2015年湖南省肿瘤登记地区肺癌发病与死亡分析
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摘要
[目的]分析2015年湖南省肿瘤登记地区肺癌发病和死亡情况,为全省肺癌的防治提供基础信息。[方法]计算肺癌的发病率、死亡率、0～74岁累积率等指标,标化率采用2000年全国人口普查和Segi’s标准人口构成为标准。[结果] 2015年湖南省23个肿瘤登记地区年中人口数为12 966 640人,共收集肺癌新发病例6691例,死亡病例6120例。肺癌发病率为51.60/10万,中标发病率为32.87/10万,世标发病率33.09/10万,0～74岁累积率为4.21%。城市地区居民肺癌的发病率为60.09/10万,中标发病率为36.29/10万,农村地区居民肺癌的发病率46.29/10万,中标发病率为30.54/10万,城区居民肺癌发病高于农村。男性肺癌发病率74.08/10万,中标发病率为48.13/10万,女性肺癌发病率为27.70/10万,中标发病率为17.20/10万,男性肺癌发病率高于女性。肺癌发病序位男性居首位,女性居第2位。全省居民肺癌死亡率为47.20/10万,中标死亡率为29.15/10万,世标死亡率29.19/10万,0～74岁累积率为3.63%。城市地区居民肺癌死亡率为56.82/10万,中标死亡率为33.09/10万,农村地区居民肺癌死亡率为41.17/10万,中标死亡率26.49/10万,城市居民肺癌死亡率比农村居民高。男性肺癌死亡率为69.92/10万,中标死亡率44.43/10万,女性肺癌死亡率为23.04/10万,中标死亡率13.56/10万,男性高于女性,肺癌死亡序位男性和女性均居第1位。[结论]肺癌是威胁湖南省居民健康最常见的恶性肿瘤,应作为我省居民癌症防治的重点。
[Purpose] To analyze the lung cancer incidence and mortality in cancer registration areas of Hunan in 2015. [Methods] The incidence and mortality of lung cancer stratified by area,sex,age group were analyzed. Cumulative incidence and mortality rates(0～74 age years) were calculated.The Chinese population census in 2000 and Segi's world population were used for calculating the age-standardized cancer incidence and mortality rates. [Results] All 23 cancer registries in Hunan Province in 2015 covered a population of 12 966 640 people. The total new lung cancer cases and lung cancer deaths were 6691 and 6120 in 2015,respectively. The morphology verified cases(MV%) accounted for 51.61% and 3.24% of incident cases were identified through death certifications only(DCO%) with a mortality to incidence ratio of 0.92. The lung cancer incidence in Hunan province was 51.60/105,the age-standardized incidence rates by Chinese standard population(ASR China) and by world standard population(ASR world) were 32.87/105 and 33.09/105 with the cumulative incidence rate(0～74 age years old) of 4.21%. The lung cancer incidence in urban areas was60.09/105,the ASR China was 36.29/105. The lung cancer incidence in rural areas was 46.29/105,the ASR China was 30.54/105. The lung cancer incidence was higher in urban areas than that in rural areas. The lung cancer incidence in men was 74.08/105,the ASR China was 48.13/105. The lung cancer incidence in women was 27.70/105,the ASR China was 17.20/105. The lung cancer incidence was higher in men than that in women. Lung cancer is the most common cancer in men and the second most common cancer in women. The lung cancer mortality in Hunan cancer registries in 2015 was 47.20/105,the ASR China and ASR world were 29.15/105 and 29.19/105 respectively,and the cumulative mortality rate was 3.63%. The lung cancer mortality in urban areas was 56.82/105,the ASR China was 33.09/105,The lung cancer mortality in rural areas was 41.17/105,the ASR China was 26.49/105. The lung cancer mortality was higher in urban areas than that in rural areas. The lung cancer mortality in men was 69.92/105,the ASR China was 44.43/105. The lung cancer mortality in women was 23.04/105,the ASR China was 13.56/105. The lung cancer mortality was higher in men than that in women. The mortality of lung cancer was the highest among all cancers both in men and women in 2015. [Conclusion] Lung cancer is the most common cancer seriously threatening people's health in Hunan. It should be the priority for lung cancer prevention and control in Hunan.
