2016年四川省以医院为基础的恶性肿瘤发病情况分析  

Hospital-Based Report of Cancer Incidence in Sichuan,2016

作　　者：刘潇霞 乔良 罗玉英 马婧 李丽娜 李博 钟志刚 许佳豪 张文彬 Liu Xiaoxia;Qiao Liang;Luo Yuying;Ma Jing;Li Lina;Li Bo;Zhong Zhigang;Xu Jiahao;Zhang Wenbin(Department of Prevention,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,School of Medicine,University of Electronic Science and Technology of China,Chengdu 610041,Sichuan,China;Sichuan Provincial Health Information Center,Chengdu 610041,Sichuan,China)

机构地区：[1]四川省肿瘤医院·研究所四川省癌症防治中心,电子科技大学医学院预防部,成都610041 [2]四川省卫生健康信息中心统计分析部,成都610041

出　　处：《肿瘤预防与治疗》2022年第7期634-641,共8页Journal of Cancer Control And Treatment

基　　金：四川省科技基础条件平台重点项目(编号:2019JDPT0008);四川省卫生健康委医学科技项目(编号:21PJ119);成都市重大科技应用示范项目(编号:2019-YF09-00095-SN);四川省卫生健康信息中心科研计划项目(编号:2021ZXKY06010)。

摘　　要：目的:基于四川省医院为基础的病案大数据资料分析2016年四川省恶性肿瘤的发病情况。方法:2016年四川省恶性肿瘤病案数据来源于四川省全民健康信息平台的卫生统计和住院病案首页数据库,数据经过质控,计算恶性肿瘤发病粗率、标化率和前10位恶性肿瘤发病顺位,并按城乡地区、性别和年龄等因素进行分层分析。年龄标化发病率(中标率)采用2000年全国普查人口年龄构成作为标准人口计算。结果:全省共计6848家医疗机构住院病案首页数据纳入分析,其中二级及以上医疗机构全省覆盖率达99%以上,县区覆盖率100%,覆盖全省9100万余户籍人口。以医院为基础的肿瘤发病监测数据显示,2016年四川省恶性肿瘤发病粗率为277.40/10万(男性315.16/10万,女性236.94/10万),中标率为179.57/10万;城市地区发病粗率为322.98/10万,中标率为195.50/10万;农村地区发病粗率为237.05/10万,中标率160.68/10万。30岁以下恶性肿瘤发病处于低水平,50岁后呈快速上升趋势,80岁后呈下降趋势。2016年全省男性恶性肿瘤发病顺位前10位依次为肺癌、食管癌、肝癌、结直肠癌、胃癌、白血病、前列腺癌、淋巴瘤、脑神经系统肿瘤和膀胱癌,占男性全部恶性肿瘤发病的83.73%;女性恶性肿瘤发病顺位前10位依次为肺癌、女性乳腺癌、结直肠癌、白血病、子宫颈癌、脑神经系统肿瘤、胃癌、肝癌、食管癌和子宫体癌,占女性全部恶性肿瘤发病的74.88%。结论:以医院为基础的肿瘤发病监测显示四川省恶性肿瘤发病城市高于农村,男性高于女性。肺癌、女性乳腺癌和消化道恶性肿瘤(结直肠癌、肝癌、食管癌、胃癌)是四川省近年来需要重点防治的恶性肿瘤。Objective:To analyze the cancer incidence in Sichuan in 2016 based on the big data from medical records.Methods:Cancer data were from the database in Sichuan Provincial Health Information Platform,and the data quality were evaluated.Crude rates,age-standardized rates,rank of the top 10 cancers were calculated by area(urban/rural),sex and age group.Age-standardized incidence rates were calculated with Chinese standard population in 2000.Results:6,848 medical institutions were included in the analysis,in which more than 99%of them were secondary medical institutions and above,covering all districts and counties in Sichuan with more than 91 million residents.Hospital-based cancer data show that the crude incidence rate was 277.40/10~5(males vs females:315.16/10~5 vs 236.94/10~5)in Sichuan in 2016;the age-standardized incidence rate by Chinese standard population(ASIRC)was 179.57/10~5;the crude cancer incidence rate in urban areas was 322.98/10~5,with an ASIRC of 195.50/10~5;the crude cancer incidence rate in rural areas was 237.05/10~5,with an ASIRC of 160.68/10~5.Cancer incidence remained low among under 30-year-olds.However,it increased rapidly in over 50-year-olds and peaked in 80-year-olds before decreasing.The top 10 cancers in men were lung cancer,esophageal cancer,liver cancer,colorectal cancer,stomach cancer,leukemia,prostate cancer,lymphoma,brain tumor and bladder cancer,which accounted for 83.73%of new cancer cases in males in Sichuan in 2016.The top 10 cancers in women were lung cancer,breast cancer,colorectal cancer,leukemia,cervix cancer,brain tumor,stomach cancer,liver cancer,esophageal cancer and uterus cancer,which accounted for 74.88%of new cancer cases in females in Sichuan in 2016.Conclusion:Hospital-based cancer data show that Cancer incidence in urban area is higher than that in rural areas,and that in males surpasses that in females.Lung cancer,female breast cancer,digestive system cancer,including colorectal cancer,liver cancer,esophageal cancer and stomach cancer,are the major cancers that sh

关 键 词：肿瘤监测 病案首页 大数据 发病率 医院为基础 

分 类 号：R73-31[医药卫生—肿瘤]