| 蔡 娟,徐 红,楚 楚,等.2013—2017年江苏省南通市胆囊癌流行现状及生存分析[J].中国肿瘤,2024,33(11):930-936. |
| 2013—2017年江苏省南通市胆囊癌流行现状及生存分析 |
| Epidemic Status，Trends and Survival Analysis of Gallbladder Cancer in Nantong of Jiangsu from 2013 to 2017 |
| 投稿时间：2024-02-20 |
| DOI：10.11735/j.issn.1004-0242.2024.11.A008 |
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| 中文关键词: 胆囊癌 流行 趋势 生存分析 江苏 |
| 英文关键词:gallbladder cancer epidemic trend survival analysis Jiangsu |
| 基金项目:南通市卫生健康委科研课题（QN2023046） |
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| 中文摘要: |
| 摘 要： ［目的］ 分析2013—2017年南通市胆囊癌的流行现状、变化趋势和生存情况。 ［方法］ 收集2013—2017年南通市胆囊癌发病和死亡数据，分性别、年龄和城乡计算发病/死亡粗率、中国人口标化率（简称中标率）和世界人口标化率（简称世标率）等指标。应用Joinpoint软件对胆囊癌的发病和死亡进行趋势分析。分别采用寿命表法和Ederer Ⅱ法计算观察生存率和相对生存率。［结果］ 2013—2017年南通市胆囊癌粗发病率和粗死亡率分别为6.36/10万和4.91/10万；中标发病率和中标死亡率分别为2.62/10万和1.94/10万。2013—2017年南通市胆囊癌的发病率、死亡率和中标死亡率均呈现出逐年上升趋势（P均<0.05）。男性和女性中标发病率分别为2.43/10万和2.83/10万；男性和女性中标死亡率分别为1.74/10万和2.16/10万，女性均高于男性。城市和农村地区中标发病率分别为2.40/10万和2.69/10万，中标死亡率分别为1.61/10万和2.05/10万，农村均高于城市地区。平均发病年龄为70.33岁，平均死亡年龄为71.86岁。5年观察生存率和5年相对生存率分别为12.90%和14.47%，2013—2017年南通市胆囊癌5年观察生存率和相对生存率均呈现逐年上升趋势（P均<0.05）。［结论］ 南通市胆囊癌的发病和死亡水平较高，生存率较低。建议以农村地区人群和中老年女性为重点关注对象，采取有针对性的防控措施，加强综合防治能力。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze the incidence and mortality trends， and survival of gallbladder cancer in Nantong City of Jiangsu Province from 2013 to 2017. ［Methods］ The gallbladder cancer incidence and mortality data from 2013 to 2017 were collected from Nantong cancer registries. The crude incidence/mortality rates， age-standardized incidence/mortality rates by Chinese and world standard population (ASIRC/ASMRC， ASIRW/ASMRW) were calculated by sex， age and regions (urban and rural). Joinpoint software was used to analyze the incidence and mortality trends of gallbladder cancer. The observed survival rate and relative survival rate were calculated by using life table method and Ederer Ⅱ method. ［Results］ From 2013 to 2017， the gallbladder cancer crude incidence and mortality rates were 6.36/105 and 4.91/105， ASIRC and ASMRC were 2.62/105 and 1.94/105， respectively. The crude incidence and mortality， and ASMRC showed an upwards trend (all P<0.05). The ASIRC for men and women was 2.43/105 and 2.83/105， the ASMRC for men and women was 1.74/105 and 2.16/105， respectively. ASIRC and ASMRC in women were higher than those in men. The ASIRC in urban and rural areas was 2.40/105 and 2.69/105， and the ASMRC was 1.61/105 and 2.05/105， respectively. ASIRC and ASMRC in rural areas were higher than those in urban areas. The average age of onset was 70.33 years old and the average age of death was 71.86 years old. The 5-year observed survival rate was 12.90%， and the 5-year relative survival rate was 14.47%. Both the 5-year observed survival rate and relative survival rate showed an upwards trend (both P<0.05). ［Conclusion］ The incidence and mortality rates of gallbladder cancer in Nantong City are relatively high and the survival rate is generally low. It is suggested that targeted prevention and control measures of gallbladder cancer in Nantong City should be strengthened， particularly in rural areas and for middle-aged and elderly women. |
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