| 陈 英,马晶昱,相智声,等.1991—2020年福建省福州市长乐区胃癌发病和死亡趋势分析[J].中国肿瘤,2024,33(11):894-900. |
| 1991—2020年福建省福州市长乐区胃癌发病和死亡趋势分析 |
| Trend of Incidence and Mortality of Gastric Cancer in Changle District， Fuzhou City of Fujian Province from 1991 to 2020 |
| 投稿时间：2024-04-29 |
| DOI：10.11735/j.issn.1004-0242.2024.11.A003 |
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| 中文关键词: 胃癌 发病率 死亡率 趋势分析 福建 |
| 英文关键词:gastric cancer incidence mortality trend analysis Fujian |
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| 中文摘要: |
| 摘 要： ［目的］ 分析1991—2020年福建省福州市长乐区胃癌发病与死亡变化趋势。［方法］ 根据长乐区1991—2020年肿瘤登记资料中胃癌发病和死亡数据，计算胃癌的发病和死亡粗率、中标率，采用 Joinpoint 线性回归模型分析胃癌发病和死亡的变化趋势，计算年度变化百分比（annual percentage change，APC）及平均年度变化百分比（average annual percentage change，AAPC）。［结果］ 1991—2020年长乐区胃癌粗发病率为62.28/10万，中标率为55.71/10万，中标率从1991年的100.94/10万下降至2020年的26.45/10万，AAPC值为-4.34%（P<0.01）；长乐区胃癌粗死亡率为50.58/10万，中标率为44.35/10万，中标率从1991年的93.07/10万下降到2020年的20.03/10万，AAPC值为-4.71%（P<0.01）。1991—2020年长乐区胃癌发病率在0~44岁、45~54 岁、55~64 岁、 65~74 岁和75岁及以上年龄组均呈下降趋势，其中45~54岁年龄组下降幅度最大；胃癌死亡率在0~44岁、45~54 岁、55~64 岁和65~74 岁年龄组均呈下降趋势，其中45~54岁年龄组下降幅度最大，75岁及以上年龄组死亡率没有明显变化。1991—2020年间，长乐区胃癌发病中位年龄延迟了7岁，死亡中位年龄延迟了13岁。［结论］ 福建省福州市长乐区胃癌防治取得显著成效，1991—2020年发病率和死亡率均呈下降趋势，但仍处于较高水平，需进一步开展针对性的防控措施。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the trends of incidence and mortality of gastric cancer in Changle District of Fuzhou City， Fujian Province during 1991—2020. ［Methods］ The incidence and mortality data of gastric cancer from 1991 to 2020 were collected from cancer registries in Changle District. The crude incidence/mortality rates and age-standardized incidence/mortality rates by Chinese standard population (ASIRC/ASMRC) of gastric cancer were calculated. The change trends of gastric cancer incidence and mortality were analyzed by the Joinpoint linear regression model， and the annual percentage change (APC) and the average annual percentage change (AAPC) were calculated.［Results］ From 1991 to 2020， the crude incidence of gastric cancer in Changle District was 62.28/105， the ASIRC was 55.71/105， the ASIRC decreased from 100.94/105 in 1991 to 26.45/105 in 2020 with an AAPC of -4.34% (P<0.01). The crude mortality rate of gastric cancer was 50.58/105， the ASMRC was 44.35/105， the ASMRC decreased from 93.07/105 in 1991 to 20.03/105 in 2020 with an AAPC of -4.71% (P<0.01). From 1991 to 2020， the incidence of gastric cancer in Changle District decreased in age groups of 0~44， 45~54， 55~64， 65~74 and older than 75 years old， with the most significant decrease in the 45~54 age group. The mortality decreased in age group of 0~44，45~54，55~64 and 65~74 with the most significant decrease in 45~54 age group； there was no significant change in 75 and above age group. From 1991 to 2020， the median age of gastric cancer onset and death was delayed by 7 years and 13 years， respectively. ［Conclusion］ The incidence and mortality of gastric cancer had been considerably decreased during 1991— 2000， indicating the success of prevention and control in Changle District; but they are still at a high level， so further targeted prevention and control measures are needed. |
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