2017年山西省肿瘤登记地区肺癌发病与死亡情况分析  

Analysis of lung cancer incidence and death in the cancer registration areas of Shanxi Province in 2017

作　　者：马朝辉[1] 曹凌[1] 郭雪蓉[1] 崔王飞 王昕琛[1] 张瑞锋[1] 张永贞[1] Ma Zhaohui;Cao Ling;Guo Xuerong;Cui Wangfei;Wang Xinchen;Zhang Ruifeng;Zhang Yongzhen(Department of Epidemiology,Shanxi Province Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China)

机构地区：[1]山西省肿瘤医院,中国医学科学院肿瘤医院山西医院,山西医科大学附属肿瘤医院流行病学研究室,太原030013

出　　处：《肿瘤研究与临床》2022年第9期687-690,共4页Cancer Research and Clinic

基　　金：国家重大公共卫生服务项目(癌症早诊早治项目)。

摘　　要：目的探讨山西省肿瘤登记地区2017年肺癌的发病与死亡情况。方法收集山西省2017年12个肿瘤登记地区上报的肿瘤登记数据, 按城乡、性别进行分层分析, 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、中国人口标准化率、世界人口标准化率等指标。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2017年肺癌新发病例2 275例, 死亡病例1 736例。肺癌发病粗率为46.72/10万(男性63.99/10万, 女性28.80/10万;城市地区58.05/10万, 农村地区39.09/10万), 中国人口标准化率31.67/10万, 世界人口标准化率32.10/10万, 累积率(0~74岁)3.87/10万;死亡粗率35.65/10万(男性49.84/10万, 女性20.93/10万;城市地区44.53/10万, 农村地区29.67/10万), 中国人口标准化率23.82/10万, 世界人口标准化率24.14/10万, 累积率(0~74岁)2.69/10万。2017年山西省肿瘤登记地区肺癌总体年龄别发病率和死亡率均在0~44岁年龄组处于较低水平, 45~岁年龄组以后快速上升, 在85~岁年龄组达到高峰;男性发病率和死亡率均高于女性;城市和农村地区不同年龄别发病率和死亡率的总体趋势类似。结论肺癌是威胁山西省居民健康最常见的恶性肿瘤, 男性、城市地区及中老年人群是山西省癌症防控的重点, 应根据城乡及性别差异, 有针对性地开展肺癌防治工作。Objective To investigate the incidence and mortality of lung cancer in the cancer registration areas of Shanxi Province in 2017.Methods The cancer registration data reported by 12 tumor registration areas of Shanxi in 2017 were sorted out and stratified by urban and rural areas and gender.The number of incidence and death,the crude incidence and mortality,the cumulative rate(0-74 years),age-specific incidence and mortality,Chinese population standardized rate and world population standardized rate were calculated.The incidence and mortality were standardized by the 2000 China census standard population composition and Segi's world standard population composition.Results In 2017,there were 2275 new cases and 1736 deaths of lung cancer in the tumor registration area of Shanxi Province.The crude incidence rate of lung cancer was 46.72/100000(male 63.99/100000,female 28.80/100000,urban area 58.05/100000,rural area 39.09/100000),Chinese population standardized rate was 31.67/100000,the world population standardized rate was 32.10/100000,and the cumulative rate(0-74 years)was 3.87/100000.The crude mortality rate was 35.65/100,000(male 49.84/100,000,female 20.93/100,000,urban area 44.53/100,000,rural area 29.67/100000),Chinese population standardized rate was 23.82/100000,the world population standardized rate was 24.14/100000,and the cumulative rate(0-74 years)was 2.69/100,000.Overall,the age-specific incidence and mortality of lung cancer in 2017 were at a low level in 0-44 years age group,and increased rapidly after 45 years age group,and reached a peak in 85 years age group.The incidence and mortality of lung cancer in males were higher than that in females.Although there were some differences in the incidence and mortality of patients with different ago range in urban and rural areas,the overall trend was similar.Conclusions Lung cancer is the most common malignant tumor threatening the health of residents in Shanxi Province.Male,urban areas and middle-aged and elderly population are the focus of cancer prevention

关 键 词：肺肿瘤 肿瘤登记 发病 死亡 山西省 

分 类 号：R73-31[医药卫生—肿瘤]