2010年至2014年浙江省肿瘤登记地区癌症死亡情况分析

发布时间：2018-01-26 07:51

本文关键词： 肿瘤登记死亡率死亡顺位趋势浙江　出处：《中国肿瘤临床》2017年11期 　论文类型：期刊论文

【摘要】：目的:探讨浙江省肿瘤登记地区2010年至2014年癌症死亡的流行病学特征,为制定肿瘤防治计划提供参考依据。方法:数据来源于浙江省14个登记地区上报的2010年至2014年癌症死亡资料,经过分类、审核后计算粗死亡率、标化死亡率、年龄别死亡率、前10位癌症死亡顺位和构成、各年龄段癌症死亡顺位和构成、年度变化百分比(annual percentage change,APC)及其95%可信区间(95%CI)等。结果:2010年至2014年浙江省登记地区共报告癌症死亡病例为108 514例,其中男性70 578例,女性37 936例。恶性肿瘤粗死亡率为186.06/10万,中标率为103.02/10万,世标率为101.73/10万,0~74岁累积死亡率为11.46%。男女性中标死亡率比为1.95,城市与农村比为0.93。年龄40岁以后死亡率上升幅度显著,在年龄≥85岁年龄组达到高峰。癌症粗死亡率从2010年的182.85/10万上升到2014年的191.00/10万,上升了4.46%,经年龄标化之后,中标死亡率则出现下降趋势,由107.85/10万下降至100.60/10万(APC=-1.96%,P=0.017)。肺癌、肝癌和胃癌排在癌症死亡的前3位,前10位癌症合计占全部癌症死亡构成的89.51%,不同年龄段癌症死亡谱不一致,0~14岁儿童白血病死亡率最高,青年组肝癌最高,中老年组肺癌最高。肝癌、胃癌和食管癌死亡率下降,胰腺癌、前列腺癌和卵巢癌死亡率呈现上升趋势。结论:浙江省登记地区癌症粗死亡率呈上升趋势,表明癌症死亡人数将继续增加,中标死亡率下降表明浙江省癌症防控取得一定效果,仍需采用综合性的癌症预防策略,加强癌症的健康教育,推广早诊早治工作,增强癌症的规范化治疗和康复工作,提高生存质量,降低癌症危害。
[Abstract]:Objective: to investigate the epidemiological characteristics of cancer death from 2010 to 2014 in the tumor registration area of Zhejiang Province. Methods: the data were collected from 14 registered areas in Zhejiang province from 2010 to 2014, the data were collected from 2010 to 2014. The crude mortality rate was calculated after classification and review. Standardized mortality, age-specific mortality, the top 10 cancer death order and composition, cancer death in all ages and composition. Annual percentage change. Results: from 2010 to 2014, 108,514 cancer deaths were reported in Zhejiang Province. There were 70,578 males and 37,936 females. The crude mortality rate of malignant tumor was 186.06 / 100 thousand, and the winning rate was 103.02 / 100 thousand. The cumulative mortality rate of 101.73 / 100 000 years old was 11.46. The ratio of male to female was 1.95. The ratio between urban and rural areas was 0.93.The mortality rate after 40 years of age increased significantly. The crude cancer mortality rate rose from 1, 82.85 / 100 million in 2010 to 1, 910 million in 2014, an increase of 4.46%. After age standardization, the mortality rate decreased from 107.85 / 100 000 to 100.60% / 100 000 APC-1.96% P0.017% lung cancer. Liver cancer and gastric cancer ranked in the top 3 cancer deaths, the top 10 cancer accounted for the total cancer deaths accounted for 89.51 percent of all cancer deaths, different age groups of cancer death spectrum is not the same. The mortality rate of leukemia was the highest in 14 years old children, the highest in the young group, and the highest in the middle and old age group. The mortality rate of liver cancer, gastric cancer and esophageal cancer decreased, and the pancreatic cancer. Conclusion: the crude mortality rate of cancer in registered areas of Zhejiang Province is on the rise, indicating that the number of cancer deaths will continue to increase. The decrease of the mortality rate in the bid indicates that the prevention and control of cancer in Zhejiang Province has achieved certain results. It is still necessary to adopt comprehensive cancer prevention strategies, strengthen health education of cancer, and promote early diagnosis and early treatment. Strengthen the standardized treatment and rehabilitation of cancer, improve the quality of life and reduce cancer hazards.
【作者单位】：浙江省肿瘤医院中心办公室浙江省癌症中心浙江省肿瘤防治办公室;
【分类号】：R73-31
【正文快照】： 癌症已经成为威胁人类健康和社会发展的重大疾病,给家庭和社会带来了沉重的负担。据世界卫生组织(WHO)下属的国际癌症研究机构(IARC)估计,2012年全球有820.1万人死于癌症,中国癌症死亡病例占全球癌症死亡人数的26.9%,排在全球第45位[1]。我国第3次死因回顾性抽样调查结果显示,

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