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中国癌症防治杂志

中国癌症防治杂志 ›› 2021, Vol. 13 ›› Issue (2): 132-137.doi: 10.3969/j.issn.1674?5671.2021.02.04

• 癌情监测 • 上一篇    下一篇

2009—2015年甘肃省肿瘤登记地区肝癌流行特征及变化趋势分析

  

  1. 兰州市七里河区疾病预防控制中心；甘肃中医药大学；甘肃省肿瘤医院 
     
  • 出版日期:2021-04-25 发布日期:2021-04-30
  • 通讯作者: 刘玉琴 E-mail：liuyq970930@126.con
  • 基金资助:

     

An analysis of epidemiological characteristics and developing trend of liver cancer incidence and mortality in Gansu cancer registration areas,2009—2015

  • Online:2021-04-25 Published:2021-04-30

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摘要：

目的 分析甘肃省肿瘤登记地区2009—2015年肝癌发病和死亡流行特征，为制定肝癌防治策略提供依据。方法 按照全国肿瘤登记中心制定的审核方法收集甘肃省10个肿瘤登记点上报的数据作为样本数据，描述甘肃省肝癌发病和死亡分布情况，按地区（城市/农村）、性别、年龄进行分层，计算肝癌发病与死亡粗率、中国人口标化率（简称中标率）、世界人口标化率（简称世标率）、累积率，以及发病和死亡的时间变化趋势。结果 2009—2015年甘肃省肿瘤登记地区肝癌新发病例7 457例，粗发病率为19.63/10万，中标率为17.36/10万，世标率为19.56/10万，居全部恶性肿瘤发病顺位第3位；死亡病例3 279例，粗死亡率为16.48/10万，中标率为15.04/10万，世标率为17.36/10万，居全部恶性肿瘤死亡顺位第4位。肝癌发病率和死亡率均随年龄增长而上升，在85+年龄组达到高峰，呈现农村高于城市、男性高于女性的特点。甘肃省2009—2015年肝癌发病率呈上升趋势，APC为2.5%（t=1.0，P=0.4）；死亡率呈下降趋势，APC为-3.7%（t=-1.1，P=0.3）。结论 甘肃省肿瘤登记地区肝癌发病率呈上升趋势，而死亡率呈下降趋势，农村地区和男性人群是重点干预对象。

关键词: 肝癌, 发病率, 死亡率, 流行病学, 肿瘤登记, 甘肃

Abstract:  Objective To analyze the epidemiological characteristics of liver cancer incidence and mortality in Gansu cancer registration
areas from 2009 to 2015, and to provide the evidence for the prevention and treatment strategies of liver cancer. Methods The data reported by 10 cancer registries in Gansu Province were collected, based on the auditing method developed by National Central Cancer Registry, as sample data to describe the distribution of incidence and mortality of liver cancer in Gansu Province. Stratified by areas (both urban and rural), gender and age groups, the crude incidence and mortality, age?standardized rate by Chinese standard population (ASR China), age?standardized rate by Segi's population (ASR world), cumulative rate, the changing trend of incidence and mortality and other indicators were calculated. Results From 2009 to 2015, there were 7, 457 new cases of liver cancer in Gansu cancer registration areas, with the crude incidence rate of 19.63/105, ASR China of 17.36/105, and ASR world of 19.56/105, ranking the third in the incidence of all malignant tumors. A total of 3, 279 death cases of liver cancer, with the crude mortality rate of 16.48/105, ASR China of 15.04/105, and ASR world of 17.36/105, ranked the fourth among all malignant tumor deaths. Both the incidence and mortality of liver cancer increased with the age, and reached the peak in 85+ age group which was higher in rural areas than in urban areas; and in males than in females. The incidence of liver cancer in Gansu Province from 2009 to 2015 showed an upward trend, with annual percent change (APC) of 2.5% (t=1.0, P=0.4); the mortality showed a downward trend, with APC of -3.7% (t=-1.1, P=0.3）. Conclusions The incidence of liver cancer in Gansu cancer registration areas shows an increase, and the mortality shows a decrease. The rural areas and male populations are the key targets for intervention.

Key words: Liver cancer, Incidence, Mortality, Epidemiology, Cancer registration, Gansu Province

中图分类号: 

  • R735.7