2003-2012年江苏省胃癌发病死亡及农村地区生存情况分析

发布时间：2018-10-15 08:24

【摘要】：目的了解2003-2012年江苏省胃癌发病死亡流行水平,分析2003-2005年江苏农村地区新发胃癌患者的生存情况。方法收集2003-2012年江苏省的肿瘤登记数据,按照年份、年龄分层,使用粗率、中国人口标化率(中标率)和世界人口标化率(世标率)描述胃癌的发病及死亡情况,并计算发病率及死亡率的年度变化百分比(annual percent change,APC)。随访2003-2005年江苏农村地区胃癌发病的患者信息,按不同性别、年龄分组计算其观察生存率和相对生存率,分析不同组别间的生存情况差异。结果 2003-2012年江苏省肿瘤登记地区胃癌年平均发病率为48.2/10万,中标率为32.0/10万。同期胃癌年平均死亡率为35.1/10万,中标率为22.5/10万。2003-2012年胃癌发病率和死亡率均明显下降。2003-2005年江苏农村地区新发胃癌病人5年观察生存率为21.8%,相对生存率为25.1%,生存率男性高于女性,随年龄增长呈下降趋势。结论 2003-2012年江苏省胃癌发病率及死亡率均明显下降,但仍处于较高水平,且患者预后较差。加强上消化道癌筛查,提高早期检出率是改善生存率的重要手段之一。
[Abstract]:Objective to investigate the prevalence of gastric cancer in Jiangsu Province from 2003 to 2012, and to analyze the survival status of newly diagnosed gastric cancer patients in rural areas of Jiangsu Province from 2003 to 2005. Methods Cancer registration data were collected from 2003 to 2012 in Jiangsu Province. The incidence and death of gastric cancer were described by age stratification, gross rate, Chinese population standard rate (bid winning rate) and world population standard rate (world standard rate). The percentage of annual change in morbidity and mortality was calculated in (annual percent change,APC). The information of gastric cancer patients in rural areas of Jiangsu Province from 2003 to 2005 was followed up. The observed survival rate and relative survival rate were calculated according to sex and age, and the difference of survival among different groups was analyzed. Results from 2003 to 2012, the average incidence of gastric cancer was 48.2 / 100 000, and the winning rate was 32.0 / 100 000. In the same period, the average annual mortality rate of gastric cancer was 35.1 / 100,000, and the winning rate was 22.5 / 100,000. The incidence and mortality of gastric cancer decreased significantly in 2003-2012. The 5-year survival rate of newly diagnosed gastric cancer patients in rural areas of Jiangsu Province from 2003 to 2005 was 21.8%, and the relative survival rate was 25.1%. The survival rate of males was higher than that of females. There is a downward trend with age. Conclusion the incidence and mortality of gastric cancer in Jiangsu Province decreased significantly from 2003 to 2012, but it was still in a high level, and the prognosis of the patients was poor. Strengthening the screening of upper gastrointestinal cancer and increasing the early detection rate is one of the important methods to improve the survival rate.
【作者单位】：东南大学公共卫生学院流行病与卫生统计学系;江苏省疾病预防控制中心慢性非传染病防制所;
【基金】：中央高校基本科研业务费专项资金资助江苏省普通高校研究生科研创新计划资助项目(SJLX15_0076) 江苏省卫生计生委预防医学科研课题(Y2015058)
【分类号】：R735.2

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