| 邱玉保,于 蕾,陈 蕾,等.2009—2019年江苏省肿瘤登记地区胃癌发病趋势及年龄特征分析[J].中国肿瘤,2024,33(12):961-969. |
| 2009—2019年江苏省肿瘤登记地区胃癌发病趋势及年龄特征分析 |
| Trends of Incidence and Age Characteristics of Gastric Cancer in Cancer Registration Areas of Jiangsu Province from 2009 to 2019 |
| 投稿时间：2024-07-09 |
| DOI：10.11735/j.issn.1004-0242.2024.12.A001 |
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| 中文关键词: 胃癌 发病率 趋势分析 江苏 |
| 英文关键词:gastric cancer incidence temporal trends Jiangsu |
| 基金项目:宿迁市指导性科技计划项目（Z2022083）；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2009—2019年江苏省肿瘤登记地区人群胃癌发病趋势及年龄变化情况。［方法］ 基于2009—2019年江苏省16个符合质量控制标准、数据连续的肿瘤登记处资料，提取胃癌发病数据进行分析。分性别、城乡和年龄组计算发病率，人口标准化参照2000年中国标准人口结构（中标率）。采用Joinpoint软件对发病趋势进行分析，计算平均年度变化百分比（average annual percentage change，AAPC）。构建出生队列模型，计算1929—2019年出生的男性和女性胃癌发病率，分析其发病趋势。计算并比较2009年和2019年江苏省胃癌发病年龄构成。［结果］ 2009—2019年江苏省肿瘤登记地区胃癌发病率和标化发病率无论男女或城乡，均呈显著下降趋势，其中男性下降幅度（AAPC=-1.28%，P<0.001）高于女性（AAPC=-1.17%，P=0.030），城市下降幅度（AAPC=-1.66%，P<0.001）高于农村（AAPC=-0.72%，P<0.001）。不同年龄发病趋势结果显示，2009—2019年全省肿瘤登记地区40~79岁各年龄组胃癌发病率均呈显著下降趋势，AAPC在-6.75%~-3.54%之间（P均＜0.05）。出生队列分析结果显示，不同出生年份的40~79岁年龄段人群的胃癌发病率均随着出生年份增加呈现下降趋势。2009—2019年江苏省人群胃癌平均发病年龄每年上升0.27岁（95%CI：0.24~0.29），调整人口结构后，平均每年上升0.13岁（95%CI：0.10~0.16）。2009—2019年60岁以上人群的胃癌标化发病构成每年增加0.63%（95%CI：0.46%~0.81%）。［结论］ 2009—2019年江苏省肿瘤登记地区胃癌发病率呈现下降趋势，平均发病年龄呈现后移趋势，60岁以上老年人群标化发病比重增加。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze the trend of gastric cancer incidence and age characteristics in Jiangsu cancer registration areas from 2009 to 2019. ［Methods］ Cancer registration data from 2009 to 2019 meeting quality control requirements were collected from 16 cancer registries in Jiangsu Province. The crude incidence rate and age-standardized incidence rate by Chinese standard population in 2000(ASIRC) were calculated by gender， urban/rural areas and age groups. The incidence trends were analyzed by Joinpoint. A birth cohort model was constructed to calculate the incidence rate of gastric cancer for men and women born between 1929 and 2019. The age composition of gastric cancer incidence in Jiangsu Province between 2009 and 2019 was calculated and compared. ［Results］ The crude incidence rate and ASIRC of gastric cancer in Jiangsu cancer regi-stration areas from 2009 to 2019 showed a significant decreasing trend in both male and female or urban and rural areas， in which the decrease in male (AAPC=-1.28%， P<0.001) was higher than that of female (AAPC=-1.17%， P=0.030)， and the decrease in urban (AAPC=-1.66%， P<0.001) was higher than that of rural (AAPC=-0.72%， P<0.001). The incidence rates of gastric cancer in age groups of 40~79 years old showed a significant decreasing trend from 2009 to 2019 with the AAPC ranging from -6.75% to -3.54% (all P<0.05). In age groups of 40~79 years old， the incidence rates of gastric cancer among people with different years of birth showed a decreasing trend with the increase of the birth year. For ASIRC， the composition of patients aged 60 years old above increased by 0.63% (95%CI： 0.46%~0.81%) per year from 2009 to 2019. ［Conclusion］ The incidence rate of gastric cancer in cancer registration areas of Jiangsu Province from 2009 to 2019 showed a decreasing trend， the average age of incidence showed a trend of backward moving， and for age-standardized incidence the proportion of patients over 60 years old was increased. |
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