微信公众号

官网二维码
中国癌症防治杂志

中国癌症防治杂志 ›› 2023, Vol. 15 ›› Issue (2): 181-199.doi: 10.3969/j.issn.1674-5671.2023.02.11

• 癌情监测 • 上一篇    下一篇

2018年广西恶性肿瘤流行情况及疾病负担分析

  

  1. 广西医科大学附属肿瘤医院肿瘤防控办公室；广西壮族自治区卫生健康委员会肿瘤分子医学重点（培育）实验室；广西医科大学公共卫生学院；区域性高发肿瘤早期防治研究教育部重点实验室；广西区域性高发肿瘤早期防治研究重点实验室；广西医科大学附属肿瘤医院胃肠外科
  • 出版日期:2023-04-25 发布日期:2023-05-05
  • 通讯作者: 余红平 E-mail：yuhongping@stu.gxmu.edu.cn
  • 基金资助:
    广西重点研发计划项目（桂科AB18050020；桂科AA18221001）；国家自然科学基金地区科学基金项目（82060431）；2022年度广西高校中青年教师科研基础能力提升项目（2022KY0092）

Analysis of the epidemiological characteristics of malignant tumors and disease burden in Guangxi,2018

  • Online:2023-04-25 Published:2023-05-05

PDF (PC)

475

赞

摘要： 目的 分析2018年广西恶性肿瘤流行情况与疾病负担特征，为广西恶性肿瘤防治提供参考。方法 根据广西36个肿瘤登记处上报的2018年肿瘤登记数据，计算2018年广西恶性肿瘤发病率、中国人口年龄标准化发病率（简称中标发病率）、死亡率、中国人口年龄标准化死亡率（简称中标死亡率），分析2018年广西恶性肿瘤发病和死亡情况；计算伤残调整生命年（disability adjusted life years，DALYs）、早死所致的寿命损失年（years of life lost with premature death，YLLs）等指标，评价2018年广西恶性肿瘤的疾病负担。结果 2018年广西36个肿瘤登记处共报告新发病例数为55 552例，粗发病率为222.83/10万，中标发病率为182.50/10万；共报告死亡例数为35 001例，粗死亡率为140.40/10万，中标死亡率为110.13/10万。2018年广西恶性肿瘤合计损失的DALYs为519 489.94人年，DALYs率为 2 083.79/10万。肝癌和乳腺癌分别是男性和女性最常见的恶性肿瘤，肝癌和肺癌所导致的DALYs负担分别位居男性和女性恶性肿瘤DALYs顺位的首位。白血病、女性乳腺癌、肝癌和肺癌分别是儿童（0~14岁）、中青年（15~44岁）、中老年（45~64岁）和老年（65岁及以上）人群中最常见的恶性肿瘤。城市地区肺癌、女性乳腺癌、结直肠癌和前列腺癌的发病率和死亡率均高于农村地区,而农村地区肝癌、子宫颈癌、鼻咽癌和食管癌的发病率和死亡率均高于城市地区。结论 广西当前的恶性肿瘤主要包括肝癌、肺癌、女性乳腺癌、结直肠癌和子宫颈癌等。广西居民恶性肿瘤负担仍严重，恶性肿瘤负担地区差异、性别差异及年龄差异明显，恶性肿瘤防控形势严峻。

关键词:  , 恶性肿瘤；发病率；死亡率；伤残调整生命年；疾病负担

Abstract: Objective To analyze the epidemiological characteristics and disease burden of malignant tumors in Guangxi in 2018, and to provide evidence for prevention and treatment of malignant tumors. Methods According to the tumor incidence and death data reported by 36 cancer registration areas in Guangxi in 2018, the incidence, mortality and age⁃standardized rate by Chinese standard population (ASRC) were calculated to analyze the epidemiological characteristics of malignant tumors. The disability adjusted life years (DALYs) and years of life lost with premature death (YLLs) were calculated to assess the disease burden of malignant tumors. Results In 2018, a total of 55,552 new cases of malignant tumors were reported in Guangxi cancer registration areas, with a crude incidence of 222.83/105 and ASRC of 182.50/105. A total of 35,001 deaths were reported, with a crude mortality rate of 140.40/105 and ASRC of 110.13/105. Cancers resulted in 519,489.94 DALYs in Guangxi in 2018, the DALYs rates were 2,083.79 DALYs per 100,000 persons. Liver cancer and breast cancer were the most common malignant tumors in male and female, respectively. The DALYs burden caused by liver cancer and lung cancer were the top one for malignant tumors DALYs in male and female, respectively. Leukemia, female breast cancer, liver cancer and lung cancer were the most common malignancies in children (0-14 years old), young and middle⁃aged (15-44 years old), middle⁃aged and elderly (45-64 years old) and elderly (65 years old and above), respectively. The incidence and mortality rates of lung cancer, female breast cancer, colorectal cancer and prostate cancer in urban areas were higher than those in rural areas, whereas the incidence and mortality rates of liver cancer, cervical cancer, nasopharyngeal cancer and esophageal cancer in rural areas were higher than those in urban areas. Conclusions Liver cancer, lung cancer, colorectal cancer, female breast cancer and cervical cancer are still the major malignant tumors in Guangxi. The malignant tumor burden of Guangxi residents is still serious, the differences of region, gender and age in cancer burden are obvious , and the prevention and control situation of malignant tumor is serious.

Key words: Malignant tumor, Incidence rate, Mortality rate, DALYs, Disease burden

中图分类号: 

  • R73-31