山西省肿瘤登记地区2016年上消化道癌发病与死亡情况分析  

Analysis for the incidence and death of upper gastrointestinal cancer in the cancer registration areas of Shanxi province in 2016

作　　者：武婧 崔王飞 曹凌[2] 郭雪蓉[2] 马朝辉[2] 王昕琛[2] 张瑞锋[2] 张永贞[2] WU Jing;CUI Wangfei;CAO Ling;GUO Xuerong;MA Zhaohui;WANG Xinchen;ZHANG Ruifeng;ZHANG Yongzhen(School of Public Health,Shanxi Medical University,Taiyuan 030001,China;Department of Epidemiology,Shanxi Cancer Hospital/Institute)

机构地区：[1]山西医科大学公共卫生学院,太原030001 [2]山西省肿瘤医院/肿瘤研究所流行病学研究室

出　　处：《实用肿瘤学杂志》2021年第4期327-331,共5页Practical Oncology Journal

基　　金：中央财政专项资金(总理基金)(编号:DQGG0404)。

摘　　要：目的分析山西省肿瘤登记地区2016年上消化道癌的发病与死亡情况,为上消化道癌的预防和控制提供依据。方法整理山西省2016年12个肿瘤登记地区上报的肿瘤登记数据,按城乡、性别进行分层,分别计算其发病例数、死亡例数、发病粗率、死亡粗率、累积率(0~74岁)、年龄别发病率、年龄别死亡率,计算中国人口标准化率(中标率),世界人口标准化率(世标率)等指标。标准人口采用2000年中国普查标准人口构成和Segi′s世界标准人口构成。结果山西省肿瘤登记地区2016年上消化道癌新发病例2940例,死亡病例2135例。上消化道癌发病粗率为60.13/10万(男性80.53/10万,女性38.97/10万,城市地区39.38/10万,农村地区74.17/10万),中标率41.91/10万,世标率42.97/10万,累积率(0~74岁)为5.61/10万;死亡粗率为43.67/10万(男性58.56/10万,女性28.21/10万,城市地区31.67/10万,农村地区51.78/10万),中标率29.94/10万,世标率30.52/10万,累积率(0~74岁)为3.62/10万;总体上,农村地区上消化道癌的发病率和死亡率高于城市地区;男性上消化道癌的发病率和死亡率高于女性;40-岁年龄组以后,上消化道癌发病率呈上升趋势,城市地区发病率在80-岁年龄组达到高峰,农村地区在65-岁年龄组达到高峰;上消化道癌死亡率在45-岁年龄组之前处于较低水平,而后随着年龄的增加而逐渐上升,并在85+岁年龄组达到峰值。结论上消化道癌是威胁山西省居民健康最常见的恶性肿瘤,男性人群、农村地区人群及中老年群体是我省癌症防控的重点,应根据城乡及性别差异,有针对性地开展上消化道肿瘤防治工作。Objective The objective of this study was to analyze the incidence and death of upper gastrointestinal cancer in the cancer registration areas of Shanxi province in 2016,and to provide evidence for prevention and control of upper gastrointestinal cancer.Methods The cancer registration data reported by 12 tumor registration areas of Shanxi in 2016 were sorted out and stratified by urban and rural areas and gender.The number of cases and deaths,the crude incidence and mortality,the cumulative rate(0~74 years old),age-specific incidence and mortality were calculated.The incidence and mortality were standardized by the 2000 China Census standard population composition(ASR China)and Segi′s World standard population composition(ASR World).Results In 2016,there were 2940 new cases of upper gastrointestinal cancer and 2,135 deaths in the cancer registration areas of Shanxi province.The crude incidence of upper gastrointestinal cancer was 60.13/100,000(80.53/100,000 in male and 38.97/100,000 in female;39.38/100,000 in urban areas and 74.17/100,000 in rural areas),the population standardization rate in China was 41.91/100,000,the population standardization rate in World was 42.97/100,000,and the cumulative incidence rate for 0~74 years old was 5.61/100,000.The crude rate of death from upper gastrointestinal cancer of Shanxi in 2016 was 43.67/100,000(58.56/100,000 in males and 28.21/100,000 in females;31.67/100,000 in urban areas and 51.78/100,000 in rural areas),the standardized mortality rate in China was 29.94/100,000,the standardized mortality rate in World was 30.52/100,000,the cumulative mortality rate of 0~74 years old was 3.62/100,000.Overall,incidence and mortality of upper gastrointestinal cancer in rural areas were higher than those in urban areas.The incidence and mortality of upper gastrointestinal cancer in males were higher than females.After 40 years old,the incidence of upper gastrointestinal cancer was on the rise.The incidence peaks in the 80-year-old age group were in urban areas and 65-year-old in rur

关 键 词：山西省 肿瘤登记 上消化道癌 发病 死亡 

分 类 号：R735[医药卫生—肿瘤]