摘要
目的 通过2014年—2018年湖南省肿瘤登记数据,分析湖南省恶性肿瘤发病与死亡特征及流行趋势,为制定肿瘤防控策略提供工作依据。方法 收集整理2014年—2018年湖南省32个肿瘤登记点报告的发病与死亡资料,统计分析恶性肿瘤的发病率、死亡率、中国人口标化率(中标率)、年龄别发病率与死亡率、累积发病率与死亡率及年度变化百分比(APC)等指标。结果2014年—2018年湖南省肿瘤登记地区恶性肿瘤发病率为225.56/10万,中标发病率为156.41/10万;恶性肿瘤死亡率为147.32/10万,中标死亡率为95.78/10万。恶性肿瘤发病与死亡变化趋势显示:中标发病率由2014年的142.27/10万上升至2018年的172.28/10万,APC为5.1%,上升趋势有统计学意义(t=12.30,P=0.001);中标死亡率由2014年的92.44/10万上升至2018年的99.16/10万,APC为2.1%(t=4.54,P=0.020)。男性恶性肿瘤中标发病率和中标死亡率均高于女性。恶性肿瘤年龄别发病率在0~39岁处于较低水平,55~59岁年龄组开始快速上升,75~79岁年龄组达到最高峰;年龄别死亡率在0~44岁处于较低水平,55~59岁年龄组开始快速上升,80~84岁年龄组升至峰值。2014年—2018年湖南省肿瘤登记地区恶性肿瘤发病率前5位依次为肺癌、女性乳腺癌、肝癌、子宫颈癌和结直肠肛门癌;死亡率前5位依次为肺癌、肝癌、结直肠肛门癌、胃癌和女性乳腺癌。结论 湖南省恶性肿瘤的发病和死亡均呈逐年上升趋势,应高度重视恶性肿瘤的防治,做好重点癌症的筛查与早诊早治工作。
Objective Based on the cancer data of Hunan Cancer Registration from 2014 to 2018,we analyzed the epidemic trend of cancer incidence and mortality,in orderto provide a working basis for formulating cancer prevention and control strategies.Methods The incidence and mortality data reported by 32 cancer registries in Hunan Province from 2014 to2018 were collected and analyzed,and indicators including the incidence,mortality,age-standardized rate by Chinese standard population(ASR China),age-specific incidence and mortality,cumulative incidence,cumulative mortality and annual percent of change(APC) were calculated.Results The incidence of malignant tumors in Hunan cancer registration areas from 2014 to 2018 was 225.56/100 000,and the ASR China of incidence was 156.41/100 000;the mortality of cancer was147.32/100 000,and the ASR China of mortality was 95.78/100 000.The trend analyses of the cancer incidence and mortality showed that the ASR China of incidence increased from 142.27/100 000 in 2014 to 172.28/100 000 in 2018,and the APC was 5.1%,and the increase trend was statistically significant(t=12.30,P=0.001).The ASR China of mortality increased from 92.44/100 000 in 2014 to 99.16/100 000 in 2018,and the APC was 2.1%(t=4.54,P=0.020).The ASR China of incidence and mortality of cancer in males both were higher than those in females.The age-specific incidence of cancer was at a low level in the group of 0~39 years old,and began to increase rapidly in the group of 55~59 years old,reaching the peak in the group of 75~79 years old.The age-specific mortality of cancer was at a low level in the group of 0~44 years old,began to rise rapidly in the 55~59 years old group,and reached the peak in the group of 80~84 years old.The top five leading causes of new cancer cases in Hunan cancer registration areas from 2014 to 2018 in turn were lung cancer,female breast cancer,liver cancer,cervical cancer,and colorectal cancer,and the top five leading causes of deaths in turn were lung cancer,liver cancer,colorectal cancer,gastric cancer and female breast cancer.Conclusion The incidence and mortality of cancer in Hunan Province were increasing year by year.We should attach great importance to the prevention and control of cancer and do a good job in the screening and early diagnosis and treatment of key cancers.
作者
李灿
王静
廖先珍
许可葵
邹艳花
肖海帆
石朝晖
胡莹云
曹世钰
郭佳
王石玉
李娜
颜仕鹏
LI Can;WANG Jing;LIAO Xianzhen;XU Kekui;ZOU Yanhua;XIAO Haifan;SHI Chaohui;HU Yingyun;CAO Shiyu;GUO Jia;WANG Shiyu;LI Na;YAN Shipeng(Hunan Provincial Cancer Prevention and Research Office,Hunan Cancer Hospital/the Affiliated Cancer Hospital of Xiangya School of Medicine,Central South University,Changsha,410013,Hunan,China)
出处
《肿瘤药学》
CAS
2022年第4期528-535,共8页
Anti-Tumor Pharmacy
