摘要
[目的]分析2013年甘肃省肿瘤登记地区恶性肿瘤的发病与死亡状况。[方法]收集2013年甘肃省8个肿瘤登记处上报的恶性肿瘤发病、死亡及人口资料登记数据,7个登记处数据符合分析标准。计算发病和死亡的粗率、标化率、累积率（0～74岁）、年龄别率、地区别率以及前10位恶性肿瘤发病与死亡顺位等,采用2000年中国标准人口构成和Segi’s世界标准人口年龄构成计算年龄标准化率。[结果]2013年7个肿瘤登记处（3个城市和4个农村）覆盖人口2 991 083人,病理学诊断率（MV%）和仅有死亡医学证明书比例（DCO%）分别为68.44%和0.75%,死亡/发病比为0.62。2013年甘肃省肿瘤登记地区共报告恶性肿瘤新发病例7788例,死亡病例为4898例;发病率为232.18/10万（男性263.45/10万,女性198.97/10万）,中标率和世标率分别为188.32/10万和188.36/10万,累积率（0～74岁）为23.04%,恶性肿瘤发病在40岁以后开始快速上升,70～岁组达到高峰。城市地区恶性肿瘤发病率为275.53/10万,农村地区为219.58/10万。发病前5位恶性肿瘤依次为胃癌、肺癌、食管癌、肝癌、结直肠癌,占全部恶性肿瘤发病的64.83%。死亡率为144.47/10万（男性175.06/10万,女性111.97/10万）,中标率和世标率分别为122.30/10万和119.17/10万,恶性肿瘤死亡在50岁以后开始快速上升,70～岁组达到高峰。城市地区死亡率为177.68/10万,农村地区死亡率为126.27/10万。死亡前5位恶性肿瘤依次为胃癌、肺癌、食管癌、肝癌、结直肠癌,占全部恶性肿瘤死亡的72.79%。在农村地区女性宫颈癌是发病的首位。[结论]消化道癌、肺癌和女性宫颈癌是甘肃省肿瘤防治的优势癌种,中老年人群应为重点防控人群,将恶性肿瘤综合防控与健康扶贫有机结合,能有效降低甘肃省恶性肿瘤疾病负担。
Purpose]To analyze of cancer incidence and mortality in Gansu cancer registries in2013.[Methods]The incidence,mortality and population data were collected and evaluated from 8population-based cancer registries in Gansu province and the data from 7 cancer registries were qualified.The crude rates of cancer incidence and mortality,age-standardized rates,age-specific and region-specific rates,cumulative rate and proportion of top 10 cancers were analyzed.The Chinese population census data in 2000 and Segi’s population were applied for the Chinese and world age-standardized rates,respectively.[Results]The qualified 7 cancer registries（3 urban and4 rural registries）covered 2 991 083 populations of Gansu cancer registries in 2013.The percentage of cases morphologically verified（MV%）and death certificate-only cases（DCO%）were 68.44%and0.75%,respectively;and the mortality to incidence rate ratio（M/I）was 0.62.There were 7788 new cancer cases and 4898 cancer deaths in Gansu cancer registries in 2013.The crude incidence rate in Gansu cancer registries areas were 232.18/10^5（263.45/10^5in males and 198.97/10^5in females）,the age-standardized incidence rates by Chinese standard population（ASIRC）and by world standard population（ASIRW）were 188.32/10^5and 188.36/10^5,respectively,the cumulative incidence rate（0~74 years old）was 23.04%.Cancer incidence increased rapidly after the age of 40 years and reached the peak at the age group of 70~years.The crude incidence rate in urban areas was275.53/10^5and that in rural areas was 219.58/10^5.The top 5 cancers with high incidence were stomach,lung,esophagus,liver and colorectum,accounting for 64.83%of all cancer new cases.The crude mortality rate in Gansu province cancer registries was 144.47/10^5（175.06/10^5in males and111.97/10^5in females）,the age-standardized mortality rates by Chinese standard population（ASMRC）and by world standard population（ASMRW）were 122.30/10^5and 119.17/10^5,respectively.Cancer mortality increased rapidly after the age of 50 years and reached the peak at the age group of 70~years.The crude mortality rate in urban areas was 177.68/10^5and that in rural areas was 126.27/10^5.The top 5 cancer with high mortality were stomach,lung,esophagus,liver and colorectom,accounting for 72.79%of all cancer deaths.In rural areas,cervical cancer was the most common cancer in women.[Conclusion]Digestive system,lung and female cervical cancer are main cancers that should be focused on in the prevention and control.Middle-aged and elderly population should be the priority group for cancer prevention and control in Gansu Province.Combining the cancer prevention with poverty alleviation would reduce the disease burden in Gansu province.
作者
刘玉琴
李文英
朱奕潼
杨丽娜
陈莉莉
LIU Yu-qin, LI Wen-ying,ZHU Yi-tong, et al.(Gansu Cancer HospitaI,Lanzhou 730050,Chin)
出处
《中国肿瘤》
CAS
CSCD
北大核心
2018年第4期246-255,共10页
China Cancer
