| 李琰琰,郑春娟,于 航,等.2003—2020年山东省肥城市胃癌发病与死亡趋势分析[J].中国肿瘤,2026,35(9):711-717. |
| 2003—2020年山东省肥城市胃癌发病与死亡趋势分析 |
| Analysis of Incidence and Mortality Trends of Gastric Cancer in Feicheng City， Shandong Province from 2003 to 2020 |
| 投稿时间：2025-12-18 |
| DOI：10.11735/j.issn.1004-0242.2026.09.A008 |
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| 中文关键词: 胃癌 发病率 死亡率 趋势 山东 |
| 英文关键词:gastric cancer incidence mortality trends Shandong |
| 基金项目:十四五国家重点研发计划（2022YFC3600805）；2024年山东省深化医改研究课题（YGK2024005） |
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| 中文摘要: |
| 摘 要：［目的］分析 2003—2020年山东省肥城市胃癌发病、死亡情况及变化趋势。［方法］依据国家癌症中心制定的数据质量标准，汇总分析肥城市肿瘤登记处2003—2020年胃癌发病、死亡数据，分性别和年龄进行分层分析。计算胃癌粗发病率/死亡率、中国人口标化发病率/死亡率（简称中标发病率/死亡率）；应用Joinpoint回归模型分析变化趋势，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）。［结果］ 2003—2020年，肥城市胃癌新发病例8 538例，占全部恶性肿瘤发病的16.14%；死亡病例6 458例，占全部恶性肿瘤死亡的17.53%。胃癌粗发病率、粗死亡率分别为55.18/10万、41.74/10万，中标发病率、中标死亡率分别为37.03/10万、28.54/10万；分性别发病比、死亡比分别为2.84、2.79。发病率与死亡率均随年龄增长呈递增趋势，50岁后上升趋势显著加快，80岁及以上年龄组为发病与死亡双高峰。趋势分析显示：胃癌中标发病率总体变化平稳（AAPC= -0.984%，P=0.226），中标死亡率呈显著下降趋势（AAPC=-2.346%，P=0.002）。［结论］ 2003—2020年肥城市胃癌发病率总体平稳，死亡率呈下降趋势，但整体疾病负担仍较重，应重点加强男性和中老年人群的胃癌筛查与早诊早治。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze the incidence and mortality trends of gastric cancer in Feicheng City from 2003 to 2020. ［Methods］ Based on the data quality standards formulated by the National Cancer Center of China， the data of gastric cancer incidence and mortality from 2003 to 2020 in Feicheng Cancer Registry were collected and analyzed， with stratified analysis by gender and age. The crude incidence rate， crude mortality rate， age-standardized incidence rate and age-standardized mortality rate by Chinese standard population (ASIRC and ASMRC) were calculated. Joinpoint regression model was used to analyze the changing trends， and the annual percentage change (APC) and average annual percentage change (AAPC) were calculated. ［Results］ From 2003 to 2020， a total of 8 538 new gastric cancer cases were reported in Feicheng City， accounting for 16.14% of all malignant tumor cases； 6 458 deaths were reported， accounting for 17.53% of all cancer-related deaths. The crude incidence rate and crude mortality rate of gastric cancer were 55.18/105 and 41.74/105， respectively， and the ASIRC and ASMRC were 37.03/105 and 28.54/105， respectively. The male-to-female incidence ratio and mortality ratio were 2.84 and 2.79， respectively. The incidence rate and mortality rate of gastric cancer increased with age， with a significantly accelerated upward trend after the age of 50 years old， and the population aged 80 years old and above was the double peak of incidence and mortality. Trend analysis showed that the overall ASIRC of gastric cancer remained stable (AAPC=-0.984%， P=0.226)， while the overall ASMRC showed a significant downward trend(AAPC=-2.346%， P=0.002). ［Conclusion］ From 2003 to 2020， the incidence of gastric cancer in Feicheng City was generally stable， and the mortality rate showed a downward trend， but the overall disease burden was still heavy. More attention should be paid to the screening， early diagnosis and treatment of gastric cancer， especially among males and middle-aged and elderly populations. |
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