2000-2015年沈阳市宫颈癌死亡现况及趋势分析
发布时间:2018-04-02 03:38
本文选题:宫颈癌 切入点:死亡率 出处:《现代预防医学》2017年22期
【摘要】:目的分析沈阳市2000-2015年宫颈癌的死亡情况及变化趋势。为沈阳市宫颈癌的防治工作提供依据。方法收集、整理沈阳市2000-2015年宫颈癌的死亡数据,计算各年粗死亡率、构成比及标化率等,采用Joinpoint模型对死亡率进行趋势性分析。结果沈阳市2000-2015年宫颈癌死亡病例1 172例,粗死亡率为4.11/10万,中标率为2.78/10万,世标率为2.57/10万,16年来死亡率呈上升趋势,世标率APC为4.72%(95%CI:3.15%~6.31%);死亡病例主要集中在40~59岁年龄组,占死亡人数的54.10%;中年组(35~59岁组)宫颈癌的死亡率呈持续上升趋势,16年间APC为7.58%(95%CI:5.14%~10.08%);老年组(≥60岁)的宫颈癌死亡率在2000-2008年间呈下降趋势,APC为-7.25%(95%CI:-12.50%~-1.68%),2008-2015年呈上升趋势,APC为9.26%(95%CI:2.44%~16.53%)。结论沈阳市宫颈癌死亡率呈逐年上升的趋势,死亡病例多集中在中年女性人群。应将宫颈癌的筛查年龄提前,并对宫颈癌患者进行积极、规范治疗,以降低宫颈癌的死亡率。
[Abstract]:Objective to analyze the mortality and change trend of cervical cancer in Shenyang from 2000 to 2015, to provide the basis for the prevention and treatment of cervical cancer in Shenyang. Methods to collect and collate the death data of cervical cancer from 2000 to 2015 in Shenyang, and calculate the crude mortality rate in each year. Joinpoint model was used to analyze the trend of mortality of cervical cancer in Shenyang from 2000 to 2015. Results the crude mortality rate was 41 1 / 100 000, the winning rate was 2 78 / 100 000 and the world standard rate was 2 57 / 100 000. The mortality rate increased in the past 16 years. The world standard rate APC is 4.72% and 95% CI: 3.15% 6.31%; the death cases are mainly in the 400-59 age group. The mortality rate of cervical cancer in the elderly group (鈮,
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