2016年黔南州老年人群恶性肿瘤发病和死亡分析
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摘要
目的分析黔南州2016年≥60岁老年人群恶性肿瘤发病和死亡情况,为制定防治决策提供参考依据。方法对黔南州2016年≥60岁老年人群恶性肿瘤登记数据进行分析,分别计算黔南州2016年≥60岁老年人群肿瘤发病(死亡)率、年龄别发病(死亡)率、标化发病(死亡)率、截缩发病(死亡)率及累积发病(死亡)率等指标。结果 2016年黔南州≥60岁老年人群恶性肿瘤发病率为221. 62/10万,中标率153. 05/10万,世标率146. 86/10万,截缩率(35～<64岁)为243. 65/10万,累积率(0～<74岁)为16. 53%。2016年黔南州≥60岁老年人群恶性肿瘤死亡率为94. 19/10万,中标率60. 67/10万,世标率58. 82/10万,截缩率(35～<64岁)为132. 61/10万,累积率(0～<74岁)为9. 53%。肺癌、肝癌、结直肠癌、胃癌和鼻咽癌是黔南州老年人群主要的常见恶性肿瘤,占全部新发病例的49. 51%;肺癌、肝癌、胃癌、结直肠癌和胰腺癌是黔南州老年人群主要的肿瘤死因,约占全部死亡病例的52. 61%。结论肺癌、消化道癌是黔南州老年人群主要恶性肿瘤,应加强监测与干预。
Objective To analyze the incidence and mortality of malignant tumor in the elderly population aged 60 or older in Qiannan prefecture in 2016,and to provide a reference for scientific decision-making. Methods The data of the malignant tumor registration of the elderly people over 60 years old in Qiannan in 2016 were collected. The tumor morbidity( mortality),the age-specific morbidity( mortality),the standardized morbidity( mortality),the truncated morbidity( mortality) and the cumulative morbidity( mortality) were calculated. Results The incidence of malignant tumor in Qiannan in 2016 was 221. 62/105,the age-standardized incidence rate by Chinese population was 153. 05/105,the age-standardized incidence rate by world population was 146. 86/105,the truncated age-standardized incidence rate( 35 ～ < 64 years old) was 243. 65/105,and the accumulative incidence rate( 0 ～ < 74 years old) was 16. 53%. The mortality of malignant tumor in Qiannan in 2016 was94. 19/105,the age-standardized mortality rate by Chinese population was 60. 67/105,the age-standardized mortality rate by world population was 58. 82/105,the truncated age-standardized mortality rate( 35 ～ < 64 years old) was 132. 61/105,and the accumulative mortality rate( 0 ～ < 74 years old) was 9. 53%. Cancers of lung,liver,colon and rectum,colorectal,gastric and nasopharyngeal carcinoma were the main common malignant tumors in the elderly group in Qiannan,accounting for 49. 51% of all new cancer cases. Lung cancer,liver cancer,gastric cancer,colorectal cancer and pancreatic cancer were the main causes of tumor death in the elderly group in Qiannan,accounting for about 52. 61% of all cancer deaths. Conclusion Lung cancer and digestive tract cancer are the main malignant tumors of the elderly in Qiannan. The monitoring and intervention of the elderly group malignant tumors should be strengthened.
Objective To analyze the incidence and mortality of malignant tumor in the elderly population aged 60 or older in Qiannan prefecture in 2016,and to provide a reference for scientific decision-making. Methods The data of the malignant tumor registration of the elderly people over 60 years old in Qiannan in 2016 were collected. The tumor morbidity( mortality),the age-specific morbidity( mortality),the standardized morbidity( mortality),the truncated morbidity( mortality) and the cumulative morbidity( mortality) were calculated. Results The incidence of malignant tumor in Qiannan in 2016 was 221. 62/105,the age-standardized incidence rate by Chinese population was 153. 05/105,the age-standardized incidence rate by world population was 146. 86/105,the truncated age-standardized incidence rate( 35 ～ < 64 years old) was 243. 65/105,and the accumulative incidence rate( 0 ～ < 74 years old) was 16. 53%. The mortality of malignant tumor in Qiannan in 2016 was94. 19/105,the age-standardized mortality rate by Chinese population was 60. 67/105,the age-standardized mortality rate by world population was 58. 82/105,the truncated age-standardized mortality rate( 35 ～ < 64 years old) was 132. 61/105,and the accumulative mortality rate( 0 ～ < 74 years old) was 9. 53%. Cancers of lung,liver,colon and rectum,colorectal,gastric and nasopharyngeal carcinoma were the main common malignant tumors in the elderly group in Qiannan,accounting for 49. 51% of all new cancer cases. Lung cancer,liver cancer,gastric cancer,colorectal cancer and pancreatic cancer were the main causes of tumor death in the elderly group in Qiannan,accounting for about 52. 61% of all cancer deaths. Conclusion Lung cancer and digestive tract cancer are the main malignant tumors of the elderly in Qiannan. The monitoring and intervention of the elderly group malignant tumors should be strengthened.
