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中国癌症防治杂志 ›› 2017, Vol. 9 ›› Issue (3): 217-221.doi: 10.3969/j.issn.1674-5671.2017.03.11

• 癌情监测 • 上一篇    下一篇

泰安市岱岳区居民2010~2015年恶性肿瘤死亡分析

  

  1. 山东省泰安市岱岳区疾病预防控制中心
  • 出版日期:2017-06-25 发布日期:2017-08-02
  • 通讯作者: 张林林 dyqcdc@163.com

Analysis of malignant tumor death from 2010 to 2015 in the Daiyue district of Tai 'an,China

  • Online:2017-06-25 Published:2017-08-02

摘要:

目的 分析泰安市岱岳区居民2010~2015年恶性肿瘤死亡情况及年度时间变化趋势,为制定恶性肿瘤防治规划、基本公共卫生服务策略及卫生资源有效配置提供科学依据。方法 对2010~2015年辖区居民恶性肿瘤死亡原因资料按年度、年龄、性别、具体死因计算粗死亡率、标化率、死因顺位,用年度变化百分比(annual percent tchange,APC)模型分析时间变化趋势。结果 辖区居民恶性肿瘤平均粗死亡率为171.58/10万、平均中标率为167.80/10万、平均世标率为140.82/10万,恶性肿瘤平均粗死亡率和平均中标率年度变化上升趋势有统计学意义(P<0.01)。35岁以后恶性肿瘤死亡率随年龄增长而上升,总死亡率男性高于女性,差异有统计学意义(χ2=222.15,P<0.001)。肺癌占总构成的0.385,胃癌、肝癌、食管癌、结直肠和肛门癌等消化系统肿瘤占总构成的0.537。死因前10位依次为肺癌、胃癌、肝癌、食管癌、结直肠和肛门癌、胰腺癌、乳腺癌、白血病、淋巴瘤与多发性骨髓瘤、膀胱癌。结论 泰安市岱岳区居民2010~2015年恶性肿瘤死亡率年度变化上升趋势不明显,应注重消化系统肿瘤防治,开展高危人群恶性肿瘤的早诊早治工作。

关键词: 恶性肿瘤, 肿瘤登记, 死亡率, 年度变化百分比, 死因顺位, 泰安市

Abstract:

Objective To analyse data on malignant tumor deaths in the Daiyue District of Tai'an from 2010 to 2015 in order to guide plan prevention and control interventions. Methods Crude and standardized mortality rates as well as annual percentage changes in mortality were calculated according to year,age,sex and cause of death using data on malignancy-related deaths in the Daiyue District of Tai'an from 2010 to 2015. Results Malignant neoplasms were associated with a crude mortality rate of 171.58 per 10 million,a China standardization mortality rate of 167.80 per 10 million,and a world standardization rate of 140.82 per 10 million.The annual trend in malignancy deaths was statistically significant(P<0.01). Mortality rate increased with age for individuals older than 35,and overall mortality rate was higher in males than in females(χ2=222.15,P<0.001). Lung cancer accounted for 38.5% of all cases,while gastric cancer,liver cancer,esophageal cancer,colon and rectal and anal cancer and other digestive system tumors accounted for 53.7% of cases. The top 10 causes of death were lung cancer,stomach cancer,liver cancer,esophageal cancer,colorectal and anal cancer,pancreatic cancer,breast cancer,leukemia,lymphoma,multiple myeloma,and bladder cancer. Conclusion The annual trend in malignancy deaths remain to be seen. Prevention and  control of  digestive system tumors should be controlled. Malignant tumors should be diagnosed and treated as early as possible in high-risk groups.

Key words: Malignant neoplasms, Cancer registry, Mortality rate, Annual , percent , change, Death cause sequence, Tai'an city