新疆肿瘤登记地区恶性肿瘤早死所致疾病负担分析  

Disease burden of premature death of malignant neoplasms in Xinjiang cancer registries

作　　者：赵瑞[1] 刘来新[2] 倪明建[2] 李述刚[1] 闫贻忠 张学飞[1] 舒聪 王彦镔 姜楠[1] 郝豪[1] 

机构地区：[1]石河子大学医学院预防医学系,新疆石河子832000 [2]新疆维吾尔自治区疾病预防控制中心,新疆乌鲁木齐830000

出　　处：《现代预防医学》2017年第9期1703-1707,1713,共6页Modern Preventive Medicine

基　　金：新疆兵团石河子肿瘤登记与食管癌/贲门癌早诊早治项目(兵财社[2011]141号)

摘　　要：目的了解2011年新疆肿瘤登记地区恶性肿瘤早死所致疾病负担,为肿瘤防治提供依据。方法收集2011年新疆肿瘤登记地区恶性肿瘤死亡数据,通过死亡率、潜在减寿年(potential years of life lost,PYLL)和早死所致生命损失年(years of life lost,YLL)来评价恶性肿瘤早死所致疾病负担情况。结果 2011年恶性肿瘤粗死亡率为93.04/10~5,男性中标率(110.83/10~5)高于女性(61.60/105)。恶性肿瘤PYLL率为8.88‰,男性(9.29‰)高于女性(8.46‰),PYLL率的前五位依次为肺癌、肝癌、白血病、胃癌和乳腺癌,占到全部的55.07%。恶性肿瘤YLL率为10.58‰,男性(12.05‰)高于女性(9.09‰),YLL率排前五位的依次是肺癌、肝癌、胃癌、白血病和乳腺癌,占到全部的57.38%。PYLL率和YLL率均随年龄增加呈上升趋势,40岁以上人群占全部疾病负担的70%,且45岁以后,男性高于女性。结论恶性肿瘤早死所致疾病负担较重,男性高于女性,40岁以后人群所占比例较高,肺癌、肝癌、胃癌、白血病和女性乳腺癌带来的疾病负担较重,为新疆地区肿瘤防治提供参考。Objective To estimate the disease burden of premature death of malignant neoplasms in Xinjiang cancer registries in 2011, and to provide the reference for cancer prevention and control. Methods The mortality data of cancer in Xinjiang cancer registries in 2011 were collected to calculate mortality, potential years of life lost（PYLL） and years of life lost （YLL）to evaluate the disease burden of premature death. Results The crude mortality was 93.04/105 , and the standardized mortality of male （ 110.83/105 ） was higher than female （ 61.60/105 ）. The PYLL rate was 8.88%o, with male （9.29‰） higher than female （8.46‰）. The top five cancer of PYLL rate were lung cancer, liver cancer, leukemia, stomach cancer and breast cancer, which accounted for 55.07 % of all cancer. The YLL rate was 10.58 ‰, and male was （12.05‰） higher than female （9.09‰）. Lung cancer,liver cancer, stomach cancer, leukemia and breast cancer ranked the top five in YLL rate, which accounted for 57.38% of all cancer. PYLL rate and YLL rate increased with age, and the population over 40 years of age accounted for 70% of the total disease burden, and male was higher than female from 45 years old. Conclusion The disease burden of premature death of malignant neoplasms in Xinjiang cancer registries is serious. The burden of male is higher than female and higher proportion of middle and elderly people. The lung cancer, liver cancer, gastric cancer, leukemia and breast cancer in women bring a serious disease burden of premature death. These will provide a reference for the prevention and treatment of malignant tumors in Xinjiang area.

关 键 词：潜在减寿年 早死所致生命损失年 恶性肿瘤 疾病负担 

分 类 号：R181.23[医药卫生—流行病学]