女性，10年间城市地区的肝癌发病中标率和死亡中标率均无明显下降趋势；而农村地区呈显著下降趋势。［结论］ 江苏省肝癌的整体发病、死亡水平呈下降趋势，但仍是江苏居民中最常见的恶性肿瘤之一，相关防控工作仍需进一步加强。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality of liver cancer in Jiangsu province in 2005 and the trends from 2006 to 2015. ［Methods］ Stratified by gender，age and areas(urban and rural)，the liver cancer data for 2015 were collected from 35 qualified cancer registries in Jiangsu province. Using the census population data of Jiangsu province in 2015，the new cancer cases and deaths were estimated，the crude incidence/mortality rate，age-specific rate，age-standardized rate，the cumulative rate(0~74 age years old)，the proportions of liver cancer and the rank in 2015 were calculated. Joinpoint regression was performed to calculate the average annual percentage changes(AAPC) of incidence and mortality rates from 2006 to 2015. Chinese population census in 2000 and Segi’s population were used to calculate age-standardized rate. ［Results］ There were 21 851 new liver cancer cases diagnosed in 2015，accounting for 9.38% of all cancer incidence ranking the forth. The crude incidence of liver cancer，the age-standardized incidence rates by Chinese standard population(ASIRC) and world standard population(ASIRW)，and cumulative incidence rate（0~74 years old）were 28.68/105，17.09/105，16.78/105 and 1.94%，respectively in Jiangsu，2015. A total of 20 128 liver cancer deaths were reported in 2015 in Jiangsu，accounting for 12.95% of all cancer deaths ranking the forth. Crude mortality of liver cancer，age-standardized mortality rates based on the Chinese standard population(ASMRC) and world standard population(ASMRW)，and cumulative mortality rate（0~74 years old）were 26.42/105，15.52/105，15.24/105 and 1.75%，respectively. The trends of ASIRC and ASMRC of liver cancer in Jiangsu decreased significantly during 2006—2015，with an AAPC of -5.3%(95%CI：-6.34%~-4.25%) and -5.72%(95%CI：-6.85%~ -4.58%)，respectively. For both genders there was no significant downward trend in the incidence and mortality of liver cancer in urban areas，while there was a significant downward trend in the rural areas. ［Conclusion］ Although the incidence and mortality of liver cancer displayed considerably declining tendencies，liver cancer is still one of the most common malignant tumors in Jiangsu. Relevant prevention and control work still need to be further strengthened. |
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