摘要
[目的]分析2017年河南省女性乳腺癌的发病和死亡情况及2010—2017年间河南省女性乳腺癌的流行趋势。[方法]从质控合格的河南省2017年肿瘤登记数据中抽取女性乳腺癌病例。结合2017年河南省户籍人口数据,估计2017年河南省女性乳腺癌的发病和死亡情况。按照城乡和年龄分层,计算相应的粗发病率、粗死亡率、中国人口标化率(中标率)、世界人口标化率(世标率)、0~74岁累积率等指标。根据2010年至2017年的女性乳腺癌中标发病率和死亡率数据分析乳腺癌的流行趋势变化。[结果]据估计,2017年河南省有20861例女性乳腺癌新发病例,5299例死亡。2017年河南省女性乳腺癌粗发病率为40.05/10万,中标发病率为32.20/10万,世标发病率为30.05/10万,0~74岁累积发病率为3.19%。城市和农村地区的乳腺癌中标发病率分别为35.18/10万和30.88/10万。2017年河南省女性乳腺癌粗死亡率为10.17/10万,中标死亡率为7.61/10万,世标死亡率为7.40/10万,0~74岁累积死亡率为0.85%。城市和农村地区的乳腺癌中标死亡率分别为8.06/10万和7.42/10万。2010年至2017年期间,河南省女性乳腺癌发病率和死亡率变化均无统计学意义(发病率:APC=0.6%,P=0.6;死亡率:APC=-2.5%,P=0.2)。[结论]河南省女性乳腺癌防控形势严峻,应加大一级预防与二级预防策略的实施力度,减轻其对女性健康的危害。
[Purpose]To analyze the incidence and mortality of female breast cancer in Henan Province in 2017 and its trend of changes during 2010—2017.[Methods]Data of new cases and deaths of female breast cancer of 2017 in Henan were collected and assessed for analysis.Based on registered population data of Henan Province in 2017,the incidence and mortality of female breast cancer in Henan Province were estimated.Stratified by areas and age,the crude incidence/mortality rates,age-standardized incidence/mortality rates by Chinese standard population in 2000(ASIRC,ASMRC),age-standardized incidence/mortality rates by Segi’s population(ASIRW,ASMRW),cumulative incidence/mortality rates(0~74 years old)were calculated.The trends of changes were also evaluated based on the age-standardized incidence and mortality from 2010 to 2017.[Results]In 2017,the estimated new cases and deaths of female breast cancer were 20861 and5299,respectively in Henan Province.The crude incidence was 40.05/105.The ASIRC and ASIRW were 32.20/105 and 30.05/105,respectively.The cumulative incidence rate(0~74 years old)was 3.19%.The ASIRC in urban and rural areas was 35.18/105 and 30.88/105,respectively.In2017,the crude mortality of female breast cancer was 10.17/105.The ASMRC and ASMRW were7.61/105 and 7.40/105,respectively.The cumulative mortality rate(0~74 years old)was 0.85%.The ASMRC in urban and rural areas was 8.06/105 and 7.42/105,respectively.The trend of incidence and mortality of female breast cancer had no significant differences(incidence:APC=0.6%,P=0.6;mortality:APC=-2.5%,P=0.2)in Henan Province from 2010 to 2017.[Conclusion]The prevention and control situation of female breast cancer is severe in Henan Province.It is urgent to establish and implement primary and secondary prevention and control strategies.
作者
徐慧芳
陈琼
刘茵
刘曙正
郭兰伟
康瑞华
郑黎阳
曹小琴
朴恒
张璐瑶
孙喜斌
张韶凯
XU Hui-fang;CHEN Qiong;LIU Yin;LIU Shu-zheng;GUO Lan-wei;KANG Rui-hua;ZHENG Li-yang;CAO Xiao-qin;PIAO Heng;ZHANG Lu-yao;SUN Xi-bin;ZHANG Shao-kai(Affiliated Cancer Hospital of Zhengzhou University,Henan Cancer Hospital,Henan International Joint Laboratory of Cancer Prevention,Zhengzhou 450008,China)
出处
《中国肿瘤》
CAS
CSCD
北大核心
2022年第1期31-36,共6页
China Cancer
基金
河南省科技攻关计划项目(202102310107)。
