2013-2019年上海市闵行区肺癌流行特征趋势分析  

Trend Analysis on Epidemiological Characteristics of Lung Cancer in Minhang District of Shanghai from 2013 to 2019

作　　者：石安霞 许慧琳[1] 李为希[1] 程颖玲 周洁[1] 李俊[1] SHI Anxia;XU Huilin;LI Weixi;CHENG Yingling;ZHOU Jie;LI Jun(Shanghai Minhang District Center for Disease Control and Prevention,Shanghai 201101,China)

机构地区：[1]上海市闵行区疾病预防控制中心,上海201101

出　　处：《中国肿瘤》2024年第3期223-231,共9页China Cancer

基　　金：上海市卫生健康委员会科研课题(20204Y0109)。

摘　　要：[目的]分析2013—2019年上海市闵行区户籍人口肺癌发病和死亡状况及其变化趋势。[方法]利用上海市2013—2019年肿瘤监测数据,计算闵行区不同性别、年龄人群肺癌发病和死亡率、标化发病和死亡率及早期诊断率等。标化率均以2000年全国人口普查标准人口及Segi世界标准人口年龄结构进行标化,记为中标率和世标率,并采用年度变化百分比(annual percentage change,APC)描述其变化趋势。[结果]2013—2019年闵行区肺癌发病率为95.64/10万,中标发病率为43.79/10万,世标发病率为42.95/10万;死亡率为56.30/10万,中标死亡率为21.04/10万,世标死亡率为20.93/10万。2013—2019年闵行区总人群和男性的肺癌发病率及其中标率、世标率APC差异均无统计学意义(P>0.05),女性发病率及其中标率、世标率均呈上升趋势,APC分别为10.30%、13.77%和12.64%(P<0.05);男性、女性以及总人群的死亡率及其中标率、世标率均呈下降趋势,除男性中标死亡率外,趋势变化均有统计学意义(P<0.05)。发病率和死亡率均为男性高于女性,且均随年龄增长而显著升高(P<0.05)。总人群发病率峰值在80~84岁年龄组,死亡率峰值在85岁及以上年龄组。2013—2019年,肺癌新发诊断期别中早期占比从10.44%逐渐升高至16.98%。[结论]2013—2019年上海市闵行区肺癌发病率及其标化率无明显变化,死亡率及其标化率均呈下降趋势。发病和死亡主体为男性及老年人群,但女性和中年人群肺癌发病率上升趋势较快,新发诊断早期率仍较低,需引起重视并积极探索其原因。[Purpose]To analyze the incidence and mortality of lung cancer in Minhang District of Shanghai from 2013 to 2019.[Methods]Using the data of lung cancer from Shanghai tumor surveillance system,the incidence and mortality of lung cancer,age-standardized incidence and mortality and early diagnosis rate of different gender and age groups in Minhang District were calculated.The age-standardized rates(ASRC,ASRW)were calculated according to the Chinese standard in 2000 and the Segi's world standard population,the annual percentage change(APC)was estimated to analyze the trend of incidence and mortality,respectively.[Results]From 2013 to2019,the incidence of lung cancer in Minhang District was 95.64/105,the ASRC and ASRW of incidence were 43.79/105and 42.95/105,respectively.The mortality was 56.30/105,and the ASRC and ASRW of mortality were 21.04/105and 20.93/105,respectively.There was no significant change in the incidence,ASRC and ASRW of lung cancer among the whole population and the male population from 2013 to 2019(P>0.05).The trend of incidence,ASRC incidence and ASRW incidence of female were increasing significantly,and the APC were 10.30%,13.77%and12.64%,respectively(P<0.05).The trend of mortality,ASRC mortality and ASRW mortality of male,female and the whole population were decreasing,and except for the ASRC mortality of male,the difference were statistically significant(P<0.05).The incidence and mortality of male were higher than those of female,and both increased with age,with differences were statistically significant(P<0.05).The total population incidence peaked in the age group of 80~84 years old and the peak mortality rate was in the age group of 85+years old.In addition,from 2013 to 2019,the proportion of early stage of lung cancer increased from 10.44%to 16.98%.[Conclusion]From2013 to 2019,there was no significant change in lung cancer incidence,ASRC and ASRW in Minhang District of Shanghai;while the mortality,ASRC and ASRW of mortality showed an downward trend.Lung cancer mainly occurr in male and the e

关 键 词：肺癌 发病率 死亡率 上海 

分 类 号：R73-31[医药卫生—肿瘤] R734.2[医药卫生—临床医学]