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高彩云,刘玉琴,叶延程,等.2019年甘肃省武威市胃癌流行特征及2010—2019年变化趋势分析[J].中国肿瘤,2024,33(9):724-730.

2019年甘肃省武威市胃癌流行特征及2010—2019年变化趋势分析

Epidemiological Characteristics of Stomach Cancer in Wuwei City， Gansu Province in 2019 and Its Trend from 2010 to 2019

投稿时间：2023-12-19

DOI：10.11735/j.issn.1004-0242.2024.09.A004

中文关键词: 胃癌发病率死亡率甘肃

英文关键词:stomach cancer incidence mortality Gansu

基金项目:甘肃省科技计划项目（23JRRH0008）；武威市科技计划项目（WW23B02SF049）

作者	单位
高彩云	甘肃省武威肿瘤医院
刘玉琴	甘肃省肿瘤医院
叶延程	甘肃省武威肿瘤医院
张雁山	甘肃省武威肿瘤医院

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中文摘要:

摘要：［目的］分析2019年武威市胃癌发病与死亡特征及2010—2019年变化趋势。［方法］按照国家癌症中心制定的数据质量审核评价标准，对武威市符合质量控制标准要求的肿瘤登记点上报的胃癌发病、死亡和人口数据进行汇总分析，分性别、地区、年龄计算发病（死亡）率及其标化率。采用Joinpoint线性回归模型计算2010—2019年武威市胃癌发病率、死亡率的年度变化百分比（annual percentage change，APC）、平均年度变化百分比（average annual percentage change，AAPC）及95%置信区间（confidence interval，CI），分析胃癌发病和死亡趋势。［结果］ 2019年武威市胃癌粗发病率为69.47/10万，中标率为42.65/10万，世标率为47.09/10万；胃癌粗死亡率为38.66/10万，中标率为23.79/10万，世标率为26.72/10万。发病率在70~74岁年龄组达到高峰，死亡率在75~79岁年龄组达到高峰。地区分布来看，古浪县中标发病率最高，其次是凉州区；凉州区中标死亡率最高，其次是古浪县。2010—2019年，武威市胃癌整体中标发病率（AAPC=-4.22%，95%CI：-8.87%~0.71%）和中标死亡率（AAPC=-5.43%，95%CI：-11.01%~0.68%）呈下降趋势，但变化趋势无统计学意义（P均>0.05）。2015—2019年武威市胃癌中标发病率呈显著下降趋势，平均每年下降12.28%（95%CI：-30.32%~-6.22%）；2010—2016年，武威市胃癌中标死亡率呈显著上升趋势，平均每年上升4.28%（95%CI：0.27%~10.30%），2016—2019年武威市胃癌死亡率呈显著下降趋势，平均每年下降22.03%（95%CI：-34.92%~-13.61%）。［结论］ 2010—2019年武威市胃癌中标发病和死亡水平总体呈下降趋势，50岁以上人群与男性胃癌高发，从地区来看，古浪县胃癌发病率较高。武威市应密切关注重点人群与古浪县胃癌防控，加强其癌症的综合防治能力。

英文摘要:

Abstract：［Purpose］ To analyze the incidence and mortality characteristics of stomach cancer in Wuwei City in 2019 and the change trend from 2010 to 2019. ［Methods］ According to the data quality review and evaluation standards formulated by the National Cancer Center， the incidence， death and population data of stomach malignant tumors reported by tumor registration points meeting the quality control standards in Wuwei City were analyzed and summarized， and the incidence (death) rate and its age-standardized rate were calculated by sex， region and age. The Joinpoint linear regression model was used to calculate the annual percentage change (APC)， average annual percentage change (AAPC) and 95% confidence interval (CI) of the incidence and mortality of stomach malignant tumors in Wuwei City from 2010 to 2019， and to analyze the trend.［Results］ In 2019， the incidence of stomach cancer in Wuwei City was 69.47/105， the age-standardized incidence rate by Chinese standard population (ASIRC) was 42.65/105， and age-standardized incidence rate by world standard population was 47.09/105. The mortality rate of stomach cancer was 38.66/105， the age-standardized mortality rate by Chinese standard population(ASMRC) was 23.79/105， and age-standardized mortality rate by world standard population was 26.72/105. The incidence of stomach cancer peaked in the age group of 70~74 years old， and the mortality rate peaked in the age group of 75~79 years old. In terms of regional distribution， Gulang County had the highest ASIRC， followed by Liangzhou District. The ASMRC was the highest in Liangzhou District， followed by Gulang County. From 2010 to 2019， the ASIRC of stomach cancer in Wuwei (AAPC = -4.22%， 95%CI：-8.87%~0.71%) and ASMRC (AAPC = -5.43%， 95%CI：-11.01%~0.68%) showed a downward trend， but the change trend was not statistically significant (both P>0.05). From 2015 to 2019， the ASIRC of stomach cancer in Wuwei City showed a decreasing trend， with APC of 12.28%(95%CI：-30.32%~ -6.22%). From 2010 to 2016， the ASMRC of stomach cancer in Wuwei City showed an increasing trend， with APC of 4.28% (95%CI：0.27%~10.30%)； from 2016 to 2019， the ASMRC of stomach cancer in Wuwei City showed a decreasing trend， with APC of 22.03% (95%CI：-34.92%~ -13.61%). ［Conclusion］ From 2010 to 2019， the incidence and mortality level of stomach cancer in Wuwei City showed a downward trend， with a high incidence among people over 50 years old and men. From the regional perspective， the incidence of stomach cancer in Gulang County was high. Therefore， Wuwei City should pay close attention to the prevention and control of stomach cancer among key groups and Gulang County， and strengthen its comprehensive prevention and control ability of cancer.

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