[Purpose] To analyze the lung cancer incidence and mortality in cancer registration areas of Hunan in 2015. [Methods] The incidence and mortality of lung cancer stratified by area,sex,age group were analyzed. Cumulative incidence and mortality rates(0～74 age years) were calculated.The Chinese population census in 2000 and Segi's world population were used for calculating the age-standardized cancer incidence and mortality rates. [Results] All 23 cancer registries in Hunan Province in 2015 covered a population of 12 966 640 people. The total new lung cancer cases and lung cancer deaths were 6691 and 6120 in 2015,respectively. The morphology verified cases(MV%) accounted for 51.61% and 3.24% of incident cases were identified through death certifications only(DCO%) with a mortality to incidence ratio of 0.92. The lung cancer incidence in Hunan province was 51.60/105,the age-standardized incidence rates by Chinese standard population(ASR China) and by world standard population(ASR world) were 32.87/105 and 33.09/105 with the cumulative incidence rate(0～74 age years old) of 4.21%. The lung cancer incidence in urban areas was60.09/105,the ASR China was 36.29/105. The lung cancer incidence in rural areas was 46.29/105,the ASR China was 30.54/105. The lung cancer incidence was higher in urban areas than that in rural areas. The lung cancer incidence in men was 74.08/105,the ASR China was 48.13/105. The lung cancer incidence in women was 27.70/105,the ASR China was 17.20/105. The lung cancer incidence was higher in men than that in women. Lung cancer is the most common cancer in men and the second most common cancer in women. The lung cancer mortality in Hunan cancer registries in 2015 was 47.20/105,the ASR China and ASR world were 29.15/105 and 29.19/105 respectively,and the cumulative mortality rate was 3.63%. The lung cancer mortality in urban areas was 56.82/105,the ASR China was 33.09/105,The lung cancer mortality in rural areas was 41.17/105,the ASR China was 26.49/105. The lung cancer mortality was higher in urban areas than that in rural areas. The lung cancer mortality in men was 69.92/105,the ASR China was 44.43/105. The lung cancer mortality in women was 23.04/105,the ASR China was 13.56/105. The lung cancer mortality was higher in men than that in women. The mortality of lung cancer was the highest among all cancers both in men and women in 2015. [Conclusion] Lung cancer is the most common cancer seriously threatening people's health in Hunan. It should be the priority for lung cancer prevention and control in Hunan.
引文
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[26] Jürgens V,Ess S,Schwenkglenks M,et al. Using lung cancer mortality to indirectly approximate smoking patterns in space[J]. Spat Spatiotemp Epidemiol,2015,14:23-31.
[27] Prehn A,Lin S,Clarke C,et al. Cancer incidence in Chinese,Japanese and Filipinos in the US and Asia 1988-1992[M]. USA:NCCC,1999.34-35.
[28] PopeⅢCA,Burnett RT,Thun MJ,et al. Lung cancer,cardiopulmonary mortality,and long-term exposure to fine particulate air pollution[J]. JAMA,2002,287(9):1132-1141.
[29] Straif K,Cohen A,Samet J,et al. Air pollution and cancer[M]. IARC Sci Pub No. 161,Lyon:IARC,2013.
[30] Zhang R,Cao Q,Lu Y. The analysis of cigarette smoking behaviors and its influencing factors among Chinese urban and rural residents[J]. Journal of Nanjing Medical University(Natural Science),2014,34(1):84-89.[章蓉,曹乾,路云.中国城乡居民吸烟行为及其影响因素分析[J].南京医科大学学报(自然科学版),2014,34(1):84-89.]
