摘要
目的汇总2010—2019年上海市杨浦区平凉社区恶性肿瘤登记系统资料,分析恶性肿瘤发病情况,为日常恶性肿瘤防制管理工作提供参考。方法收集并整理2010—2019年平凉社区恶性肿瘤报告管理系统和公安户籍登记系统中的数据,根据《国际疾病分类》(第10版)(ICD-10)及国际疾病分类肿瘤学专辑第三版(ICD-O-3)对恶性肿瘤进行编码,计算恶性肿瘤发病粗率、标化率、发病顺位等,使用年度变化百分比(APC)分析恶性肿瘤的发病趋势。结果平凉社区2010—2019年恶性肿瘤新发病例共4852例,粗发病率为483.76/105,标化发病率为214.81/105;累计率(0~74岁)为23.65%,截缩率(35~64岁)为376.59/105。平凉社区恶性肿瘤粗发病率、标化发病率均呈上升趋势,其中标化发病率的APC为8.98%(P<0.05)。恶性肿瘤发病率随着年龄的增长而不断上升,从40岁开始快速增长,在85岁以上年龄段发病率达到最高,不同年龄段的恶性肿瘤发病率差异有统计学意义(χ^(2)=3452.22,P<0.05)。年龄超过55岁的男性在各年龄段恶性肿瘤发病率均高于女性。平凉社区发病前10位的恶性肿瘤依次为肺癌、乳腺癌、结肠癌、胃癌、甲状腺癌、直肠癌、肝癌、前列腺癌、胰腺癌和肾癌,占全部恶性肿瘤发病的72.42%。发病顺位前5位恶性肿瘤中,肺癌(APC=25.61%,P<0.001)、结肠癌(APC=11.29%,P<0.001)、胃癌(APC=13.09%,P<0.001)及甲状腺癌(APC=11.18%,P<0.001)发病率呈现上升趋势。结论平凉社区2010—2019年恶性肿瘤发病呈现逐年升高趋势。应加强恶性肿瘤科普、早期筛查、安宁疗护工作,并重点关注肺癌、肠癌以及女性乳腺癌的防治。
Objective To summarize the data of malignant tumor registration system in Pingliang Community,Yangpu District,Shanghai from 2010 to 2019,analyze the incidence of malignant tumors in Pingliang Community,and provide the reference for daily malignant tumor prevention and management.Methods The data in the malignant tumor report management system of Pingliang Community and the public security registered residence system from 2010 to 2019 were collected and sorted out.Malignant tumors were coded according to the International Classification of Diseases(10th Edition)(ICD-10)and the International Classification of Diseases Oncology Album(3rd Edition)ICD-O-3;the crude incidence rate,standardized rate,incidence order,etc.were calculated;Annual Percentage Change(APC)was used to analyze the incidence trend of malignant tumors.Results There were 4852 new cases of malignant tumors in Pingliang Community from 2010 to 2019.The crude incidence rate was 483.76/105,and the standardized incidence rate was 214.81/105.The cumulative rate(0-74 years old)was 23.65%,and the shrinkage rate(35-64 years old)was 376.59/105.The crude incidence rate and standardized incidence rate of malignant tumors in Pingliang Community showed an upward trend,and the APC of standardized incidence rate was 8.98%(P<0.05).The incidence rate of malignant tumors increased with age,and increased rapidly from the age of 40.The incidence rate reached the highest in the age group over 85.The incidence rate of malignant tumors in different age groups had statistically significant differences(χ^(2)=3452.22,P<0.05).Over 55 years old,the incidence rate of malignant tumors in men was higher than that in women at all ages.The top 10 malignant tumors in Pingliang Community were lung cancer,breast cancer,colon cancer,gastric cancer,thyroid cancer,rectal cancer,liver cancer,prostate cancer,pancreatic cancer and kidney cancer,accounting for 72.42%of all malignant tumors.Among the top five malignant tumors,the incidence rate of lung cancer(APC=25.61%,P<0.001),colon cancer(APC=11.29%,P<0.001),gastric cancer(APC=13.09%,P<0.001)and thyroid cancer(APC=11.18%,P<0.001)showed an upward trend.Conclusion The incidence of malignant tumors in Pingliang Community from 2010 to 2019 showed an increasing trend year by year.The science popularization,early screening,and hospice care of malignant tumors should been strengthened and focus on the prevention and control of lung cancer,colon cancer and female breast cancer.
作者
王海燕
彭华
Wang Haiyan;Peng Hua(Hongkou District Center for Disease Control and Prevention,Shanghai 200082,China;Pingliang Community Health Care Center,Shanghai 200082,China)
出处
《健康教育与健康促进》
2022年第4期365-370,共6页
Health Education and Health Promotion
关键词
恶性肿瘤
发病率
趋势分析
健康教育
Malignant tumor
Incidence rate
Trend analysis
Health Education
