2019年甘肃省肿瘤登记地区子宫体癌流行特征及2010—2019年变化趋势分析  

Epidemic characteristics of uterine body cancer in Gansu province in 2019 and its trend analysis from 2010 to 2019

作　　者：韩霞[1] 丁高恒 杨菁 刘玉琴[2] 陈岚 宋国贤 HAN Xia;DING Gaoheng;YANG Jing;LIU Yuqin;CHEN Lan;SONG Guoxian(Center for Disease Control and Prevention of Chengguan District in Lanzhou City,Lanzhou 730000,China;Gansu Provincial Cancer Hospital)

机构地区：[1]兰州市城关区疾病预防控制中心,兰州730000 [2]甘肃省肿瘤医院

出　　处：《实用肿瘤学杂志》2024年第1期7-12,共6页Practical Oncology Journal

摘　　要：目的了解甘肃省2019年子宫体癌发病死亡情况,分析流行特征以及2010—2019年发病死亡变化趋势。方法利用甘肃省肿瘤登记中心质控合格的数据,计算子宫体癌城乡、年龄别发病(死亡)率、中标率、世标率、累积率、粗发病(死亡)率、构成比和顺位、平均年度变化百分比(AAPC)等指标。结果2019年甘肃省子宫体癌在女性恶性肿瘤发病率中排名第七,粗发病率4.43/10万,中标率3.28/10万,世标率3.19/10万。2019甘肃省子宫体癌在女性恶性肿瘤死亡率中排名第六,粗死亡率0.56/10万,中标率0.36/10万,世标率0.35/10万。发病(死亡)高峰在50~54岁年龄段。2010—2019年甘肃省子宫体癌发病总体呈上升趋势,中标发病率AAPC=4.34%(95%CI:1.60%~7.15%),趋势有统计学意义(P<0.05);死亡呈先升后降再升再降的波动,总体呈下降趋势,中标死亡率AAPC=-11.35%(95%CI:-26.77%~7.32%),趋势无统计学意义(P>0.05),农村地区发病(死亡)率均高于城市地区。结论甘肃省子宫体癌总体发病呈上升趋势,死亡呈下降趋势,但农村地区死亡呈上升趋势。建议在全省大力推进女性健康科普宣教,严格落实“早发现、早诊断、早治疗”综合措施,50~54岁年龄段女性是重点防控对象,尤其是加强开展农村地区子宫体癌的早诊早治项目。Objective In order to determine the incidence and mortality of uterine body cancer in Gansu province in 2019,the epidemic characteristics and the change trend of incidence and death from 2010 to 2019 were analyzed.Methods The quality control qualified data in Gansu province tumor registration center were used,uterine body cancer in urban and rural,age-specific incidence(mortality),the China standardized rate by Chinese population,the World standardized rate by World population,cumulative rate,crude incidence(mortality),composition ratio and rank,average annual percentage change(AAPC)and other indicators were calculated.Results In 2019,uterine body cancer in Gansu province ranked the seventh in the incidence of female malignant tumors,with a crude incidence of 4.43/100,000,the China standardized incidence was 3.28/100,000,and the World standardized incidence was 3.19/100,000.In 2019,uterine body cancer in Gansu province ranked the sixth among the mortality of female malignant tumors,with the crude mortality of 0.56/100,000,the China standardized mortality was 0.36/100,000,and the World standardized mortality was 0.35/100,000.The peak of morbidity(mortality)was in the age range of 50 to 54 years old.From 2010 to 2019,the incidence of uterine body cancer in Gansu province showed an overall upward trend.The China standardized incidence was AAPC=4.34%(95%CI:1.60%-7.15%),with a statistically significant trend(P<0.05);The mortality of uterine body cancer showed a fluctuating pattern of first rising,then decreasing,and increasing again,showing an overall downward trend.The China standardized mortality was AAPC=-11.35%(95%CI:-26.77%-7.32%),and the trend was not statistically significant(P>0.05).The incidence(mortality)in rural areas was higher than that in urban areas.Conclusion The overall incidence of uterine body cancer in Gansu province is on the rise,and the death is on the decline.However,mortality in rural areas is on the rise.It is recommended to vigorously promote women′s health science popularization and educa

关 键 词：子宫体癌 发病率 死亡率 趋势分析 甘肃 

分 类 号：R737.33[医药卫生—肿瘤]