2015年江苏省脑和神经系统肿瘤流行现状及2006-2015年趋势分析  

Epidemic status of brain and nervous system tumors in Jiangsu province in 2015 and trend analysis from 2006 to 2015

作　　者：王秦[1] 林玲[1] 蔡波[1] 陶长余[1] 武鸣[2] 韩仁强[2] 罗鹏飞[2] 俞浩[2] 缪伟刚 周金意[2] WANG Qin;LIN Ling;CAI Bo;TAO Changyu;WU Ming;HAN Renqiang;LUO Pengfei;YU Hao;MIAO Weigang;ZHOU Jinyi(Nantong Municipal Center for Disease Control and Prevention,Nantong 226007,China;Jiangsu Provincial Center for Disease Control and Prevention)

机构地区：[1]南通市疾病预防控制中心,南通226007 [2]江苏省疾病预防控制中心

出　　处：《实用肿瘤学杂志》2021年第4期321-326,共6页Practical Oncology Journal

基　　金：国家重点研发计划(编号:2016YFC1302603);江苏省卫生计生委医学科研课题(编号:H2017017);江苏省卫生计生委预防医学科研课题(编号:Y2018039);南通市科技局立项项目(编号:YYZ17075);南通市课题(编号2020JCC005)。

摘　　要：目的分析2015年江苏省脑瘤发病和死亡现状及2006—2015年变化趋势。方法利用2018年江苏省疾控中心收集并质控好的35个登记处2015年肿瘤登记资料,抽取脑瘤数据,计算城乡、性别和年龄组的发病率(死亡率)、中国人口标化率(简称中标率)、世界人口标化率(简称世标率)、累积发病(死亡)率(0~74岁)等指标,结合全省人口资料,估算全省脑瘤的发病和死亡情况。汇总和整理全省2006—2015年肿瘤登记资料,应用Joinpoint软件,计算脑瘤10年间的发病(死亡)中标率的平均年度变化百分比(AAPC)。结果2015年全省肿瘤登记处覆盖人口共38761144人(城市15168594人,农村23592550人)。脑瘤死亡/发病比为0.67,病理组织学诊断比例为41.42%,只有死亡医学证明书比例为1.46%。估计全省脑瘤新发病例为5452例,粗发病率为7.16/10万,中标率为4.79/10万,世标率为4.79/10万,0~74岁累积发病率为0.51%。城市地区脑瘤估计新发病例2446例,中标率为4.99/10万;农村地区脑瘤估计新发病例3006例,中标率为4.65/10万。全省估计脑瘤死亡病例3626例,粗死亡率为4.76/10万,中标率为3.09/10万,世标率为3.13/10万,0~74岁累积死亡率为0.32%。城市地区脑瘤估计死亡病例1429例,中标率为2.86/10万;农村地区脑瘤估计死亡病例2197例,中标率为3.27/10万。城市地区总体和女性的脑瘤发病的中标率分别呈显著上升趋势,年均涨幅1.918%和3.149%。农村地区总体和女性的脑瘤死亡的中标率分别呈显著下降趋势,年均降幅1.587%和1.882%。结论脑瘤是我国常见的恶性肿瘤,应加强脑瘤的早期筛查、预防与控制工作。Objective The aim of this study was to analyze the current status of incidence and mortality of brain tumors in 2015 and the trend of changes from 2006 to 2015 in Jiangsu province.Methods The data year 2015 from 35 cancer registries collected and quality-controlled from Jiangsu provincial center for disease control and prevention in 2018 were used and data of brain tumor were extracted to calculate the incidence(mortality)of urban and rural,gender and age groups,and the Chinese population standard estimating the incidence and mortality of brain tumors in the province based on indicators such as the conversion rate(abbreviated as Chinese standard rate),the World population standardized rate(abbreviated as the World standard rate),the cumulative incidence or mortality(0~74 years old)and other indicators.Combined with the demographic data,the incidence and mortality of brain tumors in the whole province were estimated.The province′s tumor registration data from 2006 to 2015 were summarized,sorted out,and calculated the average annual change percentage(AAPC)of the standardized incidence and mortality in the past 10 years by Joinpoint software.Results In 2015,the province′s cancer registry covered a total of 38,761,144 people(15,168,594 people in urban areas,and 23,592,550 people in rural areas).The mortality to incidence ratio of brain tumors was 0.67,proportion of morphological cerification was 41.42%,and proportion of death cerification only was 1.46%.It is estimated that the number of new cases of brain tumors in the province was 5,452,the crude incidence was 7.16/100,000,the Chinese standard rate was 4.79/100,000,the World standard rate was 4.79/100,000,and the cumulative incidence of 0~74 years old was 0.51%.It is estimated that there were 2,446 new cases of brain tumors in urban areas,and the Chinese standard rate was 4.99/100,000;the estimated new cases of brain tumors in rural areas are 3006,and the Chinese standard rate was 4.65/100,000.The province′s estimated brain tumor deaths were 3,626 cases,the c

关 键 词：脑瘤 发病率 死亡率 肿瘤登记 趋势 

分 类 号：R73.31[医药卫生—肿瘤]