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| 2023年江苏省如皋市肺癌发病和死亡流行特征及2014—2023年发病和死亡趋势分析 |
| ncidence and Mortality of Lung Cancer in Rugao City, Jiangsu Province in 2023 and the Trends from 2014 to 2023 |
| 投稿时间：2026-03-21 修订日期：2026-06-04 |
| DOI： |
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| 中文关键词: 肺癌 发病率 死亡率 趋势分析 如皋市 |
| 英文关键词:Lung cancer Incidence Mortality Trend analysis Rugao City |
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| 中文摘要: |
| 摘 要：[目的] 分析2023年江苏省如皋市户籍居民肺癌的发病和死亡流行特征，以及2014–2023年十年间肺癌发病和死亡变化趋势。[方法] 利用如皋市肿瘤登记处2014–2023年收集的肺癌发病和死亡数据，计算粗发病（死亡）率、中国人口标化发病（死亡）率(age-standardized incidence(mortality) rate by Chinese standard population,ASIRC/ASMRC),世界人口标化发病（死亡）率(ge-standardized incidence(mortality) rate by world standard population,ASIRW/ASMRW)等指标。采用Joinpoint5.4.0软件计算发病（死亡）率平均年度变化百分比（average annual percentage change,AAPC），并分析变化趋势。[结果] 2023年如皋市肺癌粗发病率为91.23/10万，中标发病率为31.90/10万，世标发病率为31.71/10万,粗死亡率为56.06/10万，中标死亡率为17.50/10万，世标死亡率为17.33/10万，肺癌发病率和死亡率均呈现男性高于女性；肺癌年龄别发病率在75～79岁年龄组达到高峰，年龄别死亡率在85+以上年龄组达到高峰；2014–2023年，如皋市肺癌粗发病率和粗死亡率均呈上升趋势（AAPC分别为3.89%和1.54%，P均<0.05），肺癌中标发病率呈现上升趋势（AAPC=1.06%，P<0.05），女性肺癌中标发病率上升趋势明显（AAPC=4.20%，P<0.001），男性中标发病率变化趋势无统计学意义（AAPC=-0.49%，P=0.554），肺癌中标死亡率呈现下降趋势（AAPC=-2.19%，P<0.001），男性和女性中标死亡率均呈下降趋势（AAPC分别为-1.71%和-3.08%，P均<0.05）。[结论] 肺癌是严重威胁如皋市居民健康的恶性肿瘤，中老年男性是肺癌防控的重点对象，女性肺癌发病趋势上升需引起高度重视。 |
| 英文摘要: |
| Abstract:[Objective] To analyze the incidence and mortality of lung cancer in Rugao City of Jiangsu Province in 2023, and the trend from 2014 to 2023.[Methods] Data on the incidence and mortality of lung cancer in Rugao City from 2014 to 2023 were collected through the Rugao Cancer Registry.Crude incidence(mortality) rates,age-standardized incidence(mortality) rate by Chinese standard population(ASIRC/ASMRC),age-standardized incidence(mortality) rate by world standard population (ASIRW/ASMRW) were calculated.The Joinpoint 5.4.0 software was used to calculate the average annual percentage change (AAPC) of incidence (mortality) rates of lung cancer and analyze the changing trends.[Results]In 2023, the crude incidence of lung cancer in Rugao was 91.23/105, the age-standardized incidence by Chinese standard population was 31.90/105, the age-standardized incidence by world standard population was 31.71/105. The crude mortality rate was 56.06/105, the age-standardized mortality rate by Chinese standard population was 17.50/105 and the age-standardized mortality rate by world standard population was 17.33/105.The incidence and mortality of lung cancer in males are higher than those in females. The age-specific incidence of lung cancer peaked in the 75-79 age group, and the age-specific mortality peaked in the 85 years old and above .From 2014 to 2023, the crude incidence and crude mortality of lung cancer in Rugao City showed an upward trend (AAPC was 3.89 % and 1.54%,all P<0.05). The ASIRC of lung cancer showed an upward trend.(AAPC was 1.06%,P<0.05). From 2014 to 2023, the increasing trend of ASIRC of lung cancer is obvious in female(AAPC was 4.20%,P<0.001) in Rugao City ,but the ASIRC of lung cancer was not statistically significant (AAPC was -0.49 %, P = 0.554 ) in male.The ASMRC of lung cancer showed a downward trend (AAPCwas-2.19 %,P<0.001), and the ASMRC of male and female showed a downward trend (AAPCwas-1.71% and-3.08%, all P<0.05) also .[Conclusion]Lung cancer is a malignant tumor that seriously threatens the health of residents in Rugao City.Medium-elderly men are the focus of lung cancer prevention and control, and the rising incidence of lung cancer in women needs to be highly valued. |
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