陈 琼,刘志才,程兰平.2003~2007年中国结直肠癌发病与死亡分析[J].中国肿瘤,2012,21(3):179-182.
2003~2007年中国结直肠癌发病与死亡分析
An Analysis of Incidence and Mortality of Colorectal Cancer in China, 2003~2007
投稿时间:2011-10-12  
DOI:
中文关键词:  结直肠癌  发病率  死亡率  中国
英文关键词:colorectal cancer  incidence  mortality  China
基金项目:财政部、卫生部公共卫生专项资金肿瘤随访登记项目(财社[2008]293号、财社[2009]193号、财社[2010]90号)
作者单位
陈 琼 河南省肿瘤医院肿瘤防治研究办公室 
刘志才 河南省肿瘤医院肿瘤防治研究办公室 
程兰平 林州市肿瘤登记处 
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中文摘要:
      摘 要:[目的] 分析2003~2007年我国结直肠癌发病和死亡状况及其变化趋势。[方法] 利用2003~2007年全国32个肿瘤登记处发病和死亡数据以及相应的人口数据,分别计算结直肠癌的发病率与死亡率及构成比、年龄别发病率和死亡率、中国标准人口年龄调整(中标率)及世界标准人口年龄调整(世标率)发病率与死亡率。对2003~2007年期间全国各年度结直肠癌的发生与死亡变化趋势进行描述,运用Joinpoint模型对部分登记地区的发病与死亡长期观察数据进行趋势分析。[结果] 2003~2007年中国结直肠癌发病率为28.08/10万,中标率为14.41/10万,世标率为19.27/10万;结直肠癌死亡率为13.41/10万,中标率为6.27/10万,世标率为8.76/10万。结直肠癌在恶性肿瘤发病和死亡构成中分别占10.56%和7.80%,居第3位和第5位。结直肠癌发病率和死亡率均为男性高于女性,性别比为1.17∶1。在结直肠癌发病和死亡的部位构成中,以结肠癌和直肠癌为主,结肠癌略高于直肠癌,肛门癌所占比例仅为1%。2003~2007年我国各年度的结直肠癌发病率和死亡率均呈平稳上升趋势;1988~2007年北京市、上海市、启东市和林州市发病率呈稳定上升趋势,死亡率变化不稳定。[结论] 中国结直肠癌发病率和死亡率呈上升趋势,继续加强对结直肠癌的综合防治研究是我国癌症控制工作的重要内容之一。
英文摘要:
      Abstract: [Purpose] To describe the incidence and mortality of colorectal cancer and their time trends during 2003~2007 in China. [Methods] The data during 2003~2007 were collected from 32 cancer registries in China. Crude incidence, crude mortality, age-specific incidence, age-specific mortality, age-standardized incidence and age-standardized mortality were calculated respectively. The time trends of incidence and mortality of colorectal cancer during 2003~2007 were described, and the Joinpoint model was used to analyze the trends of the long term data in some registries. [Results] During 2003~2007 in China the crude incidence of colorectal cancer was 28.08/105, the age-standardized rates by Chinese population and by world population were 14.41/105 and 19.27/105, respectively. The crude mortality of colorectal cancer was 13.41/105, the age-standardized rates by Chinese population and by world population were 6.27/105 and 8.76/105, respectively. The colorectal cancer accounted for 10.56% and 7.80% of the total cancer incidence and mortality, ranked 3rd and 5th, respectively. The incidence and mortality were higher in male than that in female, and the sex ratio was 1.17∶1. The colon cancer and rectum cancer accounted for most of the colorectal cancer, and the anal cancer accounted for only 1%. The incidence and mortality of colorectal cancer increased steadily during 2003~2007 in China. The incidence in Beijing City, Shanghai City, Qidong County and Linzhou County increased steadily during 1988~2007, but the mortality changed unsteadily. [Conclusion] The incidence and mortality of colorectal cancer increase steadily during 2003~2007. Prevention and control of colorectal cancer is still need to be strengthened in China.
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