2008-2017年鞍山市城区居民癌症发病和生存分析  

Analysis of cancer incidence and survival in Anshan City from 2008 to 2017

作　　者：张微微 王丽娟[1] ZHANG Wei-wei;WANG Li-juan(Department of Chronic Disease Control,Anshan Center for Disease Control and Prevention,Anshan 114000,China)

机构地区：[1]鞍山市疾病预防控制中心慢性病防制科,辽宁鞍山114000

出　　处：《社区医学杂志》2021年第9期530-535,共6页Journal Of Community Medicine

基　　金：国家肿瘤随访登记[卫办疾控发(2010)149号]。

摘　　要：目的分析鞍山市城区居民2008-2017年恶性肿瘤的发病情况,为更好的防治恶性肿瘤提供科学依据。方法收集鞍山市肿瘤登记处2008-2017年恶性肿瘤的发病和生存资料,计算恶性肿瘤发病率、累积率、截缩率和构成比等指标。采用Jointpoint计算年度变化百分比(APC);采用寿命表法计算生存率。标化率以2000年全国人口普查标准人口年龄构成和Segi’s世界标准人口年龄构成为标准。结果 2008-2017年鞍山市城区居民恶性肿瘤年均发病率为372.49/10万,世标率为196.10/10万,截缩率(35~64岁)为331.85/10万,累积率(0~74岁)为22.27%。2008-2017年鞍山市肿瘤粗发病率从323.38/10万上升至448.39/10万,整体呈上升趋势(APC=3.66%,P<0.05),标化率波动差异无统计学意义。肺癌、结直肠癌和乳腺癌发病粗率呈逐年上升趋势(APC=3.25%、5.34%和3.46%,P<0.05);肺癌和肝癌标化率呈下降趋势(APC=-2.27%和-3.25%,P<0.05);平均发病年龄为63.23岁,发病率随年龄增长而升高,80~岁组达到高峰;男性发病率高于女性(男性为393.29/10万,女性为352.09/10万)。男性恶性肿瘤以肺癌、结直肠癌、肝癌、胃癌和膀胱癌为主,女性恶性肿瘤以乳腺癌、肺癌、结直肠癌、子宫颈癌和肝癌为主。全部癌症5年生存率为40.80%,女性生存率高于男性(χ^(2)=1 290.23,P<0.01),发病率前10位癌症中生存率最高为乳腺癌82.21%,最低为胰腺癌9.04%;2014年确诊病例的5年生存率与2010年对比,全部癌症的5年生存率提高5.89%(χ^(2)=5.14,P<0.05),肺癌生存率2014年比2010年提高57.58%(χ^(2)=18.42,P<0.05)。其余癌种的生存率比较差异无统计学意义,均P>0.05。结论鞍山市恶性肿瘤发病率呈逐年上升趋势,男性发病率高于女性,随着年龄增长发病率逐渐上升,5年生存率有待提高。要制定切实可行的癌症防治策略,加强三级预防,应针对不同人群采取相应的预防和干预措施,加强锻炼,戒烟限酒,普及健康生活�Objective To analyze the incidence and trend of malignant tumors in Anshan City from 2008 to 2017,and to provide scientific basis for better prevention and treatment of malignant tumors.Methods The cancer incidence and survival data of 2008-2017 years in Anshan Cancer Registry were collected,and the incidence rate,cumulative rate,survival rate,annual percentage and constituent ratio of malignant tumor were calculated.The annual percentage change(APC)was calculated by jointpoint software,and the survival rate was calculated by life table method.The standardized rate was based on the 2000 National Census Standard Population Age composition and Segi’s world standard population age composition.Results From 2008 to 2017,the annual incidence rate of malignant tumor was 372.49/105 in the urban area of Anshan,the ASR world was 196.10/105,the truncation rate was 331.85/105 in the age range from 35-64,and the accumulative rate(0-74 years old)was 22.27%.From 2008 to 2017,the crude incidence rate of tumor in Anshan rose from323.38/105 to 448.39/105,showing an upward trend(APC=3.66%,P<0.05),and the APC of standardized rate was not significantly different.The incidence of lung cancer,colorectal cancer and breast cancer increased year by year(APC=3.25%,5.34% and 3.46%,P<0.05),and the standardized rates of lung cancer and liver cancer decreased(APC=-2.27% and-3.25%,P<0.05).The average age of onset was 63.23 years old,the incidence rate increased with age,and≥80 group reached peak.The incidence rate of male was higher than that of female(393.29/105 males and352.09/105 females).Male malignant tumors are mainly lung cancer,colorectal cancer,liver cancer,stomach cancer and bladder cancer,and female malignant tumors are mainly breast cancer,lung cancer,colorectal cancer,cervical cancer and liver cancer.The 5-year survival rate of all cancers was 40.80%,female survival rate was higher than male(χ^(2)=1 290.23,P<0.01),among the top 10 cancers,the highest was breast cancer(82.21%),and the lowest was pancreatic cancer(9.04%).Compare

关 键 词：恶性肿瘤 发病率 生存率 鞍山市 

分 类 号：R73-31[医药卫生—肿瘤]