| 王宏宗,丁高恒,夏小军.2009—2015年甘肃省肿瘤登记地区肺癌流行特征及变化趋势分析[J].中国肿瘤,2021,30(6):408-414. |
| 2009—2015年甘肃省肿瘤登记地区肺癌流行特征及变化趋势分析 |
| Trends of Incidence and Mortality of Lung Cancer in Gansu Cancer Registration Areas from 2009 to 2015 |
| 中文关键词 修订日期：2021-01-27 |
| DOI：10.11735/j.issn.1004-0242.2021.06.A002 |
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| 中文关键词: 肺癌 发病率 死亡率 变化趋势 肿瘤登记 甘肃 |
| 英文关键词:lung cancer incidence mortality change trend cancer registration Gansu |
| 基金项目:甘肃省中医药管理局2018年中医药防治重大疾病科研课题（GZKZD-2018-03） |
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| 中文摘要: |
| 摘 要：［目的］分析2009—2015年甘肃省肿瘤登记地区肺癌发病与死亡状况及变化趋势。［方法］ 根据甘肃省肿瘤登记地区上报的2009—2015年肺癌数据，计算粗发病（死亡）率、年龄别发病（死亡）率、累积率（0～74岁）、截缩率（35~64岁）、标化发病（死亡）率。中国人口标化率（中标率）根据2000年全国普查标准人口年龄构成计算，世界人口标化率（世标率）依照Segi’s世界标准人口构成计算。运用Joinpoint软件计算年度变化百分比（APC）。［结果］ 2009—2015年甘肃省肿瘤登记地区覆盖人口37 879 092人，肺癌新发病例12 291例，发病率为32.45/10万，中标率为30.29/10万，世标率为35.48/10万；肺癌死亡病例3 608例，死亡率为9.53/10万，中标率为15.91/10万，世标率为18.93/10万；年龄别发病率、死亡率均随年龄增长而升高。2009—2015年甘肃省肺癌发病率呈显著下降趋势（APC=-12.6%，95%CI：-21.5%～-2.7%），死亡率趋势无统计学意义（APC=-3.1%，95%CI：-12.8%～7.8%）。［结论］ 2009—2015年甘肃省肺癌发病率和死亡率处于相对较高水平，性别、城乡肺癌发病及死亡存在差异，应进一步加强重点人群尤其是城市中老年男性肺癌筛查与防控工作。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the trends of incidence and mortality of lung cancer in cancer registry areas of Gansu Province from 2009 to 2015. ［Methods］ The crude incidence(mortality) rate，age-specific incidence(mortality) rate，cumulative rate(0~74 years old)，truncated rate(35~64 years old)，age standardized incidence(mortality) rate were calculated based on the lung cancer data reported in cancer registries of Gansu Province from 2009 to 2015. The age standardized rate was calculated and adjusted with the Chinese population in 2000(ASR China) and the world Segi’s standard population(ASR world). The annual percentage change(APC) was calculated with Joinpoint software to estimate the variation trend. ［Results］ From 2009 to 2015，12 291 new cases of lung cancer were reported among 37 879 092 people covered in cancer registration areas of Gansu Province with a crude incidence rate of 32.45/10５；the ASR China of incidence was 30.29/10５，ASR world of incidence was 35.48/10５. The crude mortality rate was 9.53/10５，the ASR China of mortality was 15.91/10５，and the ASR world of mortality was 18.93/10５. The age-specific incidence and age-specific mortality of lung cancer increased with age. There was significant change in the incidence of lung cancer in Gansu Province from 2009 to 2015（APC=-12.6%，95%CI：-21.5%～-2.7%），while the mortality was not（APC=-3.1%，95%CI：-12.8%～7.8%）. ［Conclusion］ From 2009 to 2015，the incidence and mortality of lung cancer in Gansu Province remained high among all cancers，and there were differences between different gender and areas. Therefore，lung cancer screening，prevention and control should be further strengthened on high-risk population. |
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