| 刘潇霞,乔 良,罗玉英.2018年四川省以医院登记为基础的恶性肿瘤发病情况分析[J].中国肿瘤,2021,30(6):429-436. |
| 2018年四川省以医院登记为基础的恶性肿瘤发病情况分析 |
| Analysis of Hospital-based Cancer Incidence in Sichuan Province，2018 |
| 中文关键词 修订日期：2020-12-10 |
| DOI：10.11735/j.issn.1004-0242.2021.06.A005 |
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| 中文关键词: 肿瘤登记 病案首页 医院 发病率 四川 |
| 英文关键词:cancer registry front of medical record hospital incidence Sichuan |
| 基金项目:四川省科技基础条件平台重点项目（2019JDPT0008） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2018年四川省以医院登记为基础的恶性肿瘤发病监测情况。［方法］ 2018年四川省以医院为基础的恶性肿瘤诊断数据来源于四川省卫生统计和住院病案首页数据库，数据经过质控，计算恶性肿瘤发病粗率、标化率和前10位恶性肿瘤发病顺位，并按城乡、经济区域、性别和年龄别进行分层分析。中国人口标化率（中标率）采用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）采用Segi’s世界标准人口年龄构成计算。［结果］ 纳入分析的医疗机构数共计6 848家，其中二级及以上医疗机构全省覆盖率达99%以上，覆盖全省9 100万余人口。2018年四川省以医院为基础恶性肿瘤发病粗率为284.13/10万（男性321.88/10万，女性243.56/10万），中标率为178.47/10万，世标率为175.35/10万；城市地区发病粗率为334.84/10万，中标率为203.26/10万；农村地区发病粗率为241.24/10万，中标率155.53/10万。2018年五大经济区（成都经济区、川南经济区、攀西经济区、川东北经济区、川西北经济区）恶性肿瘤发病粗率依次为329.43/10万、283.11/10万、192.06/10万、265.16/10万、192.63/10万，中标率分别为194.33/10万、172.28/10万、162.49/10万、160.84/10万、156.15/10万。30岁以下恶性肿瘤发病处于低水平，50岁后呈快速上升趋势，80岁后呈下降趋势。2018年全省以医院为基础恶性肿瘤发病顺位前10位依次为肺癌、结直肠癌、女性乳腺癌、肝癌、食管癌、胃癌、宫颈癌、脑和神经系统肿瘤、前列腺癌和白血病，前10位恶性肿瘤占全部恶性肿瘤发病的73.36%。［结论］ 以医院为基础的肿瘤发病监测显示，四川省恶性肿瘤发病城市高于农村、男性高于女性。肺癌、女性乳腺癌和消化系统恶性肿瘤（结直肠癌、肝癌、食管癌、胃癌）是四川省近年来需要重点防治的恶性肿瘤。医院为基础的监测模式具备覆盖广、准确、及时等优势，是未来肿瘤监测工作发展的趋势，并与以人群为基础的肿瘤监测形成良好互补。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the hospital-based cancer incidence in Sichuan Province in 2018.［Methods］ The cancer data were collected from the database of medical records from hospitals in Sichuan Province，and the data quality were evaluated. The crude rates，age-standardized rates，age-specific rate，rank and the proportion of top 10 cancers were calculated by areas (urban/rural)，economic areas，gender and age groups. Age-standardized incidence rates were calculated by China’s 2000 census population(ASIRC) and Segi’s world population(ASIRW)，respectively.［Results］ There were 6 848 medical institutions included in the analysis，covering 99% of secondary and above hospitals and serving more than 91 million people in the province. The crude cancer incidence rate was 284.13/105(males and females were 321.88/105 and 243.56/105，respectively) in Sichuan in 2018. The ASIRC and ASIRW were 178.47/105 and 175.35/105，respectively. The crude cancer incidence rate was 334.84/105，and ASIRC was 203.26/105 in urban areas. The crude cancer incidence rate was 241.24/105，and ASIRC was 155.53/105 in rural areas. In terms of different economic areas，the crude cancer incidence rates were 329.43/105，283.11/105，192.06/105，265.16/105，192.63/105 and the ASIRC were 194.33/105，172.28/105，162.49/105，160.84/105，156.15/105 in Chengdu，Southern，Panxi，Northeastern，Northwestern economic areas，respectively. The cancer incidence among population under 30 years old remained low. However，it increased rapidly after 50 years and reached the peak at the age of 80，then decreased after 80 years old. The top 10 common cancers based on hospital data were lung cancer，colorectal cancer，female breast cancer，liver cancer，esophageal cancer，gastric cancer，cervical cancer，brain cancer，prostate cancer and lymphoma，which accounted for 73.36% of all new cancer cases in Sichuan in 2018.［Conclusion］ Hospital-based cancer incidence in urban was higher than that in rural areas，and it was higher in men than that in women. Lung cancer，female breast cancer，colorectal cancer，liver cancer，esophageal cancer，gastric cancer are the major cancers in the province. The hospital-based cancer registry model has advantages of wide coverage，accuracy and timeliness. It is the trend of cancer registry in the future and forms a good complement to population-based cancer registry. |
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