杭州市2006至2015年恶性肿瘤疾病负担分析  

Disease burden of cancer in Hangzhou from 2006 to 2015

作　　者：刘庆敏[1] 张艳[1] 刘冰[1] 任艳军[1] 吴欧[1] Liu Qingmin;Zhang Yan;Liu Bing;RenYanjun;Wu Ou(Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China)

机构地区：[1]杭州市疾病预防控制中心,杭州310021

出　　处：《中华健康管理学杂志》2018年第3期225-229,共5页Chinese Journal of Health Management

摘　　要：目的评价2006至2015年杭州市恶性肿瘤的疾病负担，为恶性肿瘤防控工作提供信息。方法2006至2015年杭州市恶性肿瘤死亡信息来自常规死因监测资料，通过计算潜在减寿年数（PYLL）、标化潜在减寿年数（SPYLL）和平均减寿年数（AYLL）等分析主要恶性肿瘤的疾病负担和人群分布特征。 结果2006至2015年恶性肿瘤造成杭州市居民的PYLL为733811.0人年，SPYLL为540794.4人年，减寿年率（PYLLR）为12.1‰，AYLL为13.1年/人。PYLL前5位恶性肿瘤依次为肝癌、肺癌、胃癌、结直肠和肛门癌以及白血病，占全部恶性肿瘤PYLLR的67.5%。男性的恶性肿瘤负担高于女性，中老年（40-64岁）的恶性肿瘤负担高。2011至2015年与2006至2010年相比，除女性宫颈癌外，恶性肿瘤的PYLL率、SPYLL率和AYLL总体呈下降趋势。结论针对恶性肿瘤高死亡负担人群开展综合防治措施。Objective To investigate the disease burden of malignancies in Hangzhou in 2006-2015, and provide information for the prevention and control of cancer. Methods Data regarding deaths due to malignancies in Hangzhou in 2006-2015 was collected from general surveillance information. The main disease burden and population distribution of malignancies were determined by analyzing Potential years of life lost （PYLL）, Potential years of life lost rate （PYLLR）, standardized potential years of life lost （SPYLL）, average years of life lost （AYLL）, etc. Results PYLL and SPYLL for overall cancer were 733 811.0 years and 540 794.4 years, respectively, while PYLLR and AYLL were 12.9%o and 13.1 year/person respectively. The top 5 cancers by PYLL were liver cancer, lung cancer, stomach cancer, colorectal cancer, and leukemia accounting for 67.5% of overall PYLLR. The disease burden of malignant cancer was higher among male than female subjects. The peak of disease burden occurred in middle-aged and elderly patients. PYLL rate, SPYLL rate, and AYLL from 2011 to 2015 were lower than those from 2006 to 2010, except for cervical cancer. Conclusion Comprehensive control measures should be carried out for the malignancies with a greater burden.

关 键 词：肿瘤 疾病负担 减寿年数 

分 类 号：R73-3[医药卫生—肿瘤]