摘要
目的估算江苏省2016年恶性肿瘤发病和死亡情况,分析其流行特征。方法利用2019年江苏省疾病预防控制中心收集并审核通过的41个肿瘤登记处的2016年资料,分别计算各癌种分城乡、性别和年龄组的发病率和死亡率;结合2016年全省相应分组的户籍人口数据,推算全省恶性肿瘤的发病数和死亡数,并计算对应的发病(死亡)率、中国人口标化率(中标率)、世界人口标化率(世标率)、0~74岁累积发病(死亡)率和前10位恶性肿瘤发病(死亡)顺位等指标。标准人口采用2000年中国普查标准人口构成和Segi′s世界标准人口。结果估计2016年全省新发恶性肿瘤病例25.41万例,发病率为327.48/10万,中标率为182.61/10万,世标率为178.85/10万,0~74岁累积发病率为20.98%。肺癌、胃癌、食管癌、结直肠癌、肝癌和女性乳腺癌是江苏省常见恶性肿瘤。全省估计因恶性肿瘤死亡病例16.87万例,死亡率为217.44/10万,中标率为109.30/10万,世标率为107.94/10万,0~74岁累积死亡率为12.15%。肺癌、胃癌、食管癌、肝癌和结直肠癌是江苏省主要的恶性肿瘤死因。江苏省超过81%的恶性肿瘤发病和91%以上的恶性肿瘤死亡均发生在50岁及以上人群,特别是60岁及以上老年人。结论江苏省恶性肿瘤疾病负担不断升高,呈现发展中国家癌谱和发达国家癌谱共存的复杂局面。应针对不同地区和不同癌种,在高危人群采取综合防控措施,降低恶性肿瘤死亡率。
Objective To estimate the morbidity and mortality of cancer and its epidemic characteristics in Jiangsu,2016.Methods Registration data in 2016 from 41 registries in Jiangsu was qualified after assessment and accepted as pooled data for final analysis by Jiangsu Provincial Center for Disease Control and Prevention in 2019.Stratified by areas(urban or rural),gender,age group and cancer sites,the incidence/mortality rates of pooled registration data were calculated,respectively.Combined with the provincial population data in 2016,new cancer cases and deaths in Jiangsu were estimated.And the crude incidence/mortality rates,age-standardized incidence/mortality rates by Chinese standard population,age-standardized incidence/mortality rates by World standard population,cumulative incidence/mortality rate(0~74 years old)and the rank of 10 leading cancers were calculated,respectively.Chinese population census in 2000 and World Segi′s standard population were used for age-standardized.Results It was estimated that there were 254.1 thousands new cancer cases in Jiangsu in 2016,with a crude incidence rate of 327.48/100,000,age-standardized incidence rate by Chinese standard population(ASR China)of 182.61/100,000,age-standardized incidence rate by World Segi′s standard population(ASR world)of 178.85/100,000 and a cumulative incidence rate of 20.98%for 0~74 years.Cancers of lung,stomach,esophagus,colorectum,liver and female breast were the most common cancer in Jiangsu.The estimated number of deaths for malignant tumor was 168.7 thousand in Jiangsu in 2016,with a crude mortality rate of 217.44/100,000,ASR China mortality of 109.30/100,000,ASR World mortality of 107.94/100,000 and a cumulative mortality rate of 12.15%for 0~74 years.Lung cancer,stomach cancer,esophageal cancer,liver cancer and colorectal cancer were the most common causes of cancer related death in Jiangsu.It was estimated that more than 81%of new cancer cases and over 91%of cancer deaths in Jiangsu occurred in the population aged 50 years and older,particularly in the population aged 60 years and older.Conclusion The burden of cancer showed a continuous upward trend in Jiangsu,with a cancer pattern of presenting the coexistence of the cancer patterns in developed and developing countries.In order to reduce the mortality of cancer,comprehensive cancer prevention and control program should be implemented based on the specific situation in different areas and different cancer sites.
作者
韩仁强
武鸣
缪伟刚
罗鹏飞
俞浩
周金意
HAN Renqiang;WU Ming;MIAO Weigang;LUO Pengfei;YU Hao;ZHOU Jinyi(Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China)
出处
《实用肿瘤学杂志》
CAS
2020年第4期291-297,共7页
Practical Oncology Journal
基金
国家重点研发计划(编号:2016YFC1302603)
江苏省卫生计生委医学科研课题(编号:H2017017)。
关键词
肿瘤登记
恶性肿瘤
发病率
死亡率
江苏
Cancer registry
Malignant tumor
Incidence
Mortality
Jiangsu
