云南省肿瘤登记地区2020年胃癌发病和死亡情况及2012-2020年趋势分析  

Analysis of gastric cancer incidence and mortality in cancer registration areas of Yunnan province in 2020 and the trends from 2012 to 2020

作　　者：孔虹倩 董娟 文洪梅[3] 邵英[3] 成会荣[3] 余秋丽 KONG Hongqian;DONG Juan;WEN Hongmei;SHAO Ying;CHENG Huirong;YU Qiuli(Non-communicable Chronic Disease Prevention and Control Department of Qujing Center for Disease Control and Prevention,Qu-jing 655000,China;Non-communicable Chronic Disease Prevention and Control Department of Chuxiong Center for Disease Control and Prevention;Non-communicable Chronic Disease Prevention and Control Department of Yunnan Center for Disease Control and Prevention)

机构地区：[1]曲靖市疾病预防控制中心慢性非传染性疾病防制科,曲靖655000 [2]楚雄州疾病预防控制中心慢性非传染性疾病防制科 [3]云南省疾病预防控制中心慢性非传染性疾病防制所

出　　处：《实用肿瘤学杂志》2024年第6期372-376,共5页Practical Oncology Journal

摘　　要：目的分析云南省肿瘤登记地区2020年胃癌发病和死亡情况及2012—2020年其变化趋势,为云南省胃癌防治工作提供建议。方法收集并整理2012—2020年云南省肿瘤登记地区胃癌发病和死亡数据,数据经过质控,2020年共纳入全省89个监测点。使用Excel 2016和SPSS 18.0软件计算2020年云南省胃癌粗发病率、粗死亡率、世标发病率、世标死亡率、截缩率、0~74累积率等指标;使用Joinpoint 4.8.0.1软件计算2012—2020年胃癌世标发病率和世标死亡率年度变化百分比(Annual percentage change,APC)及95%CI,并分析其变化趋势。结果2020年云南省胃癌粗发病率和世标发病率分别为11.59/10万和7.60/10万,男性(14.90/10万和10.25/10万)均高于女性(8.10/10万和5.04/10万);2020年全省胃癌粗死亡率和世标死亡率分别为9.06/10万和5.82/10万,男性(11.51/10万和7.89/10万)均高于女性(6.48/10万和3.82/10万)。全省胃癌粗发病率和粗死亡率均随着年龄增长而上升,45岁以前处于较低水平,之后快速上升,80~84岁年龄组达顶峰(64.12/10万和72.67/10万)。2012—2020年全省胃癌世标发病率和世标死亡率的APC分别为-0.35%和0.22%,变化均无统计学意义(P>0.05)。结论2020年云南省胃癌世标发病率和世标死亡率男性均高于女性,2012—2020年世标发病率和世标死亡率变化趋势平缓,在云南省男性及45岁以上中老年人群是胃癌防控的重点人群。Objective The aim of this study was to analyze the incidence and mortality of gastric cancer in tumor registration areas of Yunnan province in 2020,as well as the changing trends from 2012 to 2020,and provide suggestion for the prevention and treatment of gastric cancer in Yunnan province.Methods The incidence and death cases of gastric cancer in tumor registration areas of Yunnan province from 2012 to 2020 were collected and complied.After the quality control,the data was included in 89 monitoring points in 2020.Excel 2016 and SPSS 18.0 software were used to calculate the crude incidence,crude mortality,age-standardized inci-dence rate by World standard population(ASIRW),age-standardized mortality rate by World standard population(ASMRW),cumula-tive rate and other indicators of gastric cancer in Yunnan province in 2020.Joinpoint 4.8.0.1 software was used to calculate the annu-al percentage change(APC)and 95%CI of the ASIRW and ASMRW of gastric cancer from 2012 to 2020,and analyze the trend of change.Results In 2020,the crude incidence and ASIRW of gastric cancer in Yunnan province were 11.59/100,000 and 7.60/100,000,respectively.Males(14.90/100,000 and 10.25/100,000)were higher than those in females(8.10/100,000 and 5.04/100,000).In 2020,the crude mortality and ASMRW of gastric cancer in the Yunnan in 2020 were 9.06/100,000 and 5.82/100,000,respectively.Males(11.51/100,000 and 7.89/100,000)were higher than those in females(6.48/100,000 and 3.82/100,000).The crude incidence and mortality of gastric cancer in Yunnan province increased with age.They were at a low level before the age of 45 years old,and then increased rapidly.The 80-84 age group reached the peak(64.12/100,000 and 72.67/100,000),respectively.The APC for ASIRW and ASMRW of gastric cancer in Yunnan province from 2012 to 2020 were-0.35%and 0.22%,re-spectively,there were no significant difference in the trend of change(P>0.05).Conclusion ASIRW and ASMRW of gastric cancer of Yunnan province in 2020 are higher for men than women.The trend of ASIRW and ASM

关 键 词：云南 胃癌 发病率 死亡率 变化趋势 

分 类 号：R735.2[医药卫生—肿瘤]