摘要
目的了解安州区2016-2021年恶性肿瘤发病及死亡特征。方法通过“中国肿瘤登记平台”收集安州区2016-2021年肿瘤发病资料和死亡资料,进行发病率、死亡率及发病顺位构成比分析,采用寿命表法对发病资料进行生存分析。结果对纳入的6230例发病资料和4379例死亡资料分析显示,安州区2016-2021年恶性肿瘤平均发病率和死亡率分别为234.02/10万和163.74/10万。2016-2021年安州区全人群标化恶性肿瘤发病率平均年度变化百分比(AAPC)为4.9%(95%CI为1.8~8.0,P=0.012),死亡率AAPC为-1.0%(95%CI为-4.4~2.5,P=0.459),人群标化恶性肿瘤发病率平均每年上升4.9%。恶性肿瘤发病率男性高于女性,>30岁人群发病率逐渐提高,>60~70岁达到发病高峰,随后降低;发病前5位包括肺癌、肝癌、食管癌、直肠癌和胃癌;生存时间中位数为532 d,95%CI为482.38~581.62;患者生存率从2016年的60.10%提升到2020年的69.16%。男性死亡率为150/10万~250/10万,女性为50/10万~150/10万,男性高于女性;患者死亡年龄集中在>40岁人群;死因顺位前5位为肺癌、肝癌、食管癌、胃癌和直肠癌。结论安州区恶性肿瘤发病水平、死亡水平目前处在全国平均水平,应加强肿瘤信息收集,同时对重点人群和肿瘤患者实施相应的健康干预措施。
Objective To understand the morbidity and mortality characteristics of malignant tumors in Anzhou from 2016 to 2021.Methods The morbidity and mortality data in Anzhou from 2016 to 2021 were collected through the"China Cancer Registration Platform",and the morbidity,mortality and morbidity ranking were analyzed for composition ratio,and the life table method was used to conduct survival analysis on the incidence data.Results The analysis of the dates witch included 6230 morbidity datas and 4379 death datas showed that the average morbidity and mortality in Anzhou from 2016 to 2021 were 234.02/100000 and 163.74/100000,respectively.the average annual percentage change(AAPC)of standardized incidence rate of malignant tumors in the whole population of Anzhou district was 4.9%(95%CI:1.8-8.0,P=0.012),and the mortality rate was-1.0%(95%CI:-4.4-2.5,P=0.459),the average annual rate of standardized incidence rate of malignant tumors in the population increased by 4.9%.The incidence of malignant tumors was higher in men than in women,and the incidence of people over 30 years old gradually increased,reached a peak at>60-70 years old,and then decreased;the top five incidences include lung cancer,liver cancer,esophageal cancer,rectal cancer and gastric cancer.The median survival time and 95%CI were 532 days(482.38-581.62),the survival probability of patients increased from 60.10%in 2016 to 69.16%in 2020.The mortality rate of males was(150-250)/100000,and that of females was(50-150)/100000,the mortality rate of males was higher than that of females.The age of death of patients was concentrated in people over 40 years old.The top five causes of death include lung cancer,liver cancer,esophageal cancer,gastric cancer and rectal cancer.Conclusions The incidence and mortality of malignant tumors in Anzhou district are currently at the national average level.It is necessary to strengthen the collection of tumor information and implement corresponding health interventions for key populations and tumors.
作者
季洪兵
李艳梅
周兴余
JI Hong-bing;LI Yan-mei;ZHOU Xing-yu(Department of Chronic Diseases,Anzhou Center for Disease Control and Prevention,Mianyang 622651,China;Acute Infectious Disease Control Institute,Sichuan Center for Disease Control and Prevention,Chengdu 610041,China)
出处
《社区医学杂志》
CAS
2022年第20期1123-1128,共6页
Journal Of Community Medicine
关键词
恶性肿瘤
死亡率
发病率
生存分析
绵阳市
malignant tumor
mortality
morbidity
survival analysis
Mianyang City
