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中国癌症防治杂志

中国癌症防治杂志 ›› 2017, Vol. 9 ›› Issue (6): 462-468.doi: 10.3969/j.issn.1674-5671.2017.06.09

• 癌情监测 • 上一篇    下一篇

2013年广西肿瘤登记地区肝癌发病与死亡分析

  

  1. 广西医科大学附属肿瘤医院；广西癌症中心；广西壮族自治区肿瘤防治研究工作领导小组办公室
  • 出版日期:2017-12-25 发布日期:2018-01-29
  • 通讯作者: 葛莲英 E-mail：gxzlfb@163.com
  • 基金资助:

    科技部科技惠民计划资助项目（2013GS450101）；广西科学研究与技术开发计划资助项目（桂科攻14124003-4）；广西自然科学基金资助项目（2016GXNSFAA380022）；广西壮族自治区卫生和计划生育委员会自筹经费科研课题资助项目（Z2015623）

Incidence and mortality of liver cancer in areas with cancer registration in Guangxi，2013

  • Online:2017-12-25 Published:2018-01-29

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摘要：

目的 根据2016年广西肿瘤登记地区报告资料，分析广西2013年肝癌发病和死亡情况。方法 2016年广西共有8个登记地区上报2013年肿瘤登记资料，按照全国肿瘤登记中心制定的审核方法和评价标准对数据进行评价，其中6个登记地区的数据符合标准。对入选的6个登记地区的肝癌数据进行统计分析，计算肝癌发病率、死亡率、构成比、累积率、截缩率，并按照城乡、性别、年龄、地域分层；人口标准化率根据全国2000年人口普查人口结构和Segi's世界人口结构为标准计算。结果 2013年广西肿瘤登记地区共覆盖人口5 196 871人（其中城市1 933 143人，农村3 263 728人），新发肝癌病例数2 165例，肝癌死亡病例数1 801例。肝癌病理学诊断比例（MV%）为21.02%，只有死亡医学证明书比例（DCO%）为2.54%，死亡/发病比（M/I）为0.83。肝癌发病率为41.66/10万（男性64.07/10万，女性17.42/10万），中标发病率为36.93/10万，世标发病率为35.92/10万，累积发病率（0～74岁）为4.01%，截缩发病率（35～64岁）为73.85/10万，在全部恶性肿瘤中的构成比为17.23%。城市地区肝癌发病率为31.19/10万，中标发病率为26.01 /10万；农村地区肝癌发病率为47.86 /10万，中标发病率为44.53 /10万。肝癌死亡率为34.66/10万（男性54.67/10万，女性13.02/10万），中标死亡率为30.29/10万，世标死亡率为29.48/10万，累积死亡率（0～74岁）为3.23%，截缩死亡率（35～64岁）为48.12/10万，在全部恶性肿瘤中的构成比为22.77%。城市地区肝癌死亡率为22.92/10万，中标死亡率为18.96/10万。农村地区肝癌死亡率为41.61/10万，中标死亡率为37.94/10万。结论 广西肿瘤登记地区肝癌发病率、死亡率远高于全国水平，其中南部地区高于中北部地区，农村地区高于城市地区，无论城市地区或农村地区，男性发病率和死亡率均明显高于女性。

关键词: 肿瘤登记, 肝癌, 发病率, 死亡率, 广西

Abstract:

Objective Analyze incidence of liver cancer and associated mortality in Guangxi in 2013 based on areas with cancer registry reporting. Methods In 2016，8 cancer registries of Guangxi reported cancer data for 2013，and 6 registries were found to conform to data quality criteria of the NCCR.Data from these 6 registries were analyzed to determine incidence and mortality of liver cancer stratified by areas（urban/rural），sex，age group and region.Proportions，cumulative incidence/mortality rates，and truncated incidence/mortality rates were calculated.The Chinese population census in 2000 and Segi's population were used for age-standardized incidence/mortality rates. Results All 6 cancer registries covered a total population of 5，196 ，871（1，933，143 in urban areas，3，263，728 in rural areas）.The total number of new cases of liver cancer was 2，165，and the number of liver cancer-related deaths was 1，801.Morphology-verified cases accounted for 21.02%.Death certifications accounted for 2.54%. The ratio of mortality to incidence was 0.83.The crude incidence of liver cancer in China cancer registration areas was 41.66/105（males 64.07/105，females 17.42/105）. Age-standardized incidence rates were 36.93/105 based on the Chinese standard population（ASR China） and 35.92/105 based on the world standard population （ASR world）. Cumulative incidence rate （0-74 years old） was 4.01%，and the truncated incidence rate （35-64 years old） was 73.85/105. The proportion of liver cancer was 17.23%.The incidence of liver cancer and ASR China were 31.19/105 and 26.01/105 in urban areas，compared to 47.86/105 and 44.53/105 in rural areas. Crude mortality associated with liver cancer in Guangxi cancer registration areas was 34.66/105（males 54.67/105，females 13.02/105）. Age-standardized mortality rates was 30.29/105 based on the Chinese standard population （ASR China） and 29.48/105 based on the world standard population （ASR world）. Cumulative mortality rate （0-74 years old） was 3.23% and truncated mortality rate（35-64 years old） was 48.12/105.The proportion was 22.77%. Mortality associated with liver cancer and ASR China were 22.92/105 and 18.96/105 in urban areas，compared to 41.61/105 and 37.94/105 in rural areas.Conclusion In Guangxi，incidence of liver cancer and associated mortality are higher than the national level. Incidence and mortality of liver cancer in rural areas are higher than in urban areas. Incidence of liver cancer and associated mortality are higher in the south-central region than in the north-central region. Whether in urban or in rural areas，incidence and mortality are obviously higher in males than in females.

Key words: Cancer registry, Liver cancer, Incidence, Mortality, Guangxi