2017年甘肃省肿瘤登记地区恶性肿瘤发病与死亡分析  

Cancer Incidence and Mortality in Gansu Cancer Registration Areas in 2017

作　　者：刘玉琴[1] 丁高恒 袁浩冉 陈莉莉[1] 马骥雄[3] 淳志明 刘勤江[1] LIU Yu-qin;DING Gao-heng;YUAN Hao-ran;CHEN Li-li;MA Ji-xiong;CHUN Zhi-ming;LIU Qin-jiang(Gansu Provincial Cancer Hospital,Lanzhou 730050,China;College of Public Health,Gansu University of Chinese Medicine,Lanzhou 730000,China;Baiyin Center for Disease Control and Prevention,Baiyin 730900,China;Dunhuang Center for Disease Control and Prevention,Dunhuang 736200,China)

机构地区：[1]甘肃省肿瘤医院,甘肃兰州730050 [2]甘肃中医药大学公共卫生学院,甘肃兰州730000 [3]白银市疾病预防控制中心,甘肃白银730900 [4]敦煌市疾病预防控制中心,甘肃敦煌736200

出　　处：《中国肿瘤》2022年第2期88-97,共10页China Cancer

基　　金：甘肃卫生行业科研计划项目(GSWST2011-14)。

摘　　要：[目的]分析2017年甘肃省肿瘤登记地区恶性肿瘤的发病与死亡情况。[方法]收集2020年甘肃省23个肿瘤登记点上报的恶性肿瘤发病、死亡及人口资料登记数据,其中10个登记点数据符合质量控制标准。按性别、城乡和年龄组分层计算发病(死亡)率、标化发病(死亡)率、0~74岁累积率等统计指标。中标率及世标率分别采用2000年全国普查标准人口年龄构成和Segi’s世界标准人口年龄构成计算。[结果]2017年10个肿瘤登记点(4个城市和6个农村地区)覆盖人口3314576人,恶性肿瘤发病率为295.63/10万(男性337.57/10万,女性251.84/10万),中标率和世标率分别为208.71/10万和210.21/10万,累积率(0~74岁)为25.58%,恶性肿瘤发病在40岁以后开始快速上升,75~岁组达到高峰。城市地区恶性肿瘤发病率为304.37/10万,农村地区为277.83/10万。发病前5位恶性肿瘤依次为胃癌、肺癌、食管癌、结直肠癌、肝癌,占全部恶性肿瘤发病的62.28%。恶性肿瘤死亡率为154.62/10万(男性194.06/10万,女性113.43/10万),中标率和世标率分别为106.75/10万和107.98/10万,恶性肿瘤死亡在45岁以后开始快速上升,80~岁组达到高峰。城市地区死亡率为160.80/10万,农村地区死亡率为142.03/10万。死亡前5位恶性肿瘤依次为胃癌、肺癌、肝癌、食管癌、结直肠癌,占全部恶性肿瘤死亡的71.29%。各地区中临潭县发病率与死亡率最高,白银市白银区与兰州市西固区恶性肿瘤发病率与死亡率最低。[结论]消化道癌、肺癌和女性乳腺癌在甘肃省发病率和死亡率较高,是甘肃省恶性肿瘤防控的主要癌种。应根据恶性肿瘤流行特点,多维度合力推进癌症高危人群预防工作,以降低甘肃省恶性肿瘤的疾病负担。[Purpose]To analyze the incidence and mortality of malignant tumors in Gansu cancer registration areas in 2017.[Methods]The incidence and mortality data of malignant tumors reported by 23 cancer registries in Gansu Province were collected,of which the data of 10 registries met the quality control standards.The incidence(mortality)rate,age-standardized incidence(mortality)rate,cumulative rate(0~74 years old)were calculated according to gender,areas(urban and rural)and age groups.The age-standardized rate was calculated and adjusted by Chinese standard population in 2000(ASIRC,ASMRC)and world standard(Segi’s)population(ASIRW,ASMRW),respectively.[Results]Ten cancer registries(4 urban and 6 rural areas)covered a population of 3314576 in2017.The crude incidence of all cancers was 295.63/105(337.57/105 in males and 251.84/105 in females),ASIRC and ASIRW were 208.71/105 and 210.21/105,respectively,and the cumulative rate(0~74 years old)was 25.58%.The incidence began to rise rapidly after the age of 40,and reached a peak in the 75~age group.The crude incidence was 304.37/105 in urban areas and277.83/105 in rural areas.The top 5 cancers with high incidence were gastric cancer,lung cancer,esophageal cancer,colorectal cancer and liver cancer,accounting for 62.28%of all cancers.The crude mortality rate of all cancers was 154.62/105(194.06/105 in males and 113.43/105 in females).ASIRW and ASMRW were 106.75/105 and 107.98/105,respectively.The mortality rate increased rapidly after the age of 45 and reached the peak in the 80~age group.The mortality rate was160.80/105 in urban areas and 142.03/105 in rural areas.The top 5 cancers with high mortality rate were gastric cancer,lung cancer,liver cancer,esophageal cancer and colorectal cancer,accounting for 71.29%of all cancer mortality.Lintan County had the highest incidence and mortality rates of all areas and Baiyin District of Baiyin City and Xigu District of Lanzhou City had the lowest.[Conclusion]Gastrointestinal cancer,lung cancer and female breast cancer have high incidenc

关 键 词：恶性肿瘤 肿瘤登记 发病率 死亡率 甘肃 

分 类 号：R73-31[医药卫生—肿瘤]