| 丁璐璐,朱 健,张永辉.1972—2016年江苏省启东市女性生殖系统主要恶性肿瘤死亡趋势分析[J].中国肿瘤,2021,30(4):274-279. |
| 1972—2016年江苏省启东市女性生殖系统主要恶性肿瘤死亡趋势分析 |
| Mortality Trend of Female Reproductive System Cancer from 1972 to 2016 in Qidong City，Jiangsu Province |
| 中文关键词 修订日期：2020-06-16 |
| DOI：10.11735/j.issn.1004-0242.2021.04.A005 |
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| 中文关键词: 宫颈癌 卵巢癌 死亡率 趋势分析 江苏 |
| 英文关键词:cervical cancer ovarian cancer mortality trends analysis Jiangsu |
| 基金项目: |
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| 中文摘要: |
| 摘 要：［目的］ 分析江苏省启东市1972—2016年女性生殖系统主要恶性肿瘤死亡流行特征及趋势。［方法］ 根据启东市1972—2016年癌症死亡登记数据库及历年人口资料，对女性生殖系统主要恶性肿瘤死亡率进行统计分析，计算指标包括粗死亡率（CR）、中国标化死亡率（CASR）、世界标化死亡率（WASR）、35~64岁截缩率、0~74岁累积率、累积风险，采用Joinpoint 4.7.0.0 软件分析死亡率年度变化百分比（APC）等。［结果］ 1972—2016年启东市女性生殖系统主要恶性肿瘤共死亡1468例，CR为5.73/10万，CASR为3.88/10万，WASR为3.83/10万，35~64岁截缩死亡率为6.70/10万，0~74岁累积死亡率0.43%，累积风险为0.43%。其中宫颈癌死亡1050例，CR为4.10/10万，CASR为2.81/10万，WASR为2.63/10万；卵巢癌死亡418例，CR为1.63/10万，CASR为0.86/10万，WASR为1.20/10万。年龄别死亡率曲线显示死亡率随年龄的增长而升高，50~岁组接近平均死亡水平，55~岁组达到并超过平均死亡率水平。45年间，宫颈癌中年组1972—1998年APC以每年2.84%的趋势在下降，而1998—2016年以每年6.08%的趋势上升，老年组1972—2016年以每年2.99%的趋势下降，宫颈癌CR、CASR、WASR的APC在1972—1999年分别以1.87%、3.97%、4.15%的趋势在下降，但1999—2016年出现反转分别以4.24%、2.99%、3.00%的趋势在上升；卵巢癌年龄组APC显示中年组、老年组分别以8.04%、5.22%的速度在上升，卵巢癌的CR、CASR、WASR的APC也显示以5.33%、3.12%、3.17%的速度增长（P均<0.05）。［结论］ 启东市45年间女性宫颈癌死亡率呈现先降后升，卵巢癌死亡率呈现持续上升的趋势，应因地制宜采取有效的预防控制措施。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the mortality trends of female reproductive system cancer during the period of 1972 to 2016 in Qidong．［Methods］ The cancer registry data were collected to analyze the mortality of female reproductive system cancer during 1972—2016 in Qidong. The crude mortality rate(CR)，China age-standardized rate(CASR)，world age-standardized rate(WASR)，truncated rate(35～64 years)，cumulative rate(0～74 years)，cumulative risk and annual percentage change(APC) were calculated. ［Results］ There were 1468 female reproductive cancer deaths from 1972 to 2016 in Qidong City. The CR，CASR and WASR were 5.73/105，3.88/105 and 3.83/105，respectively；the truncated rate(35～64 years)，cumulative rate(0～74 years) and cumulative risk were 6.70/105，0.43% and 0.43%，respectively. Among them，1050 were cervical cancer deaths with the CR，CASR and WASR of 4.10/105，2.81/105 and 2.63/105；418 were ovarian cancer deaths with the CR，CASR and WASR of 1.63/105，0.86/105 and 1.20/105，respectively. The age-specific mortality curve showed that the mortality rate increased with age，and the mortality was exceeded the average level after age of 55 years. The APC of cervical cancer death in middle age group was -2.84% per year during 1972 to 1998，and that was 6.08% per year during 1998 to 2016，while the APC of cervical cancer death in elderly-aged group was -2.99% during 1972 to 2016. The APCs of CR，CASR，and WASR of cervical cancer were -1.87%，-3.97%，and -4.15% during 1972 to 1999，those were 4.24%，2.99% and 3.00% during 1999 to 2016. The APCs of the ovarian cancer death in the middle-aged group and the elderly-aged group were 8.04% and 5.22%，respectively；the APCs of ovarian cancer CR，CASR，WASR were 5.33%，3.12%，3.17%(P<0.05). ［Conclusion］In the past 45 years，the mortality rate of cervical cancer in Qidong City shows a decreasing trend at first and then a increasing trend，and the mortality rate of ovarian cancer showed a constant increasing trend. |
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