[31] Ministry of Health. Notice on Printing and Distributing the Management method of urban cancer early diagnosis and early treatment project(trial)[EB/OL].http://www.nhfpc.gov.cn/zwgk/wtwj/201304/02a18d0954d845e5bb48cf6817beb8dc.shtml.2012-10-26.[卫生部关于印发《城市癌症早诊早治项目管理办法(试行)》的通知[EB/OL].http://www.nhfpc.gov.cn/zwgk/wtwj/201304/02a18d0954d845e5bb48cf6817beb8dc.shtml. 2012-10-26]
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[33] The General Office of the State Council. Notice of the General Office of the State Council on Printing and Distributing the medium/long-term plan for prevention and treatment of chronic diseases in China(2017-2025)[EB/OL]. http://www.gov.cn/zhengce/content/2017-02/14/content_5167886.htm,2017-02-14.[国务院办公厅.国务院办公厅关于印发中国防治慢性病中长期规划(2017~2025年)的通知(国办发〔2017〕12号)[EB/OL]. http://www.gov.cn/zhengce/content/2017-02/14/content_5167886.htm,2017-02-14]
[2] National Office for Cancer Prevention and Control. Malignant tumor mortality investigation[M]. Beijing:People’s Medical Publishing House,1980.[卫生部肿瘤防治研究办公室.中国恶性肿瘤死亡调查研究[M].北京:人民卫生出版社,1980.]
[3] Zhang SP,Zhang Z,Gao Y,et al. Statistical yearbook of Hunan,2016[EB/OL]. http://data.hntj.gov.cn/sjfb/tjnj/16tjnj/indexch.htm.[张世平,张正,高勇,等. 2016年湖南统计年鉴[EB/OL]. http://data.hntj.gov.cn/sjfb/tjnj/16tjnj/indexch.htm]
[4] National Cancer Center. Chinese guideline for cancer registration(2016)[M]. Beijing:People’s Medical Publishing House,2016.[国家癌症中心.中国肿瘤登记工作指导手册(2016)[M].北京:人民卫生出版社,2016.]
[5] Forman D,Bray F,Brewster DH,et al. Cancer incidence in five continents,Vol.Ⅹ(electronic version)[M]. Lyon:IARC,2013.
[6] Ferlay J,Burkhard C,Whelan S,et al. Check and conversion programs for cancer registries(IARC/IACR tools for cancer registries)[M]. Lyon:IARC,2005.
[7] Bray F,Parkin DM. Evaluation of data quality in the cancer registry:principles and methods. PartⅠ:comparability,validity and timeliness[J]. Eur J Cancer,2009,45(5):747-755.
[8] Ferlay J,Burkhard C,Whelan S,et al. Check and conversion programs for cancer registries(IARC Technical Report No. 42)[M]. Lyon:IARC,2005.
[9] Felay J. The IARCcrgTools program[EB/OL]. http://www.iacr.com.fr/index.php?option=com_content&view=category&layout=blog&id=68&Itemid=445 November 2017.
[10] He J,Chen WQ. Chinese cancer registry annual report2012[M]. Beijing:Military Medical Science Press,2012.[赫捷,陈万青. 2012中国肿瘤登记年报[M].北京:军事医学科学出版社,2012.]
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[14] Chen W,Zheng R,Baade PD,et al. Cancer statistics in China,2015[J]. CA Cancer J Clin,2016,66(2):115-132.
[15] He J,Chen WQ. Chinese cancer registry annual report2017[M]. Beijing:People’s Medical Publishing House,2018.[赫捷,陈万青. 2017中国肿瘤登记年报[M].北京:人民卫生出版社,2018.]
[16] Zhang M,Tuo JY,Li GC,et al. Incidence and mortality of cancer in cancer registries of Hubei Province,2013[J].Cancer Research on Prevention and Treatment,2018,45(6):414-419.[张敏,庹吉妤,李广灿,等. 2013年湖北省肿瘤登记地区恶性肿瘤发病与死亡情况分析[J].肿瘤防治研究. 2018,45(6):414-419.]
[17] Li QL,Yu JH,Rong MH,et al. Cancer incidence and mortality in cancer registries in Guangxi, 2014[J]. Chinese Journal of Oncology Prevention and Treatment, 2018,10(1):29-37.[李秋林,余家华,容敏华,等. 2014年广西肿瘤登记地区恶性肿瘤发病和死亡分析[J].中国癌症防治杂志,2018,10(1):29-37.]
