摘要
目的 分析2010-2016年北京市通州区恶性肿瘤的发病趋势,为肿瘤防治工作提供科学依据.方法 通过北京市肿瘤防治办公室监测平台收集2010-2016年北京市通州区恶性肿瘤发病资料,按照性别及年龄分别计算恶性肿瘤的中国人口标化发病率(中标率)和年度变化百分比(annual percent change,APC),分析恶性肿瘤发病趋势.结果 2010-2016年通州区恶性肿瘤的发病率从114.8/10万上升至151.2/10万,呈上升趋势(APC=4.59%).从年龄来看,2010-2016年通州区恶性肿瘤发病25～39岁人群发病率明显逐年升高,肿瘤发病呈年轻化趋势;从性别来看,男性恶性肿瘤以肺癌、肝癌、胃癌为主,女性恶性肿瘤以乳腺癌、肺癌、甲状腺癌为主,2010-2014年男性恶性肿瘤中标率均高于女性,而2015-2016年女性恶性肿瘤中标率接近甚至反超男性.2010-2016年通州区发病前5位恶性肿瘤依次是肺癌、结直肠癌、乳腺癌、肝癌、甲状腺癌.在发病率呈逐年上升趋势的恶性肿瘤中,男性甲状腺癌、肾癌、胆囊癌、前列腺癌发病上升趋势比较,差异有统计学意义(P<0.05),女性乳腺癌、甲状腺癌、肾癌在2010-2016年的发病率随时间变化的上升趋势比较,差异有统计学意义(P<0.05).结论 2010-2016年北京市通州区恶性肿瘤发病率呈上升趋势,一方面,在人群中有针对性地开展恶性肿瘤的早期筛查及健康教育是降低恶性肿瘤发病的重要措施,另一方面应提升医疗服务水平,以快速缓解恶性肿瘤疾病负担.
Abstract
Objective To analyze the malignant tumor incidence trends in Tongzhou District from 2010-2016,and to provide the scientific basis for the prevention and treatment of malignant tumors.Methods The incidence data for malignant tumors in Tongzhou District from 2010-2016 were collected using the monitoring platform of the Beijing Cancer Control Office.The standardized incidence rate and annual percentage change(APC)of malignant tumors in the Chinese population were calculated by gender and age,and the malignant tumor incidence trends were analyzed.Results The incidence of malignant tumors in Tongzhou District increased from 114.8/100,000 to 151.2/100,000 between 2010 and 2016,thus showing an upward trend(APC=4.59%).The incidence of malignant tumors in the population 25-39 years of age in Tongzhou District in-creased significantly year-after-year between 2010 and 2016.The incidence of tumors tended to affect younger members of the population.From the perspective of gender,malignant tumors affecting males were mainly lung,liver,and gastric cancers,while malignant tumors affecting females were mainly breast,lung,and thyroid cancers.The standardized incidence of malignant tumors affecting males in 2010-2014 was higher than the incidence of malignant tumors affecting females,while the incidence of malignant tumors affecting females in 2015-2016 was higher.The standardized incidence of malignant tumors was close to or even higher than males.From 2010-2016,the top five malignant tumors in Tongzhou District were lung,colorectal,breast,liver,and thyroid cancers.Among the malignant tumors with an increasing incidence rate year-after-year,the incidence of thyroid,kidney,gallbladder,and prostate cancers in males exhibited a statistically significant upward trend(P<0.05),while the incidence of breast,thyroid,and kidney cancers affecting females in 2010-2016 had a statistically significant upward trend over time(P<0.05).Conclusions The incidence of malignant tumors in Tongzhou District of Beijing exhibited an upward trend from 2010-2016.Early screening and health education are important measures to reduce the incidence of malignant tumors.In contrast,we should improve the level of medical services to quickly alleviate the burden of malignant tumors.
维普
万方数据