| 龙 渺,周金意,缪伟刚,等.2019年江苏省老年人恶性肿瘤流行特征及2009—2019年变化趋势分析[J].中国肿瘤,2024,33(5):382-390. |
| 2019年江苏省老年人恶性肿瘤流行特征及2009—2019年变化趋势分析 |
| Epidemiological Characteristics of Malignant Tumors Among Elderly Population in 2019 and Its Trend from 2009 to 2019 in Jiangsu Province |
| 投稿时间：2023-06-27 |
| DOI：10.11735/j.issn.1004-0242.2024.05.A007 |
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| 中文关键词: 恶性肿瘤 发病率 死亡率 趋势 老年人 江苏 |
| 英文关键词:malignant tumor incidence mortality trend elderly Jiangsu |
| 基金项目:国家重点研发计划（2016YFC1302603）；江苏省卫生计生委医学科研课题（H2017017）；中国消化道早癌医师共同成长计划科研项目（GTCZ-2022-JS-32-0001） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2019年江苏省老年人（60岁及以上）恶性肿瘤发病与死亡，以及2009—2019年变化趋势。［方法］ 利用江苏省2019年质控合格的54个肿瘤登记处数据，分城乡、性别和癌种计算年龄别发病、死亡率，并结合全省户籍人口数据，估算老年人群恶性肿瘤的发病、死亡情况。基于江苏省16个登记处2009—2019年肿瘤登记数据，采用Joinpoint Regression 4.7.0.0软件计算平均年度变化百分比（AAPC）分析老年人恶性肿瘤的发病、死亡变化趋势。中国人口标化率（中标率）、世界人口标化率（世标率）分别采用2000年全国普查标准人口年龄构成和Segi世界标准人口构成计算。［结果］ 2019年江苏省老年人估计新发和死亡恶性肿瘤病例数分别为19.62万例和14.33万例，发病率及其中标率分别为1 080.18/10万和1 050.50/10万，死亡率及其中标率分别为789.14/10万和724.99/10万。城市地区老年人恶性肿瘤的发病和死亡水平高于农村地区，老年男性高于老年女性。老年人恶性肿瘤发病和死亡率峰值均出现在80~84岁年龄组。肺癌、胃癌、食管癌、结直肠癌和肝癌是江苏省老年人发病前5位的癌种，肺癌、胃癌、食管癌、肝癌和结直肠癌是导致江苏省老年人死亡的前5位癌种，其构成分别占老年人全部恶性肿瘤发病和死亡的66.56%和72.96%。2009—2019年江苏省老年人恶性肿瘤发病水平呈明显上升趋势，中标发病率AAPC为0.54%（P<0.05），同期全省老年人的恶性肿瘤死亡水平呈明显下降趋势，中标死亡率AAPC为-0.43%（P<0.05）。［结论］ 江苏省老年人的恶性肿瘤疾病负担处于较高水平，发病率呈逐年上升趋势。应针对肺癌、胃癌、食管癌、结直肠癌和肝癌等老年人高发癌种，有针对性实施肿瘤综合防控工作。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the cancer incidence and mortality in elderly population(≥60 years old) of Jiangsu Province in 2019 and its trend from 2009 to 2019. ［Methods］ The qualified cancer incidence and mortality data in 2019 were collected form 54 cancer registries in Jiangsu Province. Stratified by areas， gender and cancer sites， the age-standardized(incidence/mortality) rates by Chinese standard population in 2000(ASIRC/ASMRC) and by Segi world standard population(ASIRW/ASMRW) in elderly were calculated. Based on the continuous registration data form 16 cancer registries， the trends of ASIRC/ASMRC from 2009 to 2019 were analyzed by Joinpoint Regression 4.7.0.0 software， and expressed as average annual percentage change(AAPC). ［Results］ In 2019， the estimated number of new cases and deaths of cancer in Jiangsu Province was 196 200 and 143 300， respectively. The crude incidence rate， ASIRC， crude mortality and ASMRC were 1 080.18/105， 1 050.50/105， 789.14/105 and 724.99/105， respectively. The crude incidence (mortality) rates， ASIRC and ASMRC for men or urban areas in elderly were higher than those for women or rural areas， respectively. The peak onset and mortality of malignant tumors in the elderly appeared in the age group of 80 to 84 years old. The top 5 common malignant tumors in elderly were lung cancer， stomach cancer， esophageal cancer， colorectal cancer and liver cancer， accounting for 66.56% of all new cancer cases. The top 5 leading cancer deaths in elderly were lung cancer，stomach cancer， esophageal cancer， liver cancer and colorectal cancer， accounting for 72.96% of all cancer deaths. From 2009 to 2019， there was a significant increasing trend for cancer incidence in elderly， with an AAPC of 0.54% (P<0.05). There was a significant decreasing trend for cancer mortality in elderly， with an AAPC of -0.43% (P<0.05). ［Conclusion］ The disease burden of cancer for elderly in Jiangsu Province remains serious， with a significant increasing trend in incidence. Comprehensive cancer prevention and control measures should be fulfilled in elderly population， especially for cancer with high incidences， such as cancers of lung， stomach， esophageal， colorectum and liver. |
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