[18] Xia L,Meng RL,Xu YJ,et al. Incidence and mortality of cancer in Guangdong Province,2013[J]. China Cancer,2017,26(11):829-837.[夏亮,孟瑞琳,许燕君,等. 2013年广东省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2017,26(11):829-837.]
[19] Wang L,Zhu LP,Wang X,et al. Incidence and mortality of cancer in cancer registries of Jiangxi Province[J]. Chinese Journal of Public Health,2016,32(5):654-657.[王玲,朱丽萍,汪鑫,等.江西省肿瘤登记地区肺癌发病和死亡分析[J].中国公共卫生,2016,32(5):654-657.]
[20] Xu KK,Wang J,Liu XG,et al. Incidence and mortality of cancer in cancer registries of Hunan Province,2009~2014[J]. China Cancer,2018,27(10):738-748.[许可葵,王静,刘湘国,等. 2009~2014年湖南省肿瘤登记地区恶性肿瘤发病及死亡分析[J].中国肿瘤,2018,27(10):738-748.]
[21] The health consequences of active smoking:a report of the surgeon general[M]. Atlanta,GA:Department of Health and Human Services,Centers for Disease Control and Prevention,National Center for Chronic Disease Prevention and Health Promotion,Office on Smoking and Health,2004.
[22] The Health Consequences of Involuntary Exposure to Tobacco Smoke:a report of the surgeon general[M]. Atlanta,GA:Department of Health and Human Services,Centers for Disease Control and Prevention,Coordinating Center for Health Promotion,National Center for Chronic Disease Prevention and Health Promotion,Office on Smoking and Health,2006.
[23] Turner MC,Krewski D,PopeⅢCA,et al. Long-term ambient fine particulate matter air pollution and lung cancer in a large cohort of never-smokers[J]. Am J Respir Crit Care Med,2011,184(12):1374-1381.
[24] Alberg AJ,Yung RC,Strickland P,et al. Respiratory cancer and exposure to arsenic,chromium,nickel,and polycyclic aromatic hydrocarbons[J]. Clin Occup Environ Med,2002,2(4):779-801.
[25] Usa NC. Health effects of exposure to radon:BEIRⅥ.[J].National Academies Press,1999.
[26] Jürgens V,Ess S,Schwenkglenks M,et al. Using lung cancer mortality to indirectly approximate smoking patterns in space[J]. Spat Spatiotemp Epidemiol,2015,14:23-31.
[27] Prehn A,Lin S,Clarke C,et al. Cancer incidence in Chinese,Japanese and Filipinos in the US and Asia 1988-1992[M]. USA:NCCC,1999.34-35.
[28] PopeⅢCA,Burnett RT,Thun MJ,et al. Lung cancer,cardiopulmonary mortality,and long-term exposure to fine particulate air pollution[J]. JAMA,2002,287(9):1132-1141.
[29] Straif K,Cohen A,Samet J,et al. Air pollution and cancer[M]. IARC Sci Pub No. 161,Lyon:IARC,2013.
[30] Zhang R,Cao Q,Lu Y. The analysis of cigarette smoking behaviors and its influencing factors among Chinese urban and rural residents[J]. Journal of Nanjing Medical University(Natural Science),2014,34(1):84-89.[章蓉,曹乾,路云.中国城乡居民吸烟行为及其影响因素分析[J].南京医科大学学报(自然科学版),2014,34(1):84-89.]
[31] Ministry of Health. Notice on Printing and Distributing the Management method of urban cancer early diagnosis and early treatment project(trial)[EB/OL].http://www.nhfpc.gov.cn/zwgk/wtwj/201304/02a18d0954d845e5bb48cf6817beb8dc.shtml.2012-10-26.[卫生部关于印发《城市癌症早诊早治项目管理办法(试行)》的通知[EB/OL].http://www.nhfpc.gov.cn/zwgk/wtwj/201304/02a18d0954d845e5bb48cf6817beb8dc.shtml. 2012-10-26]
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