下城区2016年老年人恶性肿瘤发病和死亡情况分析
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摘要
目的分析2016年下城区老年人恶性肿瘤的发病和死亡情况,为开展老年人群恶生肿瘤防治工作提供依据。方法收集"浙江省慢性病监测信息管理系统"中2016年下城区户籍老年人群(≥60岁)恶性肿瘤发病和死亡资料并进行分析。结果 2016年下城区监测户籍老年人口10.3032万人,占全部人口的27.46%。报告老年人恶性肿瘤1 188例,占全部发病的60.99%。报告发病率为1 153.05/10万,标化发病率1 153.17/10万,男性发病率高于女性,差异有统计学意义(χ~2=27.55,P<0.05)。老年人恶性肿瘤死亡692例,占全人群恶性肿瘤死亡的81.41%。死亡率为671.64/10万,标化死亡率627.28/10万,男性死亡率高于女性,差异有统计学意义(χ~2=57.39,P<0.05)。老年人恶性肿瘤发病前5位:肺癌、大肠癌、前列腺癌、乳腺癌和胃癌;死因前5位:肺癌、大肠癌、胃癌、胰腺癌和肝癌。结论下城区老年人恶性肿瘤发病率和死亡率较高,应加强老年人群恶性肿瘤的防控,并结合下城区老年化程度高的实际情况有针对性开展老年人肿瘤防治工作。
Objective To analyze the cancer incidence and mortality in elderly population in Xiacheng district of Hangzhou in 2016.Methods Descriptive epidemiological method was used to analyze the data of malignant tumor incidence and death of elderly population(≥60 years old) in Xiacheng district in 2016 from "the non-communicable disease surveillance system in Zhejiang province".Results In 2016,the registered population of the elderly in Xiacheng district was 103 032,accounting for 27.46% of the total population.One thousand one hundred and eighty-eight cases of new on-set cancer in elderly population were reported in Xiacheng district in 2016,accounting for 60.99% of all cancer cases,with the crude incidence rate of 1153.05/100 000,and the age-standardized incidence rate adjusted by Chinese standard population was 1153.17/100 000,the male morbidity was significantly higher than the female morbidity(χ~2=27.55,P<0.05).There were 692 cancer deaths in older people reported in Xiacheng district in 2016,accounting for 81.41% of al1 cancer deaths,with the crude mortality of 671.64/100 000,and the age-standardized incidence rate adjusted by Chinese standard population was 627.28/100 000,the male mortality was significantly higher than the female mortality(χ~2=57.39,P<0.05).The five incident cancer in the elderly were lung cancer,colorectal cancer,prostate cancer,breast cancer and stomach cancer.The five cancer deaths were lung cancer,colorectal cancer,stomach cancer,pancreatic cancer and liver cancer.Conclusion Both the cancer morbidity and mortality are relatively high,according to the actual situation of high degree of aging in Xiacheng district,powerful measures should be taken to prevent and control malignant tumors in the elderly.
Objective To analyze the cancer incidence and mortality in elderly population in Xiacheng district of Hangzhou in 2016.Methods Descriptive epidemiological method was used to analyze the data of malignant tumor incidence and death of elderly population(≥60 years old) in Xiacheng district in 2016 from "the non-communicable disease surveillance system in Zhejiang province".Results In 2016,the registered population of the elderly in Xiacheng district was 103 032,accounting for 27.46% of the total population.One thousand one hundred and eighty-eight cases of new on-set cancer in elderly population were reported in Xiacheng district in 2016,accounting for 60.99% of all cancer cases,with the crude incidence rate of 1153.05/100 000,and the age-standardized incidence rate adjusted by Chinese standard population was 1153.17/100 000,the male morbidity was significantly higher than the female morbidity(χ~2=27.55,P<0.05).There were 692 cancer deaths in older people reported in Xiacheng district in 2016,accounting for 81.41% of al1 cancer deaths,with the crude mortality of 671.64/100 000,and the age-standardized incidence rate adjusted by Chinese standard population was 627.28/100 000,the male mortality was significantly higher than the female mortality(χ~2=57.39,P<0.05).The five incident cancer in the elderly were lung cancer,colorectal cancer,prostate cancer,breast cancer and stomach cancer.The five cancer deaths were lung cancer,colorectal cancer,stomach cancer,pancreatic cancer and liver cancer.Conclusion Both the cancer morbidity and mortality are relatively high,according to the actual situation of high degree of aging in Xiacheng district,powerful measures should be taken to prevent and control malignant tumors in the elderly.
引文
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[2] 陈万青,郑荣寿,张恩维,等.2013年中国人老年人群亚性肿瘤发病和死亡分析[J].中华肿瘤杂志,2017,39(2):60-66.
[3] 蒋曦依,胡韵清,叶丁,等.浙江省嘉善县1990-2014年恶性肿瘤发病和死亡的性别差异分析[J].中华流行病学杂志,2017,38(6):772-778.
[4] 费方荣,胡如英,钟节明,等.浙江省2014年恶性肿瘤发病死亡分析[J].中华流行病学杂志,2016,37(5):694-698.
[5] 刘葳.潍坊社区老年人恶性肿瘤危险因素非条件Logistic回归分析[J].上海医药,2014,35(22):41-44,47.
[6] 望云,范丽,周莹,等.上海地区低剂量CT筛查肺癌基线初步报告[J].中华健康管理学杂志,2018,12(1):51-54.
[7] 罗晓阳,刘权,王升平,等.基于社区的早期肺癌低剂量螺旋CT扫描筛查上海实践初探[J].中国癌症杂志,2016,26(12):996-1003.
[8] 史晓光,杨雯晴,滕卫平,等.甲状腺癌的“过度诊断”和“过度治疗”[J].中华内分泌代谢杂志,2016,32(6):443-447.
[9] Adam MA,Pura J,Gu L,et al.Extent of surgery for papillary thyroid cancer is not associated with survival:an analysis of 61,775 patients[J].Ann Surg,2014,260(4):601-605.
[10] 王婷,任艳军,孔静霞,等.甲状腺癌患者生命质量的测定量表及应用[J].中华内分泌代谢杂志,2015,31(12):1074-1077.