2010—2018年新疆生产建设兵团第八师肺癌流行特征与疾病负担研究  

Epidemiological Characteristics and Disease Burden of Lung Cancer in the Eighth Division of Xinjiang Production and Construction Corps,2010—2018

作　　者：高岩[1] 王蓓[1] 赵京 辛雯艳 GAO Yan;WANG Bei;ZHAO Jing;XIN Wen-yan(The First Affiliated Hospital,Shihezi University,Shihezi 832002,China;Center for Disease Control and Prevention of Shihezi City,Shihezi 832002’China)

机构地区：[1]石河子大学医学院第一附属医院,新疆石河子832002 [2]石河子市疾病预防控制中心,新疆石河子832002

出　　处：《中国肿瘤》2020年第7期514-519,共6页China Cancer

基　　金：新疆生产建设兵团重大公共卫生专项(20100409)。

摘　　要：[目的]分析2010—2018年新疆生产建设兵团第八师肺癌的发病、死亡及疾病负担情况。[方法]根据2010—2018年第八师肿瘤登记数据计算相关指标,包括肺癌发病率、死亡率、年龄标化率、伤残调整寿命年(disability adjusted life year,DALY)及年度变化百分比(annual percentage change,APC)等。[结果]2010—2018年第八师居民肺癌发病率、死亡率分别为37.22/10万和23.84/10万,男性均高于女性(P均<0.05)。肺癌发病率、死亡率在>40岁的人群中上升明显,且主要集中在≥60岁的人群。2010—2018年第八师居民肺癌发病率、死亡率呈上升趋势,APC分别为9.02%、11.83%。第八师居民肺癌每千人早死所致寿命损失率(YLL)、伤残所致健康寿命损失年(YLD)、DALY分别为2.85、0.06、2.90,男性均高于女性(P均<0.05)。男性、女性疾病负担高峰值均在75~79岁组。[结论]2010—2018年第八师居民肺癌发病和死亡水平较高,早死是其疾病负担的主要来源,应重点对60岁及以上人群开展早诊早治,降低第八师肺癌流行水平。[Purpose]To analyze the incidence,mortality and disease burden of lung cancer in the Eighth Division of Xinjiang Production and Construction Corps from 2010 to 2018.[Methods]According to the cancer registration data of the Eighth Division in 2010—2018,the incidence,mortality,age-standardized rate,years of life lose(YLL),years lived with disability(YLD),disability adjusted life year(DALY)and annual percentage change(APC)of lung cancer were calculated.[Results]From 2010 to 2018,the crude incidence and mortality of lung cancer were 37.22/105 and23.84/105,respectively.The incidence and mortality of lung cancer in males were higher than that in females(all P<0.05),and increased significantly in the population over 40 years old,and particularly in the age groups over 60 years old.In 2010—2018,the incidence and mortality of lung cancer were on the rise,APC were 9.02%and 11.83%,respectively.YLL,YLD and DALY of lung cancer were 2.85,0.06 and 2.90 per thousand inhabitants of the Eighth Division,respectively,and which were higher in males than those in females(all P<0.05).The peak values of disease burden of males and females were both at 75~79 years old.[Conclusion]From 2010 to 2018,the incidence and mortality of lung cancer in residents of the Eighth Division were relatively high.Premature death was the main source of disease burden.Early diagnosis and treatment for population over 60 years old should be focused on to reduce the incidence and mortality of lung cancer in the Eighth Division.

关 键 词：肺癌 发病率 死亡率 疾病负担 新疆 

分 类 号：R73-31[医药卫生—肿瘤] R734.2[医药卫生—临床医学]