| 吉 维,周 婕,刘 涛,等.2019年贵州省肿瘤登记地区恶性肿瘤发病与死亡特征及2015—2019年趋势分析[J].中国肿瘤,2025,34(3):178-187. |
| 2019年贵州省肿瘤登记地区恶性肿瘤发病与死亡特征及2015—2019年趋势分析 |
| Cancer Incidence and Mortality in Cancer Registration Areas of Guizhou Province in 2019 and the Trend from 2015 to 2019 |
| 投稿时间：2024-03-21 |
| DOI：10.11735/j.issn.1004-0242.2025.03.A003 |
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| 中文关键词: 恶性肿瘤 发病率 死亡率 趋势 贵州 |
| 英文关键词:cancer incidence mortality trend Guizhou |
| 基金项目:贵州省卫生健康委省级重点建设学科项目；贵州省卫生健康委科学技术基金项目（gzwjkj2019-1-221） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2019年贵州省肿瘤登记地区恶性肿瘤流行状况及2015—2019年变化趋势。［方法］ 共纳入贵州省2019年54个符合质量标准的肿瘤登记处数据，分地区及性别计算发病率、死亡率及其中国人口标化率（简称中标率）和世界人口标化率（简称世标率）以及累积率（0～74岁）。人口标准化率采用2000年全国普查标准人口年龄构成和 Segi 世界标准人口结构计算。2015—2019年变化趋势使用Joinpoint回归模型计算年度变化百分比（annual percentage change，APC）及其95%置信区间（confidence interval，CI）进行分析。［结果］ 2019年贵州省肿瘤登记地区恶性肿瘤的粗发病率为246.72/10万，中标率为189.45/10万，世标率为181.85/10万，0～74岁累积率为19.43%。恶性肿瘤发病顺位中，肺癌位居第1位，其后依次为肝癌、女性乳腺癌、宫颈癌、结直肠癌。2019年贵州省肿瘤登记地区恶性肿瘤粗死亡率为158.57/10万，中标率为114.08/10万，世标率为111.94/10万，0～74岁累积率为11.99%。恶性肿瘤死亡顺位中，肺癌位第1位，其后依次是肝癌、结直肠癌、胃癌和宫颈癌。2019年贵州省肿瘤登记地区恶性肿瘤发病率和死亡率均随年龄增长呈上升趋势。2015—2019年间，恶性肿瘤的中标发病率略有下降，中标死亡率却呈上升趋势，但均没有统计学意义（发病APC=-1.13%，死亡APC=2.48%，P均>0.05）。［结论］ 2015—2019年贵州省肿瘤登记地区恶性肿瘤死亡率上升且高于全国平均水平，疾病负担较重。肺癌、消化系统恶性肿瘤、女性乳腺癌及宫颈癌是贵州省肿瘤登记地区发病和死亡水平较高的恶性肿瘤，应重点防控。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the trends of cancer incidence and mortality in cancer registration areas of Guizhou Province in 2019 and change trend from 2015 to 2019. ［Methods］ The incidence and mortality data of malignant tumors in 54 cancer registries in Guizhou Province that met the quality standards in 2019 were included. The incidence and mortality rate， age-standardized incidence/mortality rates by Chinese standard population(ASIRC， ASMRC) and world standard population(ASIRW， ASMRW) as well as cumulative rates (0~74 years old) were calculated for urban and rural areas， as well as for men and women. Joinpoint software was used to calculate the annual percentage change (APC) and 95% confidence interval for trend anaylsis. ［Results］ In 2019， the crude incidence of cancers in Guizhou cancer registration areas was 246.72/105， ASIRC was 189.45/105， ASMRC was 181.85/105 and the cumulative incidence rate (0～74 years old) was 19.43%. Among the rankings of cancer incidence， lung cancer ranked the first， followed by liver cancer， female breast cancer， cervical cancer and colorectal cancer. In the same year， the crude mortality rate of cancers was 158.57/105， the ASMRC was 114.08/105， ASMRW was 111.94/105，with the cumulative mortality rate (0～74 years old) of 11.99%. Among the rankings of cancer mortality， lung cancer ranked the first， followed by liver cancer， colorectal cancer， stomach cancer and cervical cancer. In 2019， the incidence and mortality of cancers in the cancer registration areas of Guizhou Province showed an increasing trend with age. From 2015 to 2019， the ASIRC in Guizhou showed a decreased trend (APC=-1.13%) and the ASMRC showed an increasing trend (APC=2.48%)， but they were not statistically significant(both P>0.05). ［Conclusion］ From 2015 to 2019， the mortality rate of malignant tumors in the cancer registered areas of Guizhou Province increased and was higher than the national average level， and the disease burden was heavy. Lung cancer， malignant tumors of the digestive system， female breast cancer， and cervical cancer were malignant tumors with high incidence and mortality rates， and should be given priority for prevention and control. |
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