| 马 霞,张 军,王旭峰.2020年山东省济南市居民恶性肿瘤流行情况及2016—2020年变化趋势分析[J].中国肿瘤,2022,31(2):98-104. |
| 2020年山东省济南市居民恶性肿瘤流行情况及2016—2020年变化趋势分析 |
| Cancer Incidence and Mortality in Jinan City in 2020 and Trend from 2016 to 2020 |
| 投稿时间：2021-10-26 |
| DOI：10.11735/j.issn.1004-0242.2022.02.A003 |
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| 中文关键词: 恶性肿瘤 发病率 死亡率 年度变化百分比 山东 |
| 英文关键词:malignant tumor incidence mortality annual percentage change Shandong |
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| 中文摘要: |
| 摘 要：［目的］ 分析2020年济南市居民恶性肿瘤发病、死亡情况及2016—2020年变化趋势。［方法］ 收集、整理、分析2020年济南市户籍居民的肿瘤登记数据，计算发病率、死亡率、构成比、中国人口标化率（中标率）、世界人口标化率（世标率）、截缩发病（死亡）率和累积发病（死亡）率。汇总和整理济南市2016—2020年恶性肿瘤登记资料，应用Joinpoint软件计算5年发病（死亡）中标率的年度变化百分比。［结果］ 2020年济南市恶性肿瘤发病率为359.11/10万（男性385.29/10万，女性333.38/10万，城区408.20/10万，农村294.50/10万），中标率为214.01/10万，世标率为205.39/10万，35~64岁截缩发病率为361.27/10万，0~74岁累积发病率为23.28%。恶性肿瘤发病率前5位分别为肺癌、胃癌、甲状腺癌、结直肠肛门癌、乳腺癌。全市恶性肿瘤死亡率为199.48/10万（男性260.62/10万，女性139.38/10万，城区207.27/10万，农村189.23/10万），中标率为100.35/10万，世标率为99.52/10万，35~64岁截缩死亡率为123.68/10万，0~74岁累积死亡率为11.19%。恶性肿瘤死亡率前5位分别为肺癌、胃癌、肝癌、食管癌、结直肠肛门癌。2016—2020年济南市恶性肿瘤中标死亡率有下降趋势，APC为 -1.43%（95%CI：-2.02%~-0.85%）。分性别、城乡统计，男性、农村中标死亡率呈下降趋势，APC分别为-1.56%（95%CI：-2.56%~-0.56%）、-2.96%（95%CI：-5.38%~-0.47%）；5年间恶性肿瘤中标发病率与城区中标死亡率均无明显下降趋势。［结论］ 济南市恶性肿瘤整体发病、死亡仍处于较高水平，需进一步完善肺癌等重点癌种的综合防治工作，有针对性开展综合防治工作。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality of malignant tumors in Jinan City in 2020 and the trend from 2016 to 2020. ［Methods］ Stratified by areas， gender and age groups， the malignant tumors data for 2020 were collected in Jinan. The incidence， mortality， constituent ratio， age-standardized rates by Chinese standard population(ASR China) and world standard population(ASR world)， truncated incidence(mortality) rate and cumulative rate were estimated. Joinpoint regression was performed to calculate the annual percentage changes(APC) of incidence and mortality rates from 2016 to 2020. ［Results］ In 2020， the incidence rate of malignant tumors in Jinan was 359.11/105(385.29/105 for males， 333.38/105 for females， 408.20/105 in urban areas， 294.50/105 in rural areas)， and the ASR China and ASR world were 214.01/105 and 205.39/105， truncated incidence rate and cumulative incidence rate were 361.27/105 and 23.28%， respectively. Lung cancer， stomach cancer， thyroid cancer， colon， rectum & anus cancer and breast cancer were the most common cancers. The cancer mortality rate was 199.48/105(260.62/105 for males， 139.38/105 for females， 207.27/105 in urban areas， 189.23/105 in rural areas)， and the ASR China and ASR world were 100.35/105 and 99.52/105， truncated mortality rate and cumulative mortality rate were 123.68/105 and 11.19%， respectively. Lung cancer， stomach cancer， liver cancer， esophageal cancer and colon， rectum & anu cancer were the most fatal cancers. The trends of ASR China of malignant tumors in Jinan decreased during 2016—2020， with an APC of -1.43%(95%CI： -2.02%~ -0.85%). Statistics by genders， urban and rural areas， the trends of mortahty of malignant tumors in male and in rural areas decreased during 2016—2020， with an APC of -1.56%(95%CI： -2.56%~ -0.56%) and -2.96%(95%CI： -5.38%~-0.47%)， respectively. There was no significant change for ASR China of incidence and mortality in urban areas. ［Conclusion］ The incidence and mortality of malignant tumors in Jinan are still in high level. It is necessary to further improve the comprehensive prevention and treatment of lung cancer and other key cancers. Relevant prevention and control work still need to be further strengthened. |
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