摘要
目的 分析云南省 2020 年食管癌发病和死亡情况及 2012-2020 年变化趋势,为云南省食管癌的防治策略提供数据依据.方法 收集云南省肿瘤登记地区 2012-2020 年食管癌发病与死亡数据进行分析,按性别、年龄别计算 2020 年云南省食管癌粗发病率、粗死亡率、中标发病率、中标死亡率、世标发病率、世标死亡率、0～74 岁累积率等指标,并采用Join-point回归模型分析云南省 2012-2020 年食管癌年度发病率和死亡率变化趋势.结果 云南省 2020 年食管癌粗发病率5.84/10 万,其中男性 10.19/10 万,女性 1.28/10 万,中标发病率 3.85/10 万,世标发病率 3.88/10 万,食管癌发病率在 45 岁之前处于较低水平,45 岁后快速上升,75～79 岁年龄组达到高峰.食管癌粗死亡率 5.08/10 万,其中男性 9.02/10 万,女性0.95/10 万,中标死亡率 3.31/10 万,世标死亡率 3.35/10 万,食管癌死亡率在 50 岁之前处于较低水平,50 岁之后死亡率迅速增长,75～79 岁年龄组达到高峰.所有年龄段男性发病率与死亡率均高于女性.2012-2020 年食管癌粗发病率(APC=8.14%,P<0.05)、世标发病率(APC=7.65%,P<0.05)、粗死亡率(APC=8.99%,P<0.05)、世标死亡率(APC=9.20%,P<0.05)均呈上升趋势.结论 云南省食管癌发病率和死亡率均呈上升趋势,男性发病率与死亡率均高于女性,年龄是影响食管癌发生发展的重要因素,应将男性和老年人作为云南省食管癌日常干预重点人群.
Abstract
Objective The aim of this study was to analyze the incidence and mortality of esophageal cancer in Yunnan province in 2020,as well as the changing trends from 2012 to 2020,in order to provide the data basis for the prevention and control strategies of esophageal cancer in Yunnan province.Methods The incidence and mortality data of esophageal cancer in tumor regis-tration areas of Yunnan province from 2012 to 2020 were collected and analyzed.The crude incidence,crude mortality,age-standard-ized incidence rate by Chinese standard population(ASIRC),age-standardized mortality rate by Chinese standard population(ASMRC),age-standardized incidence rate by World standard population(ASIRW)and age-standardized mortality rate by World standard population(ASMRW),0-74 years old cumulative rate and other indicators of esophageal cancer in Yunnan province in 2020 were calculated by gender and age,and the annual incidence and mortality trends of esophageal cancer in Yunnan province from 2012 to 2020 were analyzed by using the Joinpoint regression model.Results In 2020,the crude incidence of esophageal cancer in Yunnan province was 5.84/100,000,including 10.19/100,000 men and 1.28/100,000 women.ASIRC was 3.85/100,000,and ASIRW was 3.88/100,000.The incidence of esophageal cancer was at a low level before the age of 45,rising rapidly after the age of 45,and reached the peak in the 75-79 age group.The crude mortality of esophageal cancer was 5.08/100,000,with a male mortality of 9.02/100,000 and a female mortality of 0.95/100,000.ASMRC was 3.31/100,000,and ASMRW was 3.35/100,000.The mortality of e-sophageal cancer was at a low level before the age of 50,but rapidly increased after the age of 50,reaching its peak in the 75-79 age group.The incidence and mortality of men in all age groups were higher than those of women.From 2012 to 2020,the crude incidence(APC=8.14%,P<0.05),ASIRW(APC=7.65%,P<0.05),crude mortality(APC=8.99%,P<0.05),and ASMRW(APC=9.20%,P<0.05)of esophageal cancer all showed an upward trend.Conclusion The incidence and mortality of esophageal cancer in Yunnan province are on the rise.The incidence and mortality of men are higher than those of women.Age is an important factor affect-ing the occurrence and development of esophageal cancer.Men and the elderly should be the focus of daily intervention.
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