林永添,周 衍,马晶昱.2015—2017年福建省肿瘤登记地区恶性肿瘤发病和死亡分析[J].中国肿瘤,2021,30(7):487-494.
2015—2017年福建省肿瘤登记地区恶性肿瘤发病和死亡分析
Cancer Incidence and Mortality in Fujian Cancer Registration Areas from 2015 to 2017
中文关键词  修订日期:2020-09-10
DOI:10.11735/j.issn.1004-0242.2021.07.A002
中文关键词:  肿瘤登记  恶性肿瘤  发病率  死亡率  福建
英文关键词:cancer registry  cancer  incidence  mortality  Fujian
基金项目:福建省卫生计生中青年骨干人才培养项目(2018?鄄ZQN?鄄17)
作者单位
林永添 福建省肿瘤医院福建医科大学附属肿瘤医院 
周 衍 福建省肿瘤医院福建医科大学附属肿瘤医院 
马晶昱 福建省肿瘤医院福建医科大学附属肿瘤医院 
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中文摘要:
      摘 要:[目的] 分析2015—2017年福建省肿瘤登记地区上报的恶性肿瘤发病与死亡流行现状。[方法] 根据全国肿瘤登记中心制定的数据审核和评价方法,对福建省12个肿瘤登记处上报的2015—2017年数据进行评价,将符合要求的10个登记处数据合并分析。按城乡、性别和年龄组分层分别计算发病和死亡的粗率、标化率及累积率(0~74岁),分析主要恶性肿瘤发病与死亡顺位和构成。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。[结果] 2015—2017年福建省10个登记处共覆盖登记人口19 447 588人,其中城市地区、农村地区各占43.36%、56.64%。2015—2017年福建省肿瘤登记地区恶性肿瘤发病粗率为271.05/10万(男性303.43/10万,女性237.54/10万),中标率为197.94/10万,世标率为192.57/10万,累积发病率(0~74岁)为22.22%。恶性肿瘤发病45岁以后加快上升,于80~84岁年龄组时达到高峰。发病前5位恶性肿瘤依次为肺癌、女性乳腺癌、肝癌、胃癌和结直肠癌。城市地区发病率为287.55/10万,中标率为210.59/10万;农村地区发病率为258.41/10万,中标率为188.49/10万。死亡粗率为166.83/10万(男性218.63/10万,女性113.22/10万),中标率为115.21/10万,世标率为113.59/10万,累积死亡率(0~74岁)为13.26%。恶性肿瘤死亡率在45岁以后快速上升,80~84岁年龄组时达到高峰。死亡前5位恶性肿瘤依次为肺癌、肝癌、胃癌、结直肠癌和食管癌。城市地区死亡率为237.63/10万,中标率为171.91/10万;农村地区死亡率为158.97/10万,中标率为109.67/10万。[结论]消化道肿瘤仍是福建省肿瘤登记地区主要恶性肿瘤,应当结合城乡现状差异,制定和实施有效的癌症综合防控策略。
英文摘要:
      Abstract: [Purpose] To analyze the cancer incidence and mortality in Fujian cancer registration areas from 2015 to 2017. [Methods] In accordance with the methods and criteria of data quality control made by National Central Cancer Registry(NCCR), the quality of data from 12 cancer registries in Fujian Province from 2015 to 2017 was evaluated and the data from 10 cancer registration areas were included for analysis. The crude rate, age-standardized rate, cumulative rate(0~74 years old) of incidence and mortality as well as the rank and proportion of leading cancers were calculated by area, sex and age group. The age-standardized rate was calculated and adjusted by the Chinese population in 2000(ASR China) and the world Segi’s standard population (ASR world). [Results] A total of 19 447 588 people were covered under 10 cancer registries (43.36% in urban and 56.64% in rural areas). The crude cancer incidence rate was 271.05/105(303.43/105 for males and 237.54/105 for females). The incidence of ASR China and ASR world were 197.94/105 and 192.57/105, respectively, with the cumulative incidence rate(0~74 years old) of 22.22%. Cancer incidence increased rapidly after the age of 45 years old and reached the peak at the age group of 80~84 years. The cancers with top 5 incidence were lung cancer, female breast cancer, liver cancer, stomach cancer and colorectal cancer. The cancer crude incidence and ASR China incidence were 287.55/105 and 210.59/105 in urban areas, whereas those in rural areas were 258.41/105 and 188.49/105, respectively. The cancer crude mortality rate was 166.83/105(218.63/105 for males and 113.22/105 for females). The mortality of ASR China and ASR world were 115.21/105 and 113.59/105,with the cumulative incidence rate(0~74 years old) of 13.26%. Cancer mortality increased rapidly after the age of 45 years old and reached the peak at the age group of 80~84 years. The cancers of top 5 mortality were lung cancer, liver cancer, stomach cancer, colorectal cancer and esophageal cancer. The cancer mortality and ASR China mortality were 237.63/105, 171.91/105 in urban areas and 158.97/105,109.67/105 in rural areas, respectively. [Conclusion] Digestive system malignancies remain the most common cancers in Fujian cancer registration areas. Comprehensive cancer prevention and control strategies should be effectively implemented according to the different characteristics of cancers in urban and rural areas.
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