| 王宇琦,黄 捷,徐 红,等.2020年江苏省南通市白血病流行特征及2013—2020年变化趋势分析[J].中国肿瘤,2024,33(3):193-198. |
| 2020年江苏省南通市白血病流行特征及2013—2020年变化趋势分析 |
| Epidemiological Characteristics of Leukemia in Nantong of Jiangsu in 2020 and Its Change Trend from 2013 to 2020 |
| 投稿时间：2024-02-09 |
| DOI：10.11735/j.issn.1004-0242.2024.03.A005 |
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| 中文关键词: 白血病 发病率 死亡率 流行 江苏 |
| 英文关键词:leukemia incidence mortality epidemic Jiangsu |
| 基金项目:江苏省卫生健康委员会科研课题（Ym2023081）；南通市卫生健康委员会科研课题（QNZ2023083） |
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| 中文摘要: |
| 摘 要：［目的］ 分析江苏省南通市2020年白血病的发病率和死亡率及2013―2020年发病和死亡的变化趋势。［方法］ 收集2013―2020年南通市辖区内以人群为基础的白血病登记资料，按照城乡和性别计算粗发病（死亡）率、中标发病（死亡）率、世标发病（死亡）率、0~74 岁累积发病（死亡）率和35~64岁截缩发病（死亡）率等指标，运用Joinpoint 5.0.2软件计算2013―2020年南通市白血病中标发病（死亡）率平均年度变化百分比（AAPC），并分析其变化趋势。［结果］ 2020年南通市白血病粗发病率、中标率和世标率分别为8.45/10万、4.61/10万和4.62/10万；白血病粗死亡率、中标率和世标率分别为7.14/10万、2.82/10万和2.85/10万。2020年白血病年龄别发病率在40岁之前各年龄组差别不大，40岁之后发病率逐渐升高，55岁之后快速升高，至80~84岁年龄组发病率达到峰值。2020年白血病年龄别死亡率在0~1岁稍高，之后下降保持平稳趋势，45岁之后逐渐升高，在80~84岁年龄组达到峰值。2013―2020年南通市白血病中标发病率和中标死亡率AAPC分别为-3.0%（95%CI：-6.3%~0.3%，P＞0.05）和-4.0%（95%CI：-6.7%~ -1.3%，P＜0.05），且无论城乡、男女性白血病中标发病率和中标死亡率变化趋势相同，均呈现整体下降趋势。［结论］ 2013―2020年南通市白血病发病和死亡呈下降趋势，但其总体发病和死亡水平仍较高，应继续加强白血病的综合防控，从而降低其疾病负担。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality rates of leukemia in Nantong of Jiangsu in 2020 and its trends from 2013 to 2020. ［Methods］ Population-based leukemia data in Nantong from 2013 to 2020 were collected， crude incidence/mortality rates， age-standardized incidence/mortality rates by Chinese and world standard population (ASIRC/ASMRC， ASIRW/ASMRW)， cumulative incidence/mortality rates of 0~74 years old， and truncated rate of 35~64 years old were calculated. The average annual percentage change (AAPC) was determined to analyze the trends of the incidence and mortality of leukemia in Nantong from 2013 to 2020 using Joinpoint Regression software version 5.0.2. ［Results］ The crude incidence rate of leukemia in Nantong was 8.45/105， with ASIRC and ASIRW at 4.61/105 and 4.62/105， respectively. The crude mortality rate stood at 7.14/105， with ASMRC and ASMRW at 2.82/105 and 2.85/105， respectively. In 2020， the age-specific incidence of leukemia did not differ much among age groups before the age of 40， and the incidence gradually increased after the age of 40， and rapidly increased after the age of 55， reaching the peak in the age group of 80~84. In 2020， the age-specific mortality rate of leukemia was slightly higher at 0~1 years old， then declined and maintained a stable trend， and gradually increased after the age of 45， and reached the peak in the age group of 80~84. Between 2013 and 2020， the AAPC for ASIRC and ASMRC of leukemia in Nantong City was -3.0% (95%CI： -6.3%~0.3%， P>0.05) and -4.0% (95%CI： -6.7%~-1.3%， P<0.05)， respectively， with similar downward trends observed across genders and between urban and rural areas. ［Conclusion］ The incidence and mortality rates of leukemia in Nantong have demonstrated a decreasing trend over the study period. Despite this development， the burden of leukemia remains significant.There is a pressing need for enhanced comprehensive leukemia prevention and control measures to alleviate the disease burden. |
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