2003—2007年中国肿瘤登记地区膀胱癌的发病与死亡分析  

Analysis of incidence and mortality rates of bladder cancer in registration areas of China from 2003 to 2007

作　　者：温登瑰[1] 单保恩[1] 张思维[2] 郑荣寿[2] 王寒松[3] 张莉梅[4] 毕学娟[5] 陈万青[2] 

机构地区：[1]河北医科大学第四医院肿瘤研究所流行病室,石家庄050011 [2]中国医学科学院肿瘤医院全国肿瘤登记中心,北京100021 [3]海门市疾病预防控制中心慢性病科,海门226100 [4]大连市疾病预防控制中心慢性病科,大连116021 [5]鞍山市疾病预防控制中心慢性病科,鞍山114002

出　　处：《肿瘤》2012年第4期256-262,共7页Tumor

基　　金：财政部;卫生部公共卫生专项资金肿瘤随访登记项目[编号:财社(2008)293号;财社(2009)193号;财社(2010)90号]

摘　　要：目的:描述中国32个肿瘤登记地区2003—2007年膀胱癌和发病与死亡水平,并进行国际间的比较。方法:对全国32个肿瘤登记地区的数据进行汇总,计算膀胱癌的发病率和死亡率,参照GLOBOCAN2008的数据进行国际间的比较。结果:膀胱癌总发病率为6.69/10万,城市地区为7.79/10万,农村地区为2.93/10万,城市是农村的2.7倍。膀胱癌总死亡率为2.53/10万,城市地区为2.82/10万,农村地区为1.52/10万,城市是农村的1.9倍。北京、上海和启东地区1988—2007年的年龄标化发病率都明显上升。发达国家膀胱癌年龄调整发病率为发展中国家的3倍。中国膀胱癌发病率高于发展中国家,但低于发达国家,在全球184个国家中男性位居第72位、女性位居第69位。结论:中国膀胱癌发病率城市高于农村,男性高于女性,目前处于发达国家和发展中国家之间,但呈逐渐上升趋势。Objective： To describe the incidence and mortality rates of bladder cancer in 32 cancer registration areas of China from 2003 to 2007 and to explore the international variation. Methods： The pooled data from 32 cancer registration areas in China from 2003 to 2007 were collected, and the incidence and mortality rates of bladder cancer were calculated. The international comparison was performed according to the data of GLOBOCAN 2008. Results： The incidence rate of bladder cancer was 6.69/100 000, which were 7.79/100 000 and 2.93/100 000 in urban and rural areas, respectively. The incidence rate of bladder cancer in urban areas was 2.7 folds as high as that in rural areas. The mortality rate of bladder cancer was 2.53/100 000, which were 2.82/100 000 and 1.52/100 000 in urban and rural areas, respectively. The mortality rate of bladder cancer in urban areas was 1.9 folds as high as that in rural areas. The age standardized incidence rate of bladder cancer was increased in four cancer registration areas including Beijing, Shanghai, Qidong and Linzhou between 1988 and 2007. The age standardized incidence rate of bladder cancer in the developed countries was 3 folds as high as that in the developing countries. The incidence rate of bladder cancer in China was higher than that in the developing countries, whereas it was lower than that in the developed countries. Among 184 countries, China ranks 72nd in men and 69th in women by the incidence rate of bladder cancer. Conclusion： The incidence rate of bladder cancer in urban areas is higher than that in rural areas of China, which is also higher in males than in females. It ranks between the developed and the developing countries, but moves in the upward direction.

关 键 词：膀胱肿瘤 发病率 死亡率 数据收集 流行病学研究 

分 类 号：R737.14[医药卫生—肿瘤]