| 王华东,戴 丹,朱 强,等.2019年安徽省肿瘤登记地区恶性肿瘤发病与死亡特征及2015—2019年变化趋势分析[J].中国肿瘤,2025,34(2):98-107. |
| 2019年安徽省肿瘤登记地区恶性肿瘤发病与死亡特征及2015—2019年变化趋势分析 |
| Cancer Incidence and Mortality in Anhui Cancer Registration Areas in 2019 and Trends from 2015 to 2019 |
| 投稿时间：2024-04-10 |
| DOI：10.11735/j.issn.1004-0242.2025.02.A003 |
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| 中文关键词: 恶性肿瘤 肿瘤登记 发病 死亡 安徽 |
| 英文关键词:malignant tumor cancer registration incidence mortality Anhui |
| 基金项目:安徽省卫生健康科研项目（AHWJ2023Bab20010）；安徽省疾病预防控制中心（安徽省公共卫生研究院）青年科研项目（JKQN20230106） |
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| 中文摘要: |
| 摘 要： ［目的］ 分析安徽省肿瘤登记地区2019年恶性肿瘤发病情况和死亡特征及2015—2019年变化趋势。 ［方法］ 将2019年安徽省符合质量控制要求的42个肿瘤登记处数据资料，按照城乡地区、男女性别、年龄组分别计算恶性肿瘤发病率、死亡率、中标率、世标率、年龄别率、0～74岁累积率、前10位发病与死亡顺位等；应用Joinpoint对2015—2019年恶性肿瘤发病和死亡进行趋势分析，估算总体年度变化百分比（annual percentage change，APC）。分别采用2000年中国标准人口和Segi世界标准人口计算中标率和世标率。［结果］ 2019年安徽省肿瘤登记地区恶性肿瘤粗发病率为282.87/10万（男性313.24/10万，女性251.19/10万），中标率和世标率分别为183.85/10万、178.94/10万，累积率为20.35%；2015—2019年全省恶性肿瘤发病率无显著改变（APC=-1.00%，P>0.05）。2019年安徽省恶性肿瘤粗死亡率为167.20/10万（男性214.67/10万，女性117.67/10万），中标率和世标率分别为98.41/10万和97.15/10万，累积率为10.68%；2015—2019年全省恶性肿瘤死亡率无显著改变（APC=-3.44%，P>0.05）。肺癌发病率和死亡率在城乡各性别人群中均占据第1位；女性乳腺癌发病率占第3位，死亡率占第6位。恶性肿瘤发病率及死亡率男性均高于女性，农村地区均高于城市地区，农村地区与城市地区发病和死亡的主要癌种趋于一致。［结论］ 2015—2019年安徽省肿瘤登记地区恶性肿瘤发病与死亡无明显变化趋势，但仍需对肺癌、女性乳腺癌等重点癌种进行有针对性的防治工作。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze cancer incidence and mortality in Anhui cancer registration areas in 2019 and the trends from 2015 to 2019. ［Methods］ Data from 42 cancer registration areas in Anhui Province in 2019 meeting quality control requirements were collected. The incidence， mortality， age-standardized rates by Chinese standard population and world standard population， age-specific rate， accumulation rate (0~74 years old) and the top 10 cancers of high incidence and mortality were calculated by urban and rural areas， sexes and age groups. The standard population of China in 2000 was used for age-standardized incidence or mortality rate (ASIRC or ASMRC)， and the Segi world standard population was used for age-standardized incidence or mortality rate (ASIRW or ASMRW)， respectively. Joinpoint was used to analyze the incidence and mortality trends from 2015 to 2019， and the annual percentage change (APC) was estimated. ［Results］ In 2019， the reported incidence rate (crude rate) in Anhui cancer registration areas was 282.87/105(313.24/105 for male， 251.19/105 for female )， ASIRC and ASIRW were 183.85/105 and 178.94/105， respectively， with the cumulative incidence rate of 20.35%. There was no significant change in the incidence of malignant tumors from 2015 to 2019 (APC=-1.00%， P>0.05). The reported mortality rate (crude rate) was 167.20/105 (214.67/105 for male， 117.67/105 for female)， ASMRC and ASMRW were 98.41/105 and 97.15/105，and the cumulative mortality rate was 10.68%. There was no significant change in the mortality rate of malignant tumors from 2015 to 2019 (APC=-3.44%， P>0.05). The incidence and mortality rate of lung cancer ranked the first in urban and rural populations of all genders. The incidence rate of female breast cancer ranked the third and the mortality rate ranked the sixth of all malignancies. The incidence and mortality of malignant tumors in men were higher than those in women， and higher in rural areas than those in urban areas， and the main cancer types of rural and urban areas tended to be the same. ［Conclusion］ From 2015 to 2019， there was no significant change in the incidence and mortality of malignant tumors in the cancer registration areas of Anhui Province， but it is still necessary to prevent and treat lung cancer and female breast cancer. |
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