2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡分析
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摘要
[目的]描述和分析2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡情况。[方法]收集2015年浙江省14个肿瘤登记处上报的恶性肿瘤发病与死亡资料,按城乡、性别分层,分别计算恶性肿瘤发病与死亡粗率、标化率、累积率(0～74岁)、年龄别率、地区别率、前10位恶性肿瘤发病与死亡顺位和构成、各年龄段前5位恶性肿瘤发病与死亡等。并采用2000年中国标准人口年龄构成和Segi’s世界标准人口年龄构成计算年龄标准化率。[结果]2015年浙江省14个肿瘤登记地区覆盖人口14 114 404人,约占全省户籍人口的29.00%。共报告恶性肿瘤新发病例52 023例,死亡病例27 036例。病理学诊断比例(MV%)为77.69%,死亡/发病比(M/I)为0.52,只有死亡医学证明书比例(DCO%)为1.08%。全省恶性肿瘤粗发病率为368.58/10万,中标率为220.79/10万,世标率为211.56/10万,男性发病率高于女性。恶性肿瘤发病在45岁以后快速上升,在80～84岁年龄组达到高峰。发病前10位恶性肿瘤依次为肺癌、女性乳腺癌、甲状腺癌、结直肠癌、胃癌、肝癌、前列腺癌、宫颈癌、食管癌和子宫体癌。全省恶性肿瘤粗死亡率为191.55/10万,中标率为97.71/10万,世标率为96.60/10万,男性死亡率高于女性,农村地区死亡率高于城市地区。恶性肿瘤死亡在45岁以后快速上升,在85+岁年龄组达到高峰。死亡前10位恶性肿瘤依次为肺癌、肝癌、胃癌、结直肠癌、胰腺癌、食管癌、女性乳腺癌、前列腺癌、淋巴瘤和白血病。[结论]肺癌、女性乳腺癌、甲状腺癌、结直肠癌、前列腺癌、肝癌和胃癌仍是浙江省肿瘤防治的重点疾病,同时应根据城乡差异,有针对性开展肿瘤防治工作。
[Purpose] To analyze the cancer incidence and mortality in Zhejiang cancer registries in2015. [Methods] The data were collected from 14 population-based cancer registries in Zhejiang province. Cancer incidence and mortality rates stratified by gender and regions were analyzed.Crude rate,age-standardized rate,age-specific and region-specific rates and cumulative rates were calculated. The proportion of 10 common cancers in different groups and the incidence and mortality of the top 5 cancers of different age groups were also calculated. Chinese population census in2000 and Segi's population were used for calculating age-standardized incidence or mortality.[Results] The 14 cancer registries covered a population of 14 114 404 people,accounting for29.00% of Zhejiang population. The total reported cancer cases and deaths were 52 023 and 27 036 in2015,respectively. The morphology verified cases(MV%) accounted for 77.69%,and 1.08% of incident cases were identified through death certifications only(DCO%) with mortality to incidence ratio(M/I ratio) of 0.52. The crude incidence rate in Zhejiang cancer registration areas was 368.58/105;the age-standardized incidence rates by Chinese standard population(ASIRC) and by world standard population(ASIRW) were 220.79/105 and 211.56/105,respectively. The incidence in males was higher than that in females. Cancer incidence increased rapidly after the age of 45 years and reached the peak at the age group of 80～84 years. The top 10 incidence rates of cancers were,in order,lung cancer,female breast cancer,thyroid cancer,colorectal cancer,stomach cancer,liver cancer,pancreas cancer,cervical cancer,esophageal cancer and cancer of the corpus uteri. The crude mortality rate in Zhejiang cancer registration areas was 191.55/105;the age-standardized mortality rates by Chinese standard population(ASMRC) and by world standard population(ASMRW)were 97.71/105 and 96.60/105,respectively. The mortality in males was higher than that in females,and the mortality in rural areas was higher than that in urban areas. Cancer mortality increased rapidly after the age of 45 years and reached the peak at the age group of 85+years. The top 10 mortality rates of cancers were,in order,lung cancer,liver cancer,stomach cancer,colorectal cancer,pancreatic cancer,esophageal cancer,female breast cancer,prostate cancer,lymphoma and leukemia. [Conclusion] Lung cancer,female breast cancer,thyroid cancer,colorectal cancer,prostate cancer,liver cancer and stomach cancer were the most common cancers in Zhejiang province in 2015. Effective prevention and control measures should be carried out according to the different characteristics of cancers in urban and ural areas.
