基于病案首页数据的四川省2015—2020年恶性肿瘤发病时间趋势分析  

Time trend analyses of cancer incidence based on the Homepage of medical records,Sichuan

作　　者：刘潇霞[1] 蔡红霞 乔良[1] 张文彬[1] 李丽娜 马婧 钟志刚 罗玉英 LIU Xiao-xia;CAI Hong-xia;QIAO Liang;ZHANG Wen-bin;LI Li-na;MA Jing;ZHONG Zhi-gang;LUO Yu-ying(Office of Sichuan Cancer Prevention and Control Center Department of Prevention,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,Cancer Hospital Affiliate to University of Electronic Science and Technology of China,Sichuan Clinical Research Center for Cancer,Chengdu,Sichuan 610041,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,电子科技大学附属肿瘤医院,四川省肿瘤临床医学研究中心,四川省癌症防治中心办公室(预防部),成都610041 [2]成都市第七人民医院,医疗质量管理部 [3]四川省卫生健康信息中心

出　　处：《现代预防医学》2024年第10期1736-1741,1786,共7页Modern Preventive Medicine

基　　金：四川省自然科学基金(2022NSFSC0640);四川省科技厅重点研发项目(2023YFG0148);成都市科技局技术创新研发项目(2022-YF05-02005-SN);四川省医学科研课题计划(S22004)。

摘　　要：目的分析2015—2020年四川省恶性肿瘤发病趋势,为制定肿瘤防控规划和措施提供数据参考。方法基于四川省2015—2020年全省居民住院病历病案首页肿瘤相关的个案信息数据,计算发病率,使用Joinpoint 4.2.0.1计算平均年度变化百分比。结果2015—2020年间,四川省恶性肿瘤新发病例数从181490例增加到276770例,发病率从198.57/105上升到304.76/105,平均年度变化百分比(AAPC)分别为总体7.514%、男性6.751%、女性8.611%、城市4.713%、农村6.838%;成都平原经济区和川西北生态经济区恶性肿瘤发病上升趋势明显,AAPC值分别为7.549%、9.668%。2015—2020年四川省肺癌、结直肠癌、乳腺癌、宫颈癌和前列腺癌发病率均呈明显的上升变化趋势,AAPC值分别为11.220%(95%CI:5.866~16.845)、6.606%(95%CI:1.395~13.202)、6.322%(95%CI:1.411~11.472)、5.765%(95%CI:1.431~10.284)、13.222%(95%CI:7.396~19.364),差异均有统计学意义。结论四川省恶性肿瘤发病率随时间呈上升变化趋势,防控形势严峻。不同恶性肿瘤发病率变化趋势存在差异,肺癌、消化系统肿瘤、乳腺癌、宫颈癌和前列腺癌是四川省发病居前位的癌种,应增强特异性预防控制与筛查。Objective To analyze the incidence trend of cancer from 2015 to 2020 in Sichuan Province and provide a reference for prevention and control of cancer.Methods Based on the cancer-related case information data on the Homepage of medical records in Sichuan Province from 2015 to 2020,the crude incidence rate was calculated,and the average annual change percentage(AAPC)of incidence rates was analyzed with Joinpoint 4.2.0.1.Results The new cancer cases in Sichuan Province increased from 181490 in 2015 to 276770 in 2020,and the incidence rate increased from 198.57/105 in 2015 to 304.76/105 in 2020.From 2015 to 2020,the average annual percentage change(AAPC)was 7.514%,6.751%,8.611%,4.713%,and 6.838%,respectively.The incidence of cancer in the Chengdu Plain Economic Zone and the Northwest Sichuan Ecological Economic Zone showed a rising trend,AAPC values with statistical significancebeing 7.549%and 9.668%,respectively.From 2015 to 2020,the incidence rate of lung cancer,colorectal cancer,breast cancer,cervical cancer and prostate cancer in Sichuan Province showeda rising trend,with AAPC values of 11.220%(95%CI:5.866-16.845),6.606%(95%CI:1.395-13.202),6.322%(95%CI:1.411-11.472),5.765%(95%CI:1.431-10.284)and 13.222%(95%CI:7.396-19.364),respectively.Conclusion The incidence of cancer in Sichuan Province shows a rising trend,and the prevention and control situation is grim.Lung cancer,digestive system cancer,breast cancer,cervical cancer and prostate cancer are the dominant cancer types in Sichuan Province,and specific prevention,control and screening should be strengthened.

关 键 词：恶性肿瘤 发病率 时间趋势 病案首页 

分 类 号：R73-31[医药卫生—肿瘤]