摘要
目的 估计河南省2017年胃癌的发病及死亡情况,并分析2010-2017年河南省胃癌的流行变化趋势。方法 本研究数据均来自于河南省内38个肿瘤登记处上报的2017年恶性肿瘤登记数据,所有数据均按照《中国肿瘤登记手册》以及国际癌症研究署的肿瘤登记数据质量标准进行数据完整性、有效性和可靠性评估。根据符合质量要求的数据及2017年河南省的户籍人口数据,分别按照城乡和年龄分层,估计2017年河南省胃癌的发病及死亡情况。根据2010-2017年河南省胃癌的中标发病率和中标死亡率数据,分析河南省胃癌的流行趋势变化。结果 2017年河南省估计有39 101例新发胃癌,30 732例死亡。河南省胃癌发病率为36.12/10万,中标发病率为26.39/10^(5)万,0~74岁累积发病率为3.3%,男性中标发病率是女性的2.54倍。城市和农村地区的胃癌中标发病率分别为23.37/10万和27.73/10万。河南省2017年胃癌死亡率为28.39/10万,中标死亡率为19.9/10万,0~74岁累积死亡率为2.32%,男性中标死亡率是女性的2.60倍。城市和农村地区的胃癌中标死亡率分别为17.02/10万和21.17/10万。2010-2017年河南省胃癌发病率(APC=-2.4%,P<0.05)及2012-2017年胃癌死亡率(APC=-2.4%,P<0.05)呈稳定下降趋势。结论 尽管河南省胃癌的发病率和死亡率在2010-2017年呈现稳定下降趋势,但2017年河南省的胃癌流行形势依然严峻,应继续开展有效的防控措施,降低胃癌的发病率及死亡率,减轻胃癌的发病及死亡。
Objective To estimate the incidence and mortality of stomach cancer in Henan province in 2017and analyze the trend from 2010to 2017.Methods Data in current study were extracted from the 2017cancer database uploaded from38cancer registries in Henan.The data quality was assessed according to the criteria of guideline on Cancer Registration in China and IARC/IACR which included completeness,validity,and reliability.The incidence and mortality of stomach cancer were stratified and estimated by areas and gender based on the qualified data and the registered population data of Henan province in 2017.The trend was also evaluated based on the age-standardized incidence and mortality from 2010to2017.Results In 2017,there were 39 101new cases with stomach cancer and 30 732deaths.The crude incidence was36.12/10~5,age-standardized rate by Chinese standard population(ASIRC,2000)was 26.39/10^(5),and the cumulative incidence(0-74years old)was 3.3%.The incidence in men was 2.54times higher than that in women.The ASIRC in urban and rural areas was 23.37/10and 27.73/10^(5),respectively.The crude mortality was 28.39/10^(5).The age-standardized mortality by Chinese standard population(ASMRC,2000)was 19.9/10^(5).The cumulative mortality(0-74years old)was2.32%.The mortality in men was 2.6times higher than that in women.The ASMRC in urban and rural areas was 17.02/10and 21.17/10^(5),respectively.The incidence of stomach cancer(APC=-2.4%,P<0.05)and mortality(APC=-2.4%,P<0.05)from 2012to 2017showed steady downward trends.Conclusions Although the incidence and mortality during2012-2017showed steady downtrends,the disease burden was still high.Effective prevention and control measures should be taken to reduce the incidence and mortality of stomach cancer,therefore,reducing the disease burden.
作者
张韶凯
陈琼
徐慧芳
刘茵
刘曙正
郭兰伟
郑黎阳
康瑞华
张建功
ZHANG Shao-kai;CHEN Qiong;XU Hui-fang;LIU Yin;LIU Shu-zheng;GUO Lan-wei;ZHENG Li-yang;KANG Rui-hua;ZHANG Jian-gong(Affiliated Cancer Hospital of Zhengzhou University,Henan Cancer Hospital,Henan Engineering Research Center of Cancer Prevention and Control,Henan International Joint Laboratory of Cancer Prevention,Zhengzhou 450008,China)
出处
《中华肿瘤防治杂志》
CAS
北大核心
2022年第11期781-785,共5页
Chinese Journal of Cancer Prevention and Treatment
基金
国家重点研发计划(2021YFE0106000)。
关键词
胃癌
发病率
死亡率
流行趋势
河南省
stomach cancer
morbidity
mortality
trend
Henan province
