| 王丽娜,徐 倩,潘保成,等.2008—2020年辽宁省庄河市胃癌发病率和死亡率趋势分析[J].中国肿瘤,2024,33(10):804-810. |
| 2008—2020年辽宁省庄河市胃癌发病率和死亡率趋势分析 |
| Trends of Incidence and Mortality of Gastric Cancer in Zhuanghe City of Liaoning Province from 2008 to 2020 |
| 投稿时间：2024-08-09 |
| DOI：10.11735/j.issn.1004-0242.2024.10.A004 |
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| 中文关键词: 胃癌 发病率 死亡率 辽宁 |
| 英文关键词:gastric cancer incidence mortality Liaoning |
| 基金项目:“十四五”国家重点研发计划 （2022YFC2505100，2016YFC1303200）；辽宁省重点研发计划（2020JH2/10300063）；中央补助地方重大公共卫生事业专项（2008—2023） |
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| 中文摘要: |
| 摘 要：［目的］ 分析辽宁省庄河市2008—2020年胃癌发病、死亡情况以及变化趋势。［方法］ 利用庄河市疾病预防控制中心“肿瘤登记报告和死因监测系统”收集的2008—2020年胃癌发病与死亡数据，分别统计胃癌发病和死亡例数，计算粗发病/死亡率、中国人口标准化率（中标率）和世界人口标准化率（世标率）。采用Joinpoint软件进行回归分析，计算2008—2020年胃癌发病与死亡的平均年度变化百分比（average annual percentage change，AAPC）。［结果］ 2008—2020年庄河市胃癌新发病例共计5 650例，男女发病比为2.70∶1；因胃癌死亡病例共计3 465例，男女死亡比为2.73∶1。2008—2020年间，庄河市胃癌发病率、死亡率均呈现显著下降趋势，其中，世标发病率和中标发病率分别从2008年的34.97/10万和31.15/10万降至2020年的18.69/10万和16.40/10万（世标率AAPC=-3.9%，95%CI：-5.0%～-2.7%，P<0.001；中标率AAPC=-3.9%，95%CI：-5.2%～-2.6%，P<0.001），而世标死亡率和中标死亡率分别从2008年的19.64/10万和17.07/10万降至2020年的14.05/10万和11.84/10万（世标率AAPC=-3.7%，95%CI：-5.0%～-2.4%，P<0.001；中标率AAPC=-4.0%，95%CI：-5.4%～-2.5%，P<0.001）。2008—2020年，庄河胃癌发病率、死亡率均随年龄增长而增加。40岁以上各组男性年龄别发病率和死亡率均高于女性。65岁及以上组胃癌发病率和死亡率均随时间呈显著下降趋势（P均<0.001）。［结论］ 2008—2020年庄河市胃癌发病、死亡呈明显下降趋势，但死亡率仍高于全国平均水平。 |
| 英文摘要: |
| Abstract： ［Purpose］ To investigate the trends of incidence and mortality of gastric cancer in Zhuanghe City of Liaoning Province from 2008 to 2020. ［Methods］ Data on gastric cancer incidence and mortality from 2008 to 2020 were collected from the “Cancer Registry Report and Cause of Death Surveillance System” of Zhuanghe Center for Disease Control and Prevention. The crude incidence/mortality rates， age-standardized rate by world standard population (ASIRW/ASMRW)， and age-standardized rate by Chinese standard population (ASIRC/ASMRC) were calculated. The Joinpoint regression model was employed to compute the average annual percentage change (AAPC) for analyzing the trends of gastric cancer incidence and mortality. ［Results］ From 2008 to 2020， a total of 5 650 new gastric cancer cases were reported in Zhuanghe City， with a male-to-female incidence ratio of 2.70∶1. There were 3 465 gastric cancer deaths， with a male-to-female mortality ratio of 2.73∶1. Both the incidence and mortality rates of gastric cancer in Zhuanghe showed a significant downward trend from 2008 to 2020. The ASRW and ASRC of incidence decreased from 34.97/105 and 31.15/105 in 2008 to 18.69/105 and 16.40/105 in 2020， respectively (ASIRW： AAPC=-3.9%， 95%CI： -5.0%~-2.7%， P<0.001； ASIRC： AAPC=-3.9%， 95%CI： -5.2%~-2.6%， P<0.001). The ASRW and ASRC of mortality decreased from 19.64/105 and 17.07/105 in 2008 to 14.05/105 and 11.84/105 in 2020， respectively (ASMRW： AAPC=-3.7%， 95%CI： -5.0%~-2.4%， P<0.001； ASMRC： AAPC=-4.0%， 95%CI： -5.4%~-2.5%， P<0.001). From 2008 to 2020， the incidence and mortality rates of gastric cancer increased with age. Age-specific incidence and mortality rates for males aged 40 years and older were higher than those for females. The incidence and mortality rates of gastric cancer in the age groups of above 65 years old showed a decreasing trend over time. ［Conclusion］ From 2008 to 2020， there was a significant decline in the incidence and mortality rates of gastric cancer in Zhuanghe City， however the mortality rate remains higher than that of the national average. |
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