| 董 婷,成姝雯,胥馨尹,等.2009—2017年四川省肿瘤登记地区肺癌发病和死亡流行特征分析[J].中国肿瘤,2022,31(6):437-441. |
| 2009—2017年四川省肿瘤登记地区肺癌发病和死亡流行特征分析 |
| Characteristics of Lung Cancer Incidence and Mortality in Sichuan Cancer Registration Areas from 2009 to 2017 |
| 投稿时间：2022-03-21 |
| DOI：10.11735/j.issn.1004-0242.2022.06.A002 |
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| 中文关键词: 肺癌 发病率 死亡率 肿瘤登记 四川 |
| 英文关键词:lung cancer incidence mortality cancer registration Sichuan |
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| 中文摘要: |
| 摘 要： ［目的］ 描述四川省肿瘤登记地区2009—2017年肺癌发病和死亡的流行特征。［方法］ 根据中国肿瘤登记平台中四川省肿瘤登记地区2009—2017年的肺癌发病和死亡数据，采用2000年全国人口普查标准人口年龄构成计算四川省肿瘤登记地区肺癌标化发病率和标化死亡率，利用SAS 9.4软件分析肺癌分年龄组、城乡和性别的发病率、死亡率，采用年度变化百分比（annual percentage change，APC）分析发病率和死亡率随年度的变化趋势。［结果］ 2009—2017年共纳入肺癌发病病例67 304例，粗发病率为59.64/10万，标化发病率为37.02/10万；死亡病例52 274例，粗死亡率为46.32/10万，标化死亡率为28.25/10万。发病率和死亡率均为城市高于农村、男性高于女性，随着年龄的增加呈上升趋势。农村粗发病率、农村粗死亡率、男性粗死亡率和合计粗死亡率的APC分别为3.75%、3.75%、1.96%和2.03%（P均<0.05），随年度呈上升趋势；城市标化发病率、男性标化发病率和合计标化发病率的APC分别为-3.62%、-3.32%和-2.95%（P均<0.05），随年度呈下降趋势。［结论］ 四川省肿瘤登记地区肺癌的疾病负担城市高于农村、男性高于女性，且随着年龄的增加不断增加，农村和男性日益严重，对不同群体要采取针对性的措施防治肺癌。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the characteristics of lung cancer incidence and mortality in Sichuan cancer registration areas from 2009 to 2017. ［Methods］ According to the incidence and death data in China Cancer Registry Platform from 2009 to 2017， the incidence and mortality of lung cancer in Sichuan cancer registration areas were analyzed. The age-standardized incidence and mortality rates（ASIR and ASMR） of lung cancer were calculated by using the standard population of the national population census in 2000. SAS 9.4 software was used to analyze the incidence and mortality of lung cancer by age group， urban and rural area and gender. The trend of incidence and mortality with the year was analyzed by annual percentage change（APC). ［Results］ From 2009 to 2017， 67 304 new cases and 52 274 deaths were reported， with crude incidence rate and ASIR of 59.64/105 and 37.02/105； crude mortality rate and ASMR of 46.32/105 and 28.25/105. The incidence and mortality in urban areas were higher than those in rural areas； the incidence and mortality in men were higher than those in women； and the incidence and mortality were increasing with the increase of age. The APC of rural crude incidence， rural crude mortality， male crude mortality and total crude mortality was 3.75%， 3.75%， 1.96% and 2.03%， respectively（P<0.05）. The APC of urban ASIR， male ASIR and total ASIR were -3.62%， -3.32% and -2.95%， respectively（P<0.05). ［Conclusion］ The disease burden of lung cancer in Sichuan cancer registration areas is higher in urban areas than in rural areas， and higher in men than in women. The disease burden of lung cancer increases with the increasing of age， especially in rural areas and in men. Specific measures should be taken to prevent and control lung cancer in different populations. |
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