[Purpose] To analyze the cancer incidence and mortality in Zhejiang cancer registries in2015. [Methods] The data were collected from 14 population-based cancer registries in Zhejiang province. Cancer incidence and mortality rates stratified by gender and regions were analyzed.Crude rate,age-standardized rate,age-specific and region-specific rates and cumulative rates were calculated. The proportion of 10 common cancers in different groups and the incidence and mortality of the top 5 cancers of different age groups were also calculated. Chinese population census in2000 and Segi's population were used for calculating age-standardized incidence or mortality.[Results] The 14 cancer registries covered a population of 14 114 404 people,accounting for29.00% of Zhejiang population. The total reported cancer cases and deaths were 52 023 and 27 036 in2015,respectively. The morphology verified cases(MV%) accounted for 77.69%,and 1.08% of incident cases were identified through death certifications only(DCO%) with mortality to incidence ratio(M/I ratio) of 0.52. The crude incidence rate in Zhejiang cancer registration areas was 368.58/105;the age-standardized incidence rates by Chinese standard population(ASIRC) and by world standard population(ASIRW) were 220.79/105 and 211.56/105,respectively. The incidence in males was higher than that in females. Cancer incidence increased rapidly after the age of 45 years and reached the peak at the age group of 80～84 years. The top 10 incidence rates of cancers were,in order,lung cancer,female breast cancer,thyroid cancer,colorectal cancer,stomach cancer,liver cancer,pancreas cancer,cervical cancer,esophageal cancer and cancer of the corpus uteri. The crude mortality rate in Zhejiang cancer registration areas was 191.55/105;the age-standardized mortality rates by Chinese standard population(ASMRC) and by world standard population(ASMRW)were 97.71/105 and 96.60/105,respectively. The mortality in males was higher than that in females,and the mortality in rural areas was higher than that in urban areas. Cancer mortality increased rapidly after the age of 45 years and reached the peak at the age group of 85+years. The top 10 mortality rates of cancers were,in order,lung cancer,liver cancer,stomach cancer,colorectal cancer,pancreatic cancer,esophageal cancer,female breast cancer,prostate cancer,lymphoma and leukemia. [Conclusion] Lung cancer,female breast cancer,thyroid cancer,colorectal cancer,prostate cancer,liver cancer and stomach cancer were the most common cancers in Zhejiang province in 2015. Effective prevention and control measures should be carried out according to the different characteristics of cancers in urban and ural areas.
引文
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[13] Li HZ,Mao WM,Wang XH,et al. Cancer incidence and mortality in Zhejiang provicial cancer registries in 2010[J]. China Cancer,2014,23(7):531-537.[李辉章,毛伟敏,汪祥辉,等.浙江省肿瘤登记地区2010年癌症发病与死亡分析[J].中国肿瘤,2014,23(7):531-537.]
[14] Chen WQ,Zheng RS,Zhang SW,et al. Analysis of cancer incidence and mortality in elderly population in China,2013[J]. Chinese Journal of Oncology,2017,39(1):60-66.[陈万青,郑荣寿,张思维,等. 2013年中国老年人群恶性肿瘤发病和死亡分析[J].中华肿瘤杂志,2017,39(1):60-66.]
[15] Zhang ZG. Introduction of prevention of control scene of colorectal cancer in Jiashan county[J]. China Cancer,2001,7(7):373-374.[张战国.嘉善县大肠癌防治研究现场[J].中国肿瘤,2001,7(7):373-374.]
[16] Bao PP,Wu CX,Gu K,et al. Incidence trend of malignant tumors in children in Shanghai[J]. Chinese Journal of Epidemiology,2016,37(1):106-110.[鲍萍萍,吴春晓,顾凯,等.上海市儿童恶性肿瘤发病情况和时间趋势分析[J].中华流行病学杂志,2016,37(1):106-110.]
[2] National Cancer Center. Guideline of Chinese cancer registration[M]. Beijing:People’s Medical Publishing House,2016. 1-99.[国家癌症中心.中国肿瘤登记工作指导手册(2016)[M].北京:人民卫生出版社,2016. 1-99.]
