摘要
[目的]分析浙江省2010—2014年喉癌发病与死亡状况及趋势变化,确定喉癌高危人群,为研究防治策略提供科学依据。[方法]对浙江省14个肿瘤登记地区2010—2014年喉癌发病与死亡数据进行整理,统计分析发病和死亡粗率、中国人口和世界人口标化率,并计算0~74岁累积率、35~64岁截缩率等指标,分析喉癌发病和死亡的时间变化趋势。[结果]2010—2014年浙江省肿瘤登记地区喉癌年平均发病率为1.71/10万,中标率为0.98/10万,世标率为1.0/10万,0~74岁累积率为0.13%,35~64岁截缩率为1.82/10万;喉癌死亡率为0.67/10万,中标率为0.36/10万,世标率为0.37/10万,0~74岁累积率为0.04%,35~64岁截缩率为0.50/10万;2010—2014年浙江省喉癌发病率和死亡率均为男性高于女性、城市高于农村,时间变化不明显,只有女性喉癌死亡率呈下降趋势,5年间下降了52.6%(APC=-20.91%,P=0.011,95%CI:-30.8%^-9.6%)。[结论]2010—2014年浙江省喉癌发病率、死亡率处于较低水平,男性是喉癌发病和死亡的危险人群,应采取针对性防治措施,防止男性喉癌发病率和死亡率的上升。
[Purpose]To analyze the incidence,mortality and trend of laryngeal cancer in Zhejiang Province from 2010 to 2014,so as to determine the high risk population and provide scientific evidence for studying prevention and treatment strategies.[Methods]Data of the incidence and mortality of laryngeal cancer in 14 cancer registration areas in Zhejiang province from 2010 to 2014 were collated to calculate the crude incidence,mortality rate,Chinese population and world population standardized incidence rate,the cumulative rate of 0~74 years old,the truncated age standardized rate of 35~64 years old and other indicators.The time trend of incidence and mortality of laryngeal cancer were also analyzed.[Results]The average annual incidence rate of laryngeal cancer in the cancer registration areas of Zhejiang province from 2010 to 2014 was 1.71/105,Chinese population standardized incidence rate was 0.98/105,world population standardized incidence rate was 1.0/105,the cumulative rate of 0~74 years old was 0.13%and the truncated age standardized rate of 35~64 years old was 1.82/105,respectively.Mortality rate of laryngeal cancer was 0.67/105,Chinese population standardization rate was 0.36/105,world population standardization rate was0.37/105,the cumulative rate of 0~74 years old was 0.04%,and the truncated age standardized rate of 35~64 years old was 0.50/105,respectively.Incidence and mortality rate of laryngeal cancer in Zhejiang province were both higher in male than those in female from 2010 to 2014,and were higher in cities than those in rural areas,with no significant change in time trend.The mortality of laryngeal cancer in female showed a downward trend,which decreased by 52.6%within five years(APC=-20.91%,P=0.011,95%CI:-30.8%^-9.6%).[Conclusion]Incidence and mortality of laryngeal cancer in Zhejiang Province are at low levels from 2010 to 2014.Men are at high risk of developing or dying from laryngeal cancer.Targeted prevention and control measures should be taken to prevent the increase of the incidence and mortality of laryngeal cancer in male.
作者
马骏
陈中文
顾伟玲
陈文燕
李辉章
杜灵彬
MA Jun;CHEN Zhong-wen;GU Wei-ling;CHEN Wen-yan;LI Hui-zhang;DU Ling-bin(Jiaxing Municipal Center for Disease Control and Prevention,Jiaxing 314050,China;Office for Cancer Prevention and Control of Zhejiang Province,Zhejiang Provincial Cancer Center,Hangzhou 310004,China)
出处
《中国肿瘤》
CAS
CSCD
北大核心
2020年第4期253-259,共7页
China Cancer
关键词
喉癌
发病率
死亡率
流行病学
浙江
laryngeal neoplasms
incidence
mortality
epidemiology
Zhejiang