Trends in disease burdens of malignant tumors among residents in Zhenjiang City from 2014 to 2023
Objective To investigate the mortality and disease burden of malignant tumors and their changing trends among resi-dents in Zhenjiang City.Methods The data pertaining to surveillance on causes of death were collected from Zhenjiang City from 2014 to 2023,and the crude mortality,standardized mortality,years of life lost due to premature death(YLLs)and YLLs rate of malig-nant tumors were calculated.In addition,the trends in crude mortality,standardized mortality,YLLs and YLLs rate of malignant tumors were investigated using average annual change percent(AAPC).Results A total of 73 922 deaths occurred due to malignant tumors in Zhenjiang City from 2014 to 2023,with average annual crude mortality of 318.44/105 and standardized mortality of 262.33/105.The crude and standardized mortality was both higher among men than among women(x2=6 087.30 and 199 262.00,both P values<0.05),and the crude mortality of malignant tumors appeared a tendency towards a rise among total populations(AAPC=0.91%)and men(AAPC=1.19%)in Zhenjiang City from 2014 to 2023,while the YLLs rate appeared a tendency towards a decline among total populations(AAPC=-1.91%,P<0.05),men(AAPC=-1.01%,P<0.05)and women(AAPC=-1.43%,P<0.05).The five most deadly malignant tumors included lung cancer(20.35%),gastric cancer(20.19%),esophageal cancer(13.19%),colorectal cancer(9.73%)and liver cancer(9.47%)in Zhenjiang City in 2023,which consisted of 72.93%of all cancer-related mortality.There was no statistical significance in the trends in YLLs rates of lung cancer among total populations,men or women between 2023 and 2014(all P values>0.05),and the YLLs rate of gastric cancer,esophageal cancer and liver cancer all appeared a tendency towards a decline among total populations,men and women(all P values<0.05),while the YLLs rate of colorectal cancer appeared a tendency towards a decline among total populations and men(both P values<0.05).Conclusions The standardized mortality and YLLs rate of malignant tumors appeared a tendency towards a decline in Zhenjiang City from 2014 to 2023,but still remained at a high lev el.Integrated control should be given to lung cancer and gastrointestinal cancers,like gastric cancer.
Malignant tumorDisease burdenMortalityYears of life lost due to premature death