摘要
目的:分析2009-2019年沈阳市肿瘤登记地区甲状腺癌的发病、死亡及生存趋势,为甲状腺癌提供防制措施。方法:收集2009-2019年国家级肿瘤监测点沈阳市肿瘤登记地区甲状腺癌的发病和死亡病例。计算甲状腺癌的发病率、死亡率、标化率(中标率、世标率)、截缩率(35~64岁)、累积率(0~74岁)和生存率等指标;Joinpoint3.5.3软件计算发病率、死亡率、生存率年度变化百分比(annual percentage change,APC%);SPSS 23.0统计软件对甲状腺癌男女发病率及死亡率进行χ^(2)检验。结果:2009-2019年沈阳市城区甲状腺癌粗发病率15.15/10万,中标率12.11/10万,世标率10.23/10万,发病率女性高于男性(P<0.01);甲状腺癌粗死亡率0.76/10万,中标率0.43/10万,世标率0.41/10万,死亡率女性高于男性(P<0.01);十年间甲状腺癌发病率男女均呈持续上升趋势(P<0.05),发病顺位男性上升至第5位,女性上升至第3位,死亡顺位男女基本未变;2011-2015年男女甲状腺癌5年观察生存率呈上升趋势,均位居恶性肿瘤生存率首位。结论:2009-2019年沈阳市甲状腺癌发病持续上升,女性高于男性,死亡顺位基本未变;5年观察生存率呈上升趋势,位于恶性肿瘤生存率首位。
Objective:To provide prevention and control measures for thyroid cancer,by analyzing the incidence,death and survival trend of thyroid cancer in tumor registration areas in Shenyang,China from 2009 to 2019.Methods:The incidence and death cases of thyroid cancer from 2009 to 2019 in the tumor registration area of Shenyang,a national cancer surveillance point,were collected.The incidence rate,mortality rate,age-standardized rates(by Chinese standard population and world standard population),truncated rate(35~64 years old),cumulative rate(0~74 years old)and survival rate of thyroid cancer were calculated.Joinpoint3.5.3 software was used to calculate the annual percentage change(APC%)of incidence rate,mortality rate,and survival rate.SPSS 23.0 statistical software was used for theχ^(2) test on the incidence rate and mortality rate of thyroid cancer in males and females.Results:From 2009 to 2019,the crude incidence of thyroid cancer in Shenyang,China,the age-standardized incidence rates by Chinese standard population and world standard population were 15.15/100000,12.11/100000,and 10.23/100000,respectively.The incidence rate was higher in females than that in males(P<0.01).The crude mortality rate of thyroid cancer,the age-standardized mortality rates by Chinese standard population and world standard population were 0.76/100000,0.43/100000,0.41/100000,respectively.And the mortality rate was higher in females than that in males(P<0.01).The 10-year incidence rate of thyroid cancer of males and females in Shenyang,China had been on the rise(P<0.05).The incidence rank of thyroid cancer rose to the fifth place in males and the third place in females.And the mortality rank remained basically unchanged in both gender.From 2011 to 2015,the 5-year observed survival rate of thyroid cancer in males and females showed an upward trend,ranking the first in the survival rate of malignant tumors.Conclusion:From 2009 to 2019,the incidence of thyroid cancer in Shenyang,China had been on the rise,which was higher in females than that in males,and the mortality rank remained basically unchanged.The 5-year observed survival rate showed an upward trend,ranking the first in the survival rate of malignant tumors.
作者
吕艺
张馨予
聂慧芳
赵雪
李恂
王晓丽
LYU Yi;ZHANG Xinyu;NIE Huifang;ZHAO Xue;LI Xun;WANG Xiaoli(Institute of Chronic Disease,Shenyang Center for Disease Control and Prevention,Liaoning Shenyang 110168,China;College of Foreign Languages,University of Information Engineering,Henan Luoyang 471003,China)
出处
《现代肿瘤医学》
CAS
北大核心
2023年第13期2508-2512,共5页
Journal of Modern Oncology
基金
辽宁省自然科学基金指导计划(编号:20180550495)。
关键词
甲状腺癌
发病率
死亡率
生存率
thyroid cancer
incidence rate
mortality
survival rate