2014~2018年成都市双流区恶性肿瘤潜在减寿年数及去死因期望寿命分析  

Potential Years of Life Lost and Cause-Eliminated Life Expectancy of Malignant Tumor Patients in Shuangliu District of Chengdu from 2014 to 2018

作　　者：王芳 张明秋 陈颖 Wang Fang;Zhang Mingqiu;Chen Ying(Department for Prevention and Control of Critical Diseases,Sichuan Tianfu New Area Public Health Center,Chengdu 610200,Sichuan,China;Department for Prevention and Control of Infectious Diseases,Center for Disease Control and Prevention in Shuangliu District,Chengdu 610200,Sichuan,China)

机构地区：[1]四川天府新区公共卫生中心重大疾病防制科,成都610200 [2]成都市双流区疾病预防控制中心传染病防制科,成都610200

出　　处：《肿瘤预防与治疗》2023年第2期125-132,共8页Journal of Cancer Control And Treatment

摘　　要：目的:分析2014~2018年成都市双流区恶性肿瘤死亡情况及其对居民寿命的影响,为该区恶性肿瘤防控提供科学依据。方法:分析2014~2018年成都市双流区肿瘤登记处收集的恶性肿瘤死亡资料,计算粗死亡率、标化死亡率、潜在减寿年数(potential years of life lost,PYLL)、潜在减寿率(potential years of life lost rate,PYLLR)、去死因期望寿命。结果:2014~2018年双流区恶性肿瘤粗死亡率、中标死亡率、世标死亡率分别为173.84/10万、123.30/10万、121.62/10万,男性死亡率高于女性,差异有统计学意义(P<0.05)。死亡前五位癌种分别是肺癌、食管癌、肝癌、结直肠癌和胃癌。2014~2018年间恶性肿瘤所致的潜在减寿年数为48259人年(男32020.5人年,女16238.5人年),PYLLR为17.20‰(男22.20‰,女11.90‰)。男性恶性肿瘤PYLL高于女性,差异有统计学意义(Z=15.000,P<0.05)。潜在减寿年数前五位的恶性肿瘤分别为肺癌、肝癌、食管癌、结直肠癌和胃癌。2014~2018年间该区居民期望寿命为80.02岁,男性77.12岁,女性81.91岁。去除恶性肿瘤死因后期望寿命增值为3.74岁。结论:双流区恶性肿瘤疾病负担较重,对居民期望寿命影响严重。应重点防治肺癌、食管癌、肝癌、结直肠癌、胃癌和女性乳腺癌。Objective:To analyze the malignant tumor deaths in Shuangliu District,Chengdu from 2014 to 2018 and their effects on the life expectancy of residents to provide a scientific basis for the prevention and control of malignant tumors in this district.Methods:Data on malignant tumor deaths collected from Chengdu Shuangliu Tumor Registry from 2014 to 2018 were analyzed.Crude mortality,standardized mortality,potential years of life lost(PYLL),potential years of life lost rate(PYLLR),and cause-eliminated life expectancy were calculated.Results:The crude mortality rate of malignant tumors in Shuangliu District from 2014 to 2018 was 173.84/105,and the age-standardized mortality rates by Chinese standard population(ASMRC)and by world standard population(ASMRW)were 123.30/105 and 121.62/105,respectively.The mortality rate of men was significantly higher than that of women(P<0.05).The top five causes of cancer deaths were lung cancer,esophageal cancer,liver cancer,colorectal cancer and gastric cancer.The PYLL due to cancer between 2014 and 2018 was 48,259 person-years(32,020.5 person-years for men and 16,238.5 person-years for women),with a PYLLR of 17.20 per 1,000(22.20 per 1,000 for men and 11.90 per 1,000 for women).The PYLL was significantly higher in men than in women(Z=15.000,P<0.05).The top five malignancies in terms of PYLL were lung cancer,liver cancer,esophageal cancer,colorectal cancer and gastric cancer.The life expectancy of residents in Shuangliu District between 2014 to 2018 was 80.02 years,77.12 years for men and 81.91 years for women.After eliminating the causes of death from malignant tumors,the life expectancy increased by 3.74 years.Conclusion:The medical burdens of malignant tumors in Shuangliu area are heavy,and have a serious impact on the life expectancy of residents.Lung cancer,esophageal cancer,liver cancer,colorectal cancer,gastric cancer and female breast cancer should be the future concern in the prevention and control.

关 键 词：恶性肿瘤 死亡率 疾病负担 潜在减寿年数 去死因期望寿命 

分 类 号：R730.1[医药卫生—肿瘤]