| 闫 纳,马珠媛,丁高恒,等.2019年甘肃省肿瘤登记地区胃癌流行特征及2010—2019年变化趋势分析[J].中国肿瘤,2024,33(12):1006-1013. |
| 2019年甘肃省肿瘤登记地区胃癌流行特征及2010—2019年变化趋势分析 |
| Incidence and Mortality of Gastric Cancer in Cancer Registration Areas of Gansu Province in 2019 and Its Change Trend from 2010 to 2019 |
| 投稿时间：2023-12-30 |
| DOI：10.11735/j.issn.1004-0242.2024.12.A007 |
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| 中文关键词: 胃癌 流行病学 肿瘤登记 趋势变化 甘肃 |
| 英文关键词:gastric cancer epidemiology cancer registry trend change Gansu |
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| 摘要点击次数: 248 |
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| 中文摘要: |
| 摘 要：［目的］ 分析甘肃省肿瘤登记地区2019年胃癌发病和死亡流行特征及2010—2019年趋势变化情况。［方法］ 整理甘肃省23个肿瘤登记点上报的胃癌资料，计算发病/死亡率、标化发病/死亡率、累积发病/死亡率等统计指标。利用Joinpoint模型计算年度变化百分比（annual percentage change，APC）和平均年度变化百分比（average annual percentage change，AAPC），对甘肃省肿瘤登记地区2010—2019年胃癌发病和死亡趋势进行描述。［结果］ 2019年甘肃省肿瘤登记地区胃癌发病率为48.54/10万，中标率为31.30/10万，世标率为34.40/10万，累积率（0~74岁）为3.95%，恶性肿瘤发病构成为17.93%。胃癌死亡率为29.12/10 万，中标率为18.29/10 万，世标率为20.74/10万，累积率（0~74岁）为2.13%，恶性肿瘤死亡构成为21.52%。发病和死亡均居癌谱首位。中标发病率AAPC为-5.85%（95%CI：-7.94%~-3.20%），中标死亡率AAPC为-6.12%（95%CI：-7.32%~-4.73%），趋势变化均有统计学意义（P均<0.05）。在地区分布中，临潭县胃癌发病率最高，甘州区死亡率最高，庆城县发病率最低，白银区死亡率最低。［结论］ 甘肃省胃癌发病和死亡呈下降趋势，应在现有的防控基础上，积极开展防治工作，加强高危人群的筛查。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the incidence and mortality of gastric cancer in 2019 in Gansu cancer registration areas and the trend from 2010 to 2019. ［Methods］ The data of gastric cancer reported by 23 cancer registries in Gansu Province were collected. The crude incidence and mortality rates， standardized incidence and mortality rates by Chinese and world standard population (ASIRC， ASIRW and ASMRC， ASMRW) and cumulative rate were calculated. The annual percentage change (APC) and the average annual percentage change (AAPC) were calculated with Joinpoint regression model. ［Results］ In 2019， the crude incidence of gastric cancer was 48.54/105， the ASIRC was 31.30/105， and the ASIRW was 34.40/105. The cumulative rate (0~74 years old) was 3.95%. The crude mortality rate of gastric cancer was 29.12/105， the ASWRC was 18.29/105， the ASMRW was 20.74/105， the cumulative rate (0~74 years old) was 2.13%. Gastric cancer accounted for 17.93% of all cancer new cases in Gansu Province in 2019， and accounted for 21.52% of all cancer deaths， both ranking the first of all cancers in the province. The AAPC of ASIRC was -５.85% (95%CI： -7.94%~-3.20%)， and the AAPC of ASMRC was -6.１２% (95%CI： -7.32%~-4.73%). For regional distributions， Lintan County had the highest incidence rate， Ganzhou District had the highest mortality rate， Qingcheng County had the lowest incidence rate and Baiyin District had the lowest mortality rate. ［Conclusion］ The incidence and mortality of gastric cancer in Gansu Province have been decreasing， however， the prevention and control strategies of gastric cancer should be continuously carried out in the province and strengthened screening for high risk population. |
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