2013年中国胃癌发病与死亡分析  

Incidence and mortality of stomach cancer in China, 2013

作　　者：张思维[1] 杨之洵 郑荣寿[1] 曾红梅[1] 陈万青[1] 赫捷[2] 

机构地区：[1]国家癌症中心,中国医学科学院北京协和医学院肿瘤医院全国肿瘤防治研究办公室,100021 [2]国家癌症中心,中国医学科学院北京协和医学院肿瘤医院胸外科,100021

出　　处：《中华肿瘤杂志》2017年第7期547-552,共6页Chinese Journal of Oncology

基　　金：科技部基础工作专项（2014FY121100）;国家自然科学基金（81602931）;卫生公益性行业科研专项（201502001）

摘　　要：目的分析全国肿瘤登记中心收集的登记资料，估计2013年全国胃癌的发病和死亡情况。方法对2016年全国肿瘤登记中心347个登记处的2013年肿瘤登记数据进行评估，其中255个肿瘤登记处的数据符合入选标准，按城乡、性别以及年龄分层，结合2013年全国人口数据，估计全国胃癌的发病和死亡情况。中国人口标化率（中标率）采用2000年全国人口普查的标准人口年龄构成，世界人口标化率（世标率）采用Segi′s标准人口年龄构成。结果2013年255个肿瘤登记地区覆盖人口为226 494 490人（城市111 595 772人，农村114 898 718人）。胃癌病理诊断比例为76.27%，只有死亡证明书比例为1.98%，死亡发病比为0.72。估计全国胃癌发病人数约为42.7万例，发病率为31.38 /10万（男性为42.85/10万，女性为19.33/10万），中标率为21.40/10万，世标率为21.32/10万，累积率（0-74岁）为2.66%。城市地区发病率为27.80/10万，中标发病率为18.48/10万；农村地区发病率为35.54/10万，中标发病率为24.93/10万。估计全国胃癌死亡人数约为30.1万例，死亡率为22.13/10万（男性29.85/10万，女性14.03/10万），中标死亡率为14.68/10万，世标死亡率为14.54/10万，累积死亡率（0-74岁）为1.70%。城市地区死亡率为18.94/10万，中标死亡率12.20/10万。农村地区恶性肿瘤死亡率为25.84/10万，中标死亡率为17.67/10万。结论胃癌是威胁我国居民健康的主要恶性肿瘤之一，其在男性、女性和城乡地区之间存在明显差异，应根据实际情况有重点地开展防治工作。Objective To estimate the incidence and mortality of stomach cancer in China based on the cancer registration data in 2013, collected by the National Central Cancer Registry （NCCR）. Methods There were 347 cancer registries that submitted stomach cancer incidence and deaths occurred in 2013 to NCCR. After evaluating the data quality, 255 registries＇ data were accepted for analysis and stratified by areas （urban/rural）, sex, and age group. Combined with data on national population in 2013, the nationwide incidence and mortality of stomach cancer were estimated. Chinese population census in 2000 and Segi＇s population were used for age-standardized incidence/mortality rates. Results Qualified 255 cancer registries covered a total of 226 494 490 populations （ 111 595 772 in urban and 114 898 718 in rural areas）. The percentage of cases morphologically verified and death certificate-only cases were 76.27% and 1.98%, respectively, and the mortality to incidence rate ratio was 0.72. It is estimated that there were 427 000 new cases for stomach cancer nationwide, with a crude incidence rate of 31.38 per 100 000 （42.85 per 100 000 in males, 19.33 per 100 000 in females）. The age-standardized incidence rates by Chinese standard population （ASR China） and by world standard population （ASR world） were 21.40 per 100 000 and 21.32 per 100 000, respectively, with a cumulative incidence rate （0-74 age years old） of 2.66%. The crude and ASR China incidence rates of stomach cancer in urban areas were 27.80 per 100 000 and 18.48 per 100 000, respectively, whereas those were 35.54 per 100 000 and 24.93 per 100 000 in rural areas. It is estimated that there were 301 00（3 deaths for stomach cancer nationwide, with a crude mortality rate of 22.13 per 100 000 （ 29.85 per 100 000 in males, 14.03 per 100 000 in females）. The ASR China and ASR world mortality rates were 14.68 per 100 000 and 14.54 per 100 000, respectively, with a cumulative mortality rate （0-74 years old） of 1.70%. The crude and AS

关 键 词：食管肿瘤 发病率 死亡率 中国 

分 类 号：R735.2[医药卫生—肿瘤]