| 王建宁,文卫华,苗 雅.2016年云南省个旧市恶性肿瘤流行情况及2012—2016年发病、死亡趋势分析[J].中国肿瘤,2022,31(2):105-111. |
| 2016年云南省个旧市恶性肿瘤流行情况及2012—2016年发病、死亡趋势分析 |
| Incidence and Mortality of Cancer in Gejiu County of Yunnan Province in 2016 and Trend of Changes from 2012 to 2016 |
| 投稿时间：2021-08-15 |
| DOI：10.11735/j.issn.1004-0242.2022.02.A004 |
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| 中文关键词: 肿瘤登记 恶性肿瘤 发病率 死亡率 云南 |
| 英文关键词:cancer registration malignant tumor incidence mortality Yunnan |
| 基金项目:国家自然科学基金（81160343，82060591） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2016年云南省个旧市恶性肿瘤流行情况以及2012—2016年发病、死亡趋势，为癌症防控提供科学依据。［方法］ 评估个旧市2016年恶性肿瘤登记数据质量，计算恶性肿瘤发病(死亡)率、年龄别发病(死亡)率、标化发病（死亡）率、35~64岁截缩发病（死亡）率、0～74 岁累积发病（死亡）率和前10位恶性肿瘤构成等指标。标准人口采用２０００ 年全国人口普查数据和Ｓｅｇｉ’ｓ 世界标准人口。采用Joinpoint软件进行恶性肿瘤标化发病和死亡趋势分析。［结果］ 2016年个旧市恶性肿瘤粗发病率为222.88/10万，中标率为136.12/10万，世标率为132.27/10万，35~64岁截缩率为228.29/10万，累积发病率（0～74 岁）为15.61%。2016年个旧市恶性肿瘤粗死亡率为133.73/10万，中标率为79.14/10万，世标率为78.66/10万，35~64岁截缩率为110.38/10万，累积死亡率（0～74 岁）为9.70%。发病前10位的恶性肿瘤依次为肺癌、结直肠癌、甲状腺癌、肝癌、女性乳腺癌、淋巴瘤、胃癌、膀胱癌、胆囊癌和白血病，占全部恶性肿瘤发病的76.10%。死亡前10位的恶性肿瘤依次为肺癌、结直肠癌、肝癌、胃癌、脑瘤、胆囊癌、胰腺癌、膀胱癌、淋巴瘤和食管癌，占全部恶性肿瘤死亡的77.78%。2012—2016年期间个旧市恶性肿瘤标化发病率时间变化趋势无统计学意义（APC=-2.10%，95%CI：-4.54%~0.40%，P=0.08）；恶性肿瘤标化死亡率时间变化趋势也无统计学意义（APC=-2.43%，95%CI：-8.15%~3.64%，P=0.29）。［结论］ 肺癌、消化系统恶性肿瘤和女性乳腺癌是威胁个旧市居民的主要恶性肿瘤，应重点防治。个旧市甲状腺癌和膀胱癌发病值得重点关注。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the cancer incidence and mortality in Gejiu County in 2016 and trend of changes from 2012 to 2016. ［Methods］ The data quality reported from Gejiu cancer registration in 2016 was evaluated. The crude incidence/mortality rates， age-specific incidence/mortality rates， age-standardized incidence/mortality rates， the truncated age-standardized incidence/mortality rates(35~64 years old)， cumulative incidence/mortality rates(0~74 years old) and the proportion of top 10 cancers were calculated. Chinese population census in 2000 and world standard(Segi’s) population were used for age-standardized rates(ASRC and ASRW). Joinpoint software was used to analyze the trend of incidence rate and mortality rate. ［Results］ The crude incidence rate of malignant tumor in Gejiu County in 2016 was 222.88/105， the ASRC of incidence was 136.12/105 and ASRW of incidence was 132.27/105. The truncated ASRW of incidence(35~64 years old) was 228.29/105， and the cumulative incidence rate(0~74 years old) was 15.61%. The crude mortality rate of malignant tumor in Gejiu County in 2016 was 133.73/105， the ASRC of mortality was 79.14/105 and ASRW was 78.66/105. The truncated ASRW of mortality(35~64 years old) was 110.38/105， and the cumulative mortality rate(0~74 years old) was 9.70%． The top ten cancers of high incidence were lung cancer， colorectal cancer， thyroid cancer， liver cancer， female breast cancer， gastric cancer， bladder cancer， gallbladder cancer， lymphoma and leukemia， accounting for 76.10% of all cancer cases． Lung cancer， colorectal cancer， liver cancer， gastric cancer， brain tumor， gallbladder cancer， pancreatic cancer， bladder cancer， lymphoma and esophageal cancer were the top ten cancers of high mortality， accouning for about 77.78% of all cancer deaths． There was no significant change in the time trend of ASR incidence and mortality in Gejiu County from 2012 to 2016(APC=-2.10%， 95%CI： -4.54%~0.40%， P=0.08； APC=-2.43%， 95%CI：-8.15%~3.64%，P=0.29). ［Conclusion］ Lung cancer， digestive system cancers and female breast cancer are still the major cancer burden in residents of Gejiu. Prevention， control and epidemiological investigation of these cancers should be strengthened； and attention should be paid to the rising incidence of thyroid cancer and bladder cancer in Gejiu. |
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