2015-2019年张掖市甘州区恶性肿瘤发病趋势分析  

Analysis of incidence tends of malignant tumor in Ganzhou district of Zhangye city from 2015 to 2019

作　　者：张克博 王金金[1] 丁高恒 赵文雅 张森乔 ZHANG Ke-bo;WANG Jin-jin;DING Gao-heng;ZHAO Wen-ya;ZHANG Sen-qiao(The Center for Disease Control and Prevention of Ganzhou District,Zhangye,Gansu 734000,China;不详)

机构地区：[1]张掖市甘州区疾病预防控制中心,甘肃张掖734000 [2]甘肃省肿瘤医院,兰州730000

出　　处：《疾病预防控制通报》2024年第2期60-65,共6页Bulletin of Disease Control & Prevention(China)

摘　　要：目的分析2015一2019年甘肃省张掖市甘州区恶性肿瘤发病情况,为当地政府部门制定肿瘤防治措施提供科学参考。方法2015一2019年甘州区恶性肿瘤病例来源于《中国肿瘤登记平台》系统中发病地区,计算恶性肿瘤粗发病率、中国标准化发病率(简称中标发病率)、世界标准化发病率(简称世标发病率)、累积率、截缩率和年度变化百分比(APC)等指标,分析恶性肿瘤发病率变化趋势。结果2015一2019年甘州区恶性肿瘤粗发病率为280.95/10万,其中男性326.97/10万、女性233.06/10万;中标发病率为229.67/10万,其中男性266.40/10万,女性192.40/10万。5年恶性肿瘤中标发病率APC=-5.94%,趋势变化差异无统计学意义(P=0.126);35~64岁截缩率APC=-7.85%,呈下降趋势(P=0.035)。男性35~64岁截缩率APC=-11.92%,呈下降趋势(P=0.018);男性0~74岁累积率APC=-11.94%,呈下降趋势(P=0.036)。0~44岁人群中标发病率较低(各年龄组均低于110/10万),45岁~组开始迅速上升,75岁~组达到高峰。男性前5位恶性肿瘤分别为胃癌、气管支气管肺癌、肝癌、食管癌、直肠癌,女性前5位恶性肿瘤分别为乳腺癌、胃癌、气管支气管肺癌、宫颈癌、食管癌。胃癌中标发病率APC=-7.35%和食管癌中标发病率APC=-17.20%,趋势变化差异均有统计学意义(P<0.05)。结论2015一2019年张掖市甘州区恶性肿瘤处于高发态势,其中胃癌顺位第一,是今后防治工作的重点;未发现低龄化趋势,应持续加强低龄化恶性肿瘤发病监测.Objective To analyzed the incidence situation of malignant tumors in Ganzhou district of Zhangye city,Gansu province from 2015 to 2019,and provide scientific reference for formulating tumor prevention and control measures by local governments.Methods The data of malignant tumors cases in Ganzhou district from 2015 to 2019 was obtained from the System of China Tumor Registration Platform,and the crude incidence rate,Chinese standardized incidence rate,world standardized incidence rate,cumulative rate,truncated age incidence rate and annual percentage change(APC)were calculated for analyzing the changing trend of malignant tumors.Results The crude incidence of malignant tumors was 280.95/100000 in Ganzhou district from 2015 to 2019,with the incidence rate of 326.97/100000 in the male and 233.06/100000 in the female.The Chinese standardized incidence was 229.67/1000000,with that of 266.40/100000 in the male and 192.40/100000 in the female.The APC of Chinese standardized incidence of malignant tumors in 5 years was-5.94%,without the changing trend(P=0.126).The APC of truncated rate of 35-64 years old was-7.85%,and showed decreasing trend(P=0.035).The APC of truncation rate of 35-64 years old was-11.92%in the male,and showed decreasing trend(P=0.018),The APC of cumulative rate of 0-74 years old was-11.94%,and showed decreasing trend(P=0.036).The Chinese standardized incidence rate was lower in the 0-44 years old population(lower than 110/100000 in all age groups),and quickly increased in the age group of 45 years and reached the peak in the age group of 75 years.The top five malignant tumors in the male was gastric cancer,tracheobronchial lung cancer,liver cancer,esophageal cancer and rectal cancer,respectively.The top five of malignant tumors in female was breast cancer,gastric cancer,tracheobronchial lung cancer,cervical cancer and esophageal cancer,respectively.The APC of Chinese standardized incidence of gastric cancer and esophageal cancer was-7.35%and-17.20%,respectively,with statistical differences(P<0.05)the t

关 键 词：恶性肿瘤 标化发病率 年度变化百分比 

分 类 号：R73-31[医药卫生—肿瘤]