[3] International Agency for Research on Cancer. Cancer incidence in five continents. Vol.Ⅺ(electronic version)[EB/OL]. http://ci5.iarc.fr.
[4] Bray F,Parkin DM. Evaluation of data quality in the cancer registry:principles and methods. PartⅠ:comparability,validity and timeliness[J]. Eur J Cancer,2009,45(5):747-755.
[5] Doll R,Payne P,Waterhouse J. Cancer incidence in five continents:a technical report[M]. New York:Springer,1966.
[6] Du LB,Yu CD,Wang XH,et al. An analysis of cancer incidence from four cancer registries in Zhejiang province in2004[J]. China Cancer,2008,17(4):270-273.[杜灵彬,余传定,汪祥辉,等.浙江省4个肿瘤登记地区2004年恶性肿瘤发病资料分析[J].中国肿瘤,2008,17(4):270-273.]
[7] Zhu C,Du LB,Li HZ,et al. Cancer incidence and mortality data from Zhejiang cancer registries in 2014[J]. China Cancer,2018,27(1):15-22.[朱陈,杜灵彬,李辉章,等.2014年浙江省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2018,27(1):15-22.]
[8] Zhejiang Provincial Bureau of Statistics. Statistical communique of national economic and social development of Zhejiang province in 2015[EB/OL]. http://tjj.zj.gov.cn/art/2016/2/29/art_1525568_20972735.html,2016-02-29.[浙江省统计局. 2015年浙江省国民经济和社会发展统计公报[EB/OL]. http://tjj.zj.gov.cn/art/2016/2/29/art_1525568_20972735.html,2016-02-29.]
[9] IMF-International Monetary Fund home page[EB/OL].https://www.imf.org/external/index.htm.
[10] Chen WQ,Li H,Sun KX,et al. Report of cancer incidence and mortality in China,2014[J]. Chinese Journal of Oncology,2018,40(1):5-13.[陈万青,李贺,孙可欣,等. 2014年中国恶性肿瘤发病和死亡分析[J].中华肿瘤杂志,2018,40(1):5-13.
[11] Wang YQ,Du LB,Li HZ,et al. Analysis of cancer incidence and mortality in Zhejiang cancer registries,2012[J]. China Cancer,2016,25(1):9-19.[王悠清,杜灵彬,李辉章,等.浙江省肿瘤登记地区2012年恶性肿瘤发病与死亡分析[J].中国肿瘤,2016,25(1):9-19.]
[12] Zhu C,Li HZ,Du LB,et al. An analysis of cancer incidence and mortality from Zhejiang cancer registries in 2011[J]. China Cancer,2015,24(3):170-180.[朱陈,李辉章,杜灵彬,等.浙江省肿瘤登记地区2011年恶性肿瘤发病与死亡分析[J].中国肿瘤,2015,24(3):170-180.]
[13] Li HZ,Mao WM,Wang XH,et al. Cancer incidence and mortality in Zhejiang provicial cancer registries in 2010[J]. China Cancer,2014,23(7):531-537.[李辉章,毛伟敏,汪祥辉,等.浙江省肿瘤登记地区2010年癌症发病与死亡分析[J].中国肿瘤,2014,23(7):531-537.]
[14] Chen WQ,Zheng RS,Zhang SW,et al. Analysis of cancer incidence and mortality in elderly population in China,2013[J]. Chinese Journal of Oncology,2017,39(1):60-66.[陈万青,郑荣寿,张思维,等. 2013年中国老年人群恶性肿瘤发病和死亡分析[J].中华肿瘤杂志,2017,39(1):60-66.]
[15] Zhang ZG. Introduction of prevention of control scene of colorectal cancer in Jiashan county[J]. China Cancer,2001,7(7):373-374.[张战国.嘉善县大肠癌防治研究现场[J].中国肿瘤,2001,7(7):373-374.]
[16] Bao PP,Wu CX,Gu K,et al. Incidence trend of malignant tumors in children in Shanghai[J]. Chinese Journal of Epidemiology,2016,37(1):106-110.[鲍萍萍,吴春晓,顾凯,等.上海市儿童恶性肿瘤发病情况和时间趋势分析[J].中华流行病学杂志,2016,37(1):106-110.]
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