摘要
目的通过对广西肿瘤登记地区2013年恶性肿瘤登记资料进行分析,评估广西恶性肿瘤的发病和死亡情况。方法按照全国肿瘤登记中心制定的审核方法和评价标准,选取2013年广西6个肿瘤登记地区上报的恶性肿瘤发病、死亡和人口数据进行汇总分析,按地区(城乡)、性别、年龄别、肿瘤别发病率和死亡率分层,分析广西恶性肿瘤和主要肿瘤的发病、死亡情况。人口标准化率计算根据全国2000年人口普查的人口结构和Segi's世界人口结构为标准。结果 2013年纳入分析的6个肿瘤登记地区(其中地级以上城市2个,县及县级市4个)共覆盖人口5 196 871人,其中城市1 933 143人,农村3 263 728人;共报告恶性肿瘤新发病例12 563例,死亡病例7 908例;病理学诊断比例(MV%)为54.07%,只有死亡医学证明书比例(DCO%)为1.19%,死亡/发病比(M/I)为0.63。恶性肿瘤粗发病率为241.74/10万(其中男性273.44/10万,女性207.47/10万),中国人口标化率(简称"中标率")为212.55/10万,世界人口标化率(简称"世标率")为208.12/10万,累积发病率(0~74岁)为23.16%。城市地区粗发病率为256.99/10万,中标发病率为214.07/10万;农村地区粗发病率为232.71/10万,中标发病率为212.49/10万。恶性肿瘤粗死亡率为152.17/10万(男性198.99/10万,女性101.53/10万),中标死亡率为130.41/10万,世标死亡率为129.18/10万,累积死亡率(0~74岁)为14.18%;城市地区粗死亡率为137.81/10万,中标死亡率为113.51/10万;农村地区粗死亡率为160.68/10万,中标死亡率为141.90/10万。发病前10位恶性肿瘤依次为肺癌、肝癌、结直肠癌、乳腺癌、胃癌、鼻咽癌、子宫颈癌、食管癌、脑瘤和白血病,占全部恶性肿瘤新发病例的79.15%。死亡前10位恶性肿瘤依次为肺癌、肝癌、结直肠癌、胃癌、食管癌、鼻咽癌、乳腺癌、脑瘤、白血病和淋巴瘤,占全部恶性肿瘤死亡病例的83.93%。结论肺癌、肝癌、结直肠癌、乳腺癌
Objective To analyze malignant tumor registration data in cancer registry areas in order to estimate cancer incidence and mortality in Guangxi in 2013. Methods Data from 6 registries were analyzed using methods and data quality control criteria of NCCR. Data were stratified by area（urban/rural）,gender,age group and cancer site. Age-standardized incidence/mortality rates were calculated using the Chinese population census in 2000 and Segi＇s population. Results Altogether,the 6 cancer registries（2 urban,4 rural） covered a total of 5,196,871 people（1,933,143 in urban areas,3,263,728 in rural areas）. New cancer cases and cancer deaths were estimated to be,respectively,12,563 and 7,908. Morphology-verified cases （MV%） accounted for 54.07%,and 1.19% of incident cases were identified through death certifications only（DCO%）;the mortality to incidence ratio（M/I ratio） was 0.63. Crude incidence in Guangxi was 241.74/105（males,273.44/105;females,207.47/105）,age-standardized incidence based on Chinese standard population （ASR China）was 212.55/105,and age-standardized incidence based on world standard population（ASR world） was 208.12/105. Cumulative incidence（0~74 age years old） was 23.16%. Cancer incidence and ASR China were 256.99/105 and 214.07/105 in urban areas;the corresponding values in rural areas were 232.71/105 and 212.49/105. Crude mortality in Guangxi was 152.17/105 （males,198.99/105;females,101.53/105）,age-standardized mortality by Chinese standard population（ASR China） was 130.41/105 and age-standardized mortality by world standard population （ASR world） was 129.18/105. Cumulative mortality （0~74 age years old） was 14.18%. Cancer mortality and ASR China were 137.81/105 and113.51/105 in urban areas;the corresponding values in rural areas were 160.68/105 and 141.90/105. The top 10 most frequent cancers were lung,liver,colorectum,breast,stomach,nasopharynx,cervix,esophagus,brain tumor and leukemia;together,these cancers accounted for 79.15% of all new cancer
出处
《中国癌症防治杂志》
CAS
2017年第1期30-39,共10页
CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT
基金
科技部科技惠民计划资助项目(2013GS450101)
广西科学研究与技术开发计划资助项目(桂科攻14124003-4)
广西自然科学基金资助项目(2016GXNSFAA380022)
广西壮族自治区卫生和计划生育委员会自筹经费科研课题资助项目(Z2015623)
关键词
肿瘤登记
恶性肿瘤
发病率
死亡率
广西
Cancer registry
Malignant tumor
Incidence
Mortality
Guangxi
