首页|中国女性乳腺癌2013-2021年死亡变化趋势

中国女性乳腺癌2013-2021年死亡变化趋势

扫码查看
目的 分析2013-2021年中国女性乳腺癌死亡疾病负担及变化趋势.方法 收集和整理2013-2021年《中国死因监测数据集》中乳腺癌相关的死亡率(MR)、年龄标准化死亡率(ASMR)、死亡数、城乡别死亡数等指标,分析MR、ASMR、早死寿命损失年(YLL)率等指标趋势变化,趋势分析采用年度变化百分比(APC)表示,不同地区APC的比较采用Fisher置换检验.结果 2013-2021年中国女性乳腺癌累计死亡88112例,年平均MR为7.56/10万,ASMR为6.34/10万.2013-2021年中国女性乳腺癌MR(APC=2.12%,t=5.414,P<0.001),农村地区MR(APC=2.84%,t=7.581,P<0.001),农村地区YLL率(APC=1.61%,t=3.588,P=0.009)呈上升趋势;40~<45岁MR呈下降趋势(APC=-2.76%,t=-4.689,P=0.002),70~<75岁(APC=1.41%,t=2.494,P=0.041)、75~<80岁(APC=3.05%,t=3.690,P=0.008)、80~<85岁(APC=1.82%,t=2.909,P=0.023)呈上升趋势.城市和农村地区女性MR和ASMR的APC比较差异有统计学意义(P<0.001).其他指标变化趋势差异无统计学意义(P>0.05).结论 2013-2021年中国女性乳腺癌死亡疾病负担呈上升趋势,应加强乳腺癌的综合防治,降低女性乳腺癌死亡风险.
Trends in maternal cancer mortality in Chinese women from 2013 to 2021
Objective To analyze the disease burden and change trend of breast cancer mortality among Chinese women from 2013 to 2021.Methods The indicators of breast cancer-related mortality (MR),age-standardized mortality rate (ASMR),deaths,and urban-rural deaths in the Chinese Cause of Death Surveil-lance Dataset from 2013 to 2021 were collected and collated,and the trend changes of MR,ASMR,and years lost in life of premature death (YLL) were analyzed,annual percentage change (APC) was used for trend a-nalysis,and Fisher substitution test was used to compare APC in different regions.Results From 2013 to 2021,a total of 88112 cases of breast cancer died,with an average annual MR of 7.56/100000 and an ASMR of 6.34/100000.From 2013 to 2021,the MR rate of breast cancer (APC=2.12%,t=5.414,P<0.001),MR in rural areas (APC=2.84%,t=7.581,P<0.001),and YLL in rural areas (APC=1.61%,t=3.588,P=0.009) showed an upward trend in China.MR at 40-<45 years old showed a downward trend (APC=-2.76%,t=-4.689,P=0.002),and at 70-<75 years old (APC=1.41%,t=2.494,P=0.041),75-<80 years old (APC=3.05%,t=3.690,P=0.008),and 80-<85 years old (APC=1.82%,t=2.909,P=0.023).There was a statistically significant difference in APC between MR and ASMR in urban and rural areas (P<0.001).There was no significant difference in the trend of other indicators (P>0.05).Conclusion From 2013 to 2021,the disease burden of breast cancer mortality in Chinese women showed an upward trend,and the comprehensive prevention and treatment of breast cancer should be strengthened to reduce the risk of breast cancer death.

femalebreast cancerdeathburden of disease

方燕梅、王寅欢、熊丹、杨英、齐晓伟、宋爽

展开 >

陆军军医大学第一附属医院乳腺甲状腺外科,重庆 400038

女性 乳腺癌 死亡 疾病负担

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(15)
  • 1
  • 11