1972—2016年启东市膀胱癌死亡趋势分析  

Mortality trend of bladder cancer in Qidong from 1972 to 2016

作　　者：王军 陈永胜 丁璐璐[1,2] 张永辉 徐源佑[1,2] 陈建国[1,2] 朱健[1,2] WANG Jun;CHEN Yongsheng;DING Lulu;ZHANG Yonghui;XU Yuanyou;CHEN Jianguo;ZHU Jian(Department of Etiology,Qidong People's Hospital/Qidong Hospital Affiliated to Nantong University,Qidong Liver Cancer Institute,Qidong,Jiangsu 226200,China)

机构地区：[1]启东市人民医院/南通大学附属启东医院病因室,江苏启东226200 [2]启东肝癌防治研究所

出　　处：《预防医学》2021年第4期344-348,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：南通市卫生健康委员会2019年科研课题(QB2019025)。

摘　　要：目的分析1972—2016年江苏省启东市居民膀胱癌死亡变化趋势,为完善启东市膀胱癌防治策略提供依据。方法通过启东市肿瘤登记报告系统收集1972—2016年膀胱癌死亡病例资料,计算粗死亡率、中国标化死亡率(中标死亡率,2000年中国标准人口)、世界标化死亡率(世标死亡率,1960年世界标准人口)、35~64岁截缩死亡率和0~74岁累积死亡率等指标,计算年度变化百分比(APC)分析死亡率变化趋势。结果1972—2016年启东市居民膀胱癌死亡1497例,粗死亡率为2.96/10万,中标死亡率为1.83/10万,世标死亡率为1.80/10万;均呈上升趋势,APC分别为5.29%、1.86%和1.81%(P<0.05)。35~64岁截缩死亡率为1.47/10万,0~74岁累积死亡率为0.17%,累积死亡风险为0.17%。男性膀胱癌粗死亡率为4.71/10万,中标死亡率为2.97/10万,世标死亡率为3.31/10万,均高于女性的1.26/10万、0.75/10万和0.66/10万。1972—2016年男性膀胱癌粗死亡率、中标死亡率、世标死亡率均呈上升趋势,APC分别为5.71%、1.96%和2.17%(P<0.05);女性膀胱癌粗死亡率呈上升趋势,APC为4.47%(P<0.05),中标死亡率和世标死亡率未见明显变化趋势(P>0.05)。≥55岁人群膀胱癌粗死亡率相对较高;1972—2016年55岁~组、65岁~组、≥75岁组膀胱癌粗死亡率均呈上升趋势,APC分别为4.50%、2.22%和4.51%(P<0.05)。结论1972—2016年启东市居民膀胱癌死亡率呈上升趋势,男性、55岁及以上人群膀胱癌死亡率相对较高。Objective To analyze the mortality trend of bladder cancer among residents in Qidong,Jiangsu Province from 1972 to 2016,so as to provide the basis for the prevention and treatment strategy of bladder cancer in Qidong.Methods The data of bladder cancer was collected from Qidong Cancer Registry.The crude mortality rate(CR),agestandardized rate by Chinese population in 2000(CASR)and world population in 1960(WASR),truncated rate(35-64 years)and cumulative rate(0-74 years)were calculated.The annual percent change(APC)was used to analyze the trend of mortality in bladder cancer.Results During from 1972 to 2016,There were 1497 deaths due to bladder cancer in Qidong from 1972 to 2016.The CR,CASR and WASR were 2.96/10^(5),1.83/10^(5) and 1.80/10^(5),respectively.The APCs in CR,CASR,WASR of bladder cancer were 5.29%,1.86%and 1.81%,respectively(P<0.05),showing upward trends.The truncated rate,cumulative rate and cumulative risk were 1.47/10^(5),0.17%and 0.17%,respectively.The CR,CASR and WASR in males were 4.71/10^(5),2.97/10^(5) and 3.31/10^(5),respectively,which was higher than that of 1.26/10^(5),0.75/10^(5),and 0.66/10^(5) in females(P<0.05).The APC of CR,CASR and WASR in males were 5.71%,1.96%and 2.17%,respectively(P<0.05),all showed upward trends.For females,the APC of CR was 4.47%(P<0.05),showing an upward trend,but there was no significant change in CASR and WASR(P>0.05).The CR of bladder cancer was high among people aged more than 55 years.The CR in 55-64-year-old group,65-74-year-old group and more than 75-year-old group showed upward trends,with APC of 4.50%,2.22%and 4.51%,respectively(P<0.05).Conclusions From 1972 to 2016,the mortality of bladder cancer in Qidong showed an upward trend,which was relatively high in men and people aged over 55 years.

关 键 词：膀胱癌 死亡率 启东市 

分 类 号：R737.315[医药卫生—肿瘤]