2012-2017年云南省肿瘤登记地区胃癌发病和死亡情况分析
Analysis of morbidity and mortality of stomach cancer in Yunnan Province cancer registration area from 2012 to 2017
余龙涛 1杨璧榕 2李蔚 2杨建华 2罗赛美 2龙欣甜 2姚璐 3张腾 2文洪梅4
作者信息
- 1. 保山中医药高等专科学校,云南保山 678000;大理大学
- 2. 保山中医药高等专科学校,云南保山 678000
- 3. 保山市人民医院
- 4. 云南省疾病预防控制中心
- 折叠
摘要
目的 收集整理2012-2017年云南省肿瘤登记地区胃癌的发病和死亡病例资料.方法 计算胃癌发病率、死亡率、标化率、0～＜75岁累积率、35～＜65岁截缩率等指标,采用Joinpoint 4.8计算年度变化百分比(annual percentage change,APC).结果 2012-2017年云南省肿瘤登记地区胃癌粗发病率12.78/10万,中标率8.70/10万,世标率8.62/10万;胃癌粗死亡率10.13/10万,中标率6.72/10万,世标率为6.64/10万.男性胃癌标化发病率和标化死亡率均高于女性,发病率和死亡率均在0～＜35岁阶段发展缓慢,从35岁后上升迅速加快.胃癌发病率和死亡率的APC分别为3.70％和4.88％,中标发病率和死亡率的APC分别为1.48％和 5.48％,变化趋势差异均无统计学意义(t=1.33、1.80、0.80、1.25,P=0.25、0.15、0.47、0.28).结论 云南省胃癌发病率和死亡率的年度变化无明显上升和下降趋势,但疾病负担任然较重.胃癌防治工作应以三级预防策略为导向,采取有效防治措施.
Abstract
Objective The incidence and death cases of stomach cancer(ICD-10 code:C16)in the cancer registration areas of Yunnan Province from 2012 to 2017 were collected and compiled.Methods The morbidity,mortality,standardized rate of stomach cancer,cumulative rate for 0-＜75,and truncated rate for ages 35-＜65 were calculated.A Joinpoint 4.8 was used to calculate the annual percentage change(APC).Results The results showed that the crude morbidity of stomach cancer in the cancer registration areas of Yunnan Province from 2012 to 2017 was 12.78/100 000,with a standardized rate of 8.70/100 000 and a world standardized rate of 8.62/100 000.The crude mortality rate of gastric cancer was 10.13/100 000,with a standardized rate of 6.72/100 000 and a world standardized rate of 6.64/100 000.Higher standardized morbidity and mortality rates were found in males than in females.The age-specific morbidity and mortality were at a low level at 0-＜35 years of age,and rapidly increased after 35 years of age.The APC for morbidity and mortality was 3.70％(t=1.33,P=0.25)and 4.88％(t=1.80,P=0.15),respectively,and the APC for ASIR China and ASMR China were 1.48％(t=0.80,P=0.47)and 5.48％(t=1.25,P=0.28),respectively.There was no statistical difference in the trend of change.Conclusions The annual changes in the incidence and mortality of gastric cancer in Yunnan Province have no obvious increase or decrease,but the disease burden is still heavy.The prevention and treatment of gastric cancer should be guided by tertiary prevention strategies,and effective prevention measures should be taken according to local conditions.
关键词
胃癌/发病率/死亡率/年度变化百分比Key words
Stomach cancer/Morbidity/Mortality/Annual percentage change引用本文复制引用
出版年
2024
NETL
NSTL
万方数据