安徽省肿瘤登记地区2014年儿童肿瘤发病与死亡情况分析
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摘要
目的分析安徽省肿瘤登记地区2014年儿童(0～14岁)肿瘤发病与死亡情况,为制定儿童肿瘤的防治措施提供基础数据。方法对儿童肿瘤资料进行分析,计算肿瘤发病(死亡)率和标化率,并进行城乡和性别之间的比较。结果 2014年安徽省肿瘤登记地区儿童肿瘤粗发病率为9.46/10~5,中标率为8.90/10~5;儿童肿瘤粗死亡率为4.02/10~5,中标率为3.87/10~5。白血病、中枢神经系统肿瘤、骨癌和淋巴瘤为安徽省儿童肿瘤主要发病与死亡癌种。城市儿童肿瘤发病率与死亡率低于农村,男童肿瘤发病率与死亡率高于女童。结论要加强白血病、中枢神经系统肿瘤、骨癌和淋巴瘤重点儿童肿瘤的预防与控制工作,针对儿童肿瘤危险因素采取干预措施,减轻儿童肿瘤发病和死亡带来的严重疾病负担。
Objective To analyze the incidence and mortality of childhood cancer(0-14 years old) of Anhui registries in 2014. Methods The incidence and mortality of childhood cancer from Anhui registries in 2014 were analyzed,the crude rate and standardized rate were calculated, and the difference between the urban and rural group or sex group were compared. Results The crude incidence of childhood cancer was 9.46/10~5,incidence standardized by Chinese standard population was 8.90/10~5.The crude mortality of childhood cancer was 4.02/10~5,incidence standardized by Chinese standard population was 3.87/10~5.The main malignant tumors in incidence and mortality were leukemia,malignant tumor of brain and central nervous system,bone cancer and lymphoma.The incidence and mortalit y of tumor in urban areas and male group were higher than those in rural areas and female group, respectively. Conclusion The prevention of leukemia,malignant tumor of brain and central nervous system,bone cancer and lymphoma need to be given more concern, and the risk factors need to be intervened to avoid the big burden of childhood cancer.
Objective To analyze the incidence and mortality of childhood cancer(0-14 years old) of Anhui registries in 2014. Methods The incidence and mortality of childhood cancer from Anhui registries in 2014 were analyzed,the crude rate and standardized rate were calculated, and the difference between the urban and rural group or sex group were compared. Results The crude incidence of childhood cancer was 9.46/10~5,incidence standardized by Chinese standard population was 8.90/10~5.The crude mortality of childhood cancer was 4.02/10~5,incidence standardized by Chinese standard population was 3.87/10~5.The main malignant tumors in incidence and mortality were leukemia,malignant tumor of brain and central nervous system,bone cancer and lymphoma.The incidence and mortalit y of tumor in urban areas and male group were higher than those in rural areas and female group, respectively. Conclusion The prevention of leukemia,malignant tumor of brain and central nervous system,bone cancer and lymphoma need to be given more concern, and the risk factors need to be intervened to avoid the big burden of childhood cancer.
引文
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[13] Gao Y, Zhang Y, Kamijima M, et al.Quantitative assessments of indoor air pollution and the risk of childhood acute leukemia in Shanghai[J].Environ Pollut,2014,187(8):81-89.
[14] Zu Z, Mo J, Zhang Y, et al.Benzene, toluene and xylenes in newly renovated homes and associated health[J].Building & Environment,2014,72(2):75-81.
[15] Baba S, Ioka A, Tsukuma H, et al.Incidence and survival trends for childhood cancer in Osaka, Japan, 1973-2001[J].Cancer Sci, 2010,101(3):787-792.
[16] Ljungman G, Jakobson A, Behrendtz M, et al.Incidence and survival analyses in children with solid tumors diagnosed in Sweden between 1983 and 2007[J].Acta Paediatr, 2011,100(5):750-757.
[17] 王新正, 元芳梅, 张永贞, 等.1998-2007年阳城县儿童恶性肿瘤发病率分析[J].中国肿瘤, 2012,21(8):583-585.
[2] National cancer institute, surveillance, epidemiology, and end results program.Childhood cancer by the ICCC, CSR 1975-2014[EB/OL].https://seer.cancer.gov/csr/1975_2014/results_merged/sect_29_childhood_cancer_iccc.pdf.
[3] Howlader N, Noone A, Krapcho M, et al.SEER cancer statistics review,1975-2010[M].MD:Bethesda,National Cancer Institute,2013.
[4] Parkin DM, Chen VW, Ferlay J, et al.Comparability and quality control in cancer registration.IARC technical report No.19[M].Lyon:IARC,1994.
[5] Bray F, Parkin DM.Evaluation of data quality in the can-cer registry:principles and methods.Part Ⅰ:comparability,validity and timeliness[J].Eur J Cancer, 2009,45(5):747-755.
[6] 赫捷, 陈万青.2016中国肿瘤登记年报[M].北京:清华大学出版社,2017,14-15.
[7] 鲍萍萍, 郑莹, 王春芳, 等.2002-2004年上海市儿童恶性肿瘤发病特征[J].中国肿瘤, 2009,9(2):119-122.
[8] 周琴,李科,李海麟.广州市城区2004-2010年儿童恶性肿瘤流行特征[J].中国肿瘤, 2014,23(7):552-557.
[9] Hossain MS,Begum M,Mian MM, et al.Epidemiology of childhood and adolescent cancer in Bangladesh, 2001-2014[J].BMC Cancer, 2016,16(1):104.
[10] Ward E, DeSantis C, Robbins A, et al.Childhood and adolescent cancer statistics, 2014[J].CA Cancer J Clin, 2014,64(2):83-103.
[11] 周艳玲, 安嘉璐, 田玲.我国儿童恶性肿瘤的流行病学分析[J].中国当代儿科杂志, 2015,17(7):649-654.
[12] Zeng H,Zheng R, Guo Y, et al.Cancer survival in China, 2003-2005:a population-based study[J].IJC,2014,136(8):1921-1930.
[13] Gao Y, Zhang Y, Kamijima M, et al.Quantitative assessments of indoor air pollution and the risk of childhood acute leukemia in Shanghai[J].Environ Pollut,2014,187(8):81-89.
[14] Zu Z, Mo J, Zhang Y, et al.Benzene, toluene and xylenes in newly renovated homes and associated health[J].Building & Environment,2014,72(2):75-81.
[15] Baba S, Ioka A, Tsukuma H, et al.Incidence and survival trends for childhood cancer in Osaka, Japan, 1973-2001[J].Cancer Sci, 2010,101(3):787-792.
[16] Ljungman G, Jakobson A, Behrendtz M, et al.Incidence and survival analyses in children with solid tumors diagnosed in Sweden between 1983 and 2007[J].Acta Paediatr, 2011,100(5):750-757.
[17] 王新正, 元芳梅, 张永贞, 等.1998-2007年阳城县儿童恶性肿瘤发病率分析[J].中国肿瘤, 2012,21(8):583-585.