中国口腔颌面外科杂志2024,Vol.22Issue(1) :68-72.DOI:10.19438/j.cjoms.2024.01.012

2011-2017年福建省口腔癌发病及死亡趋势分析

Analysis of the incidence and mortality trend of oral and pharyngeal cancer in Fujian province from 2011 to 2017

陈瑞斌 陈岚枫
中国口腔颌面外科杂志2024,Vol.22Issue(1) :68-72.DOI:10.19438/j.cjoms.2024.01.012

2011-2017年福建省口腔癌发病及死亡趋势分析

Analysis of the incidence and mortality trend of oral and pharyngeal cancer in Fujian province from 2011 to 2017

陈瑞斌 1陈岚枫2
扫码查看

作者信息

  • 1. 厦门医学院附属口腔医院 口腔黏膜病科,福建 厦门 361000
  • 2. 厦门医学院附属第二医院 医院感染管理科,福建 厦门 361000
  • 折叠

摘要

目的:分析《福建省肿瘤登记年报》中2011-2017年口腔癌发病率和死亡率的变化特点,为口腔癌的防治提供指导.方法:整理福建省2011-2017年口腔癌发病及死亡数据,按照性别及年龄组(0~,5~,10~,……,85~)分层.经由Joinpoint回归模型对福建省口腔癌发病率、死亡率的变化特点进行分析.结果:2011-2017年福建省口腔癌标化发病率及标化死亡率变化趋势无统计学意义(发病率APC=-0.11%,P=0.958;死亡率APC=0.59%,P=0.826).在发病率与死亡率上,男性较女性偏高.35岁以前的男性患口腔癌的几率较低,同时未见明显变化;35~74岁男性口腔发病率随着年龄增长快速上升(P<0.001),75岁之后发病率随着年龄增加逐渐下降(P=0.01),75~80岁年龄组为发病高峰期.女性50岁之前发病率处于较低水平且呈现缓慢上升的趋势(P=0.06),50岁之后发病率快速上升(P<0.001),女性发病率峰值在85~岁年龄组.40~岁年龄组之前男性口腔癌死亡率处于较低水平且趋势变化相对平缓,40~岁年龄组之后随着年龄增长死亡率快速升高(P<0.001),在85~岁年龄组达到峰值.女性年龄别死亡率趋势曲线与男性相似,同样只有1个转折点,但该转折点向后移,所在年龄组为55~60岁.结论:2011-2017年福建省口腔癌发病率及死亡率均较高,期间变化小.35岁之前男性、50岁之前女性口腔癌发病率处于较低水平且趋势平缓,之后有所升高.40岁之前男性、55岁之前女性口腔癌死亡率处于较低水平且趋势平缓,之后有所提升.应积极确立与改进口腔癌防治方案.

Abstract

PURPOSE:To analyze the change trend of the incidence and mortality of oral and pharyngeal cancer accord-ing to Fujian Province Cancer Registry Annual Report from 2011 to 2017,and to provide scientific references for the pre-vention and treatment of oral and pharyngeal cancer.METHODS:The incidence and mortality of oral and pharyngeal cancer in Fujian province from 2011 to 2017 were collected and summarized,stratified by sex and age group(0-,5-,10-,……,85-).Joinpoint regression model was applied to analyze the change trend of the incidence and mortality of oral and pharyngeal cancer in Fujian province.RESULTS:The trend of incidence and mortality of oral and pharyngeal cancer in Fujian province from 2011 to 2017 was not statistically significant(APC of incidence was-0.11%,P=0.958;APC of mortality was 0.59%,P=0.826).The incidence was higher in males than in females from 2011 to 2017.The incidence of o-ral and pharyngeal cancer in males before the age of 35 years old was at a low level and the trend was smooth.The inci-dence of oral and pharyngeal cancer in male aged 35-74 increased rapidly with age(P<0.001).The incidence decreased with age after 75 years old(P=0.01).The peak incidence was in the age group of 75-80 years.The incidence of oral and pharyngeal cancer in females before the age of 50 years old was at a low level and showed a slowly rising trend(P=0.06).The incidence of oral and pharyngeal cancer in female increased rapidly after 50 years old(P<O.001).The peak incidence was in the age group of 85-years.The mortality of oral and pharyngeal cancer in males before the age of 40 years old was at a low level and the trend was smooth.The mortality of oral and pharyngeal disease in male increased rapidly after 40 years old(P<0.001).The peak mortality was in the age group of 85-years.The trend curve of age-specific mortality in women was similar to that in men,with only one turning point,but the turning point moved backward in the age group of 55-60 years old.CONCLUSIONS:The incidence and mortality of oral and pharyngeal cancer in Fujian province from 2011 to 2017 were high,and the change was small.The incidence of oral and pharyngeal cancer in Fujian province is at a low level and tends to be flat before 35 years old in males and before 50 years old in females,since then it has improved.The mortality of oral and pharyngeal cancer in Fujian province is at a low level and tends to be flat before 40 years old in males and before 55 years old in females,since then it has improved.The preventive and therapeutic measures for oral and pharyngeal cancer should be formulated and improved actively.

关键词

口腔癌/发病率/死亡率/Joinpoint回归模型

Key words

Oral and pharyngeal cancer/Incidence/Mortality/Joinpoint regression analysis

引用本文复制引用

出版年

2024
中国口腔颌面外科杂志
中华口腔医学会

中国口腔颌面外科杂志

CSTPCD
影响因子:0.751
ISSN:1672-3244
参考文献量4
段落导航相关论文