摘要
目的评估2011年河北省肿瘤登记地区恶性肿瘤发病与死亡。方法收集2011年河北省8个肿瘤登记地区上报的恶性肿瘤发病与死亡资料，计算恶性肿瘤发病率、死亡率、前10位恶性肿瘤顺位、构成、累积率；采用2000年中国标化人VI构成和Segi’s世界人口构成分别计算中国和世界人口年龄标化发病／死亡率（中标率和世标率）。结果2011年河北省8个肿瘤登记地区共覆盖人口4573293人（其中城市2139779人，农村2433514人），恶性肿瘤新发病例11269例，死亡病例7477例。恶性肿瘤病理诊断比例为75．26％，只有死亡证明书比例为3．85％，死亡发病比为0．66。全部恶性肿瘤发病率为246．41／10万（男性264．55／10万，女性227．75／10万），中标率为207．13／10万，世标率为206．61／10万，累积率（0～74岁人群）为23．57％。城市地区发病率为242．64／10万，中标率为200．19／10万；农村地区发病率为249．72／10万，中标率为214．11／10万。全部恶性肿瘤死亡率为163．49／10万（男性196．54／10万，女性129．51／10万），中标率为144．48／10万，世标率为147．69／10万，累积率（0—74岁人群）为14．71％。农村地区死亡率（167．91／10万）高于城市地区死亡率（158．47／10万）。胃癌、肺癌、食管癌、乳腺癌、肝癌、结直肠癌是河北省常见的恶性肿瘤，约占全部新发病例的71．66％。肺癌、胃癌、食管癌、肝癌和结直肠癌是威胁河北省居民生命健康的主要恶性肿瘤，约占死亡病例的74．79％。结论2011年河北省肿瘤登记地区主要恶性肿瘤为胃癌、肺癌、食管癌、乳腺癌、肝癌、结直肠癌。
Objective To analyze the cancer incidence and mortality in Hebei cancer registry available areas in 2011. Methods Data were collected from 8 population-based cancer registries systems in Hebei province. Incidence and mortality rates stratified by areas （urban/rural）, sex, age group and cancer site were analyzed. 10 common cancers in different groups, proportions and cumulative rates were calculated. The Chinese population census in the year 2000 and Segi＇ s populations were used for age-standardized incidence/mortality rates. Results In all the 8 cancer registries that covering a total of 4 573 293 population （2 139 779 in urban and 2 433 514 in rural areas）, data was used for the analysis. The total new cancer incidence cases and deaths were 11 269 and 7 477, respectively. All the morphologically verified cancer cases （MV%） accounted for 75.26% while 3.85% of the incident cases were identified only through death certification records （DCO%）. The mortality to incidence ratio appeared as 0.66. The crude incidence appeared in the Hebei cancer registration areas was 246.41/10^5 （264.55/10^5 in males and 227.75/10^5 in females）. The age-standardized incidence rates by Chinese standard population （ASIRC） and by world standard population （ASIRW） appeared as 207.13/10^5 and 206.61/10^5 respectively, with the cumulative incidence rates as （0-74 age years old） 23.57%. The cancer incidence and ASIRC were 242.64/10^5 and 200.19/10^5 in urban areas, whereas 249.72/10^5 and 214.11/10^5, respectively in rural areas. Thecrude mortality in Hebei cancer registration areas was 163.49/10^5（196.54/10^5 in male, 129.51/10^5 in female） , with age-standardized mortality rates by Chinese standard population （ASMRC） and by world standard population （ASMRW） as 144.48/10^5 and 147.69/10^5. The cumulative mortality rate （0-74 age years old） was 14.71%. The cancer mortality （167.91/10^5） in rural areas seemed higher than the mortality （158.47/10^5） in urban areas. The most common site
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2015年第8期846-851,共6页
Chinese Journal of Epidemiology
基金
国家自然科学基金（81272682）
谨对河北省8个国家级肿瘤登记项目点相关人员在资料收集、整理、审核及建立数据库等方面所做的工作表示诚挚谢意
关键词
恶性肿瘤
发病率
死亡率
Malignant tumor
Incidence
Mortality