引文
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[10]胡伟,潘恩春,张芹,等.淮安市2009-2011年居民主要恶性肿瘤发病死亡分析[J].现代预防医学,2014,41(5):834-838.
[11]陈万青,郑荣寿,张思维,等. 2013年中国恶性肿瘤发病和死亡分析[J].中国肿瘤,2017,26(1):1-7.
[12] Zeng H,Zheng R,Guo Y,et al. Cancer survival in China,2003-2005:a population-based study[J]. International Journal of Cancer. Journal International du Cancer,2015,136(8):1921-1930.
[13] Anwar MA,Abou Kheir W,Eid S,et al. Colorectal and prostate cancer risk in diabetes:metformin,an actor behind the scene[J].Journal of Cancer,2014,5(9):736-744.
[14]王冬梅,陈勃江,李为民,等.肺癌危险因素的Meta分析[J].中国循证医学杂志,2010,10(12):1446-1449.
[15]李丽华,史健.肿瘤微环境与肺癌相关性研究进展[J].中国肿瘤,2015,24(6):501-504.
[2]何莉,沈调英,董崇慧. 2010-2013年绍兴县恶性肿瘤发病分析[J].现代预防医学,2015,42(13):2451-2452,2460.
[3]宫舒萍,林少倩,王莹,等. 2012-2016年济南市城市居民恶性肿瘤发病分析[J].现代预防医学,2018,45(2):270-272,307.
[4]王建宁,秦明芳,陈志昊,等. 2012年云南省个旧市恶性肿瘤发病和死亡情况分析[J].中国肿瘤,2017,26(2):81-85.
[5]陈万青,郑荣寿,张思维,等. 2013年中国老年人群恶性肿瘤发病和死亡分析[J].中华肿瘤杂志,2017,39(1):60-66.
[6]王德秀,李季冬,黎从飞,等. 1996-2015年贵州省黔南州居民结直肠癌发病趋势分析[J].现代预防医学,2017,44(19):3479-3482,3507.
[7]全国肿瘤防治研究办公室,卫生部卫生统计信息中心,全国肿瘤登记中心.中国肿瘤登记工作指导手册[M].北京:中国协和医科大学出版社,2004:1-290.
[8]黔南州人民政府.黔南州年末人口及户数(2016)[EB/OL].[201811-28]. http://www. qiannan. gov. cn/doc/2017/07/14/877619.shtml.
[9] Ferlay J,Steliarova-Foucher E,Lortet-Tieulent J,et al. Cancer incidence and mortality patterns in Europe:estimates for 40countries in 2012[J]. European Journal of Cancer(Oxford,England:1990),2013,49(6):1374-1403.
[10]胡伟,潘恩春,张芹,等.淮安市2009-2011年居民主要恶性肿瘤发病死亡分析[J].现代预防医学,2014,41(5):834-838.
[11]陈万青,郑荣寿,张思维,等. 2013年中国恶性肿瘤发病和死亡分析[J].中国肿瘤,2017,26(1):1-7.
[12] Zeng H,Zheng R,Guo Y,et al. Cancer survival in China,2003-2005:a population-based study[J]. International Journal of Cancer. Journal International du Cancer,2015,136(8):1921-1930.
[13] Anwar MA,Abou Kheir W,Eid S,et al. Colorectal and prostate cancer risk in diabetes:metformin,an actor behind the scene[J].Journal of Cancer,2014,5(9):736-744.
[14]王冬梅,陈勃江,李为民,等.肺癌危险因素的Meta分析[J].中国循证医学杂志,2010,10(12):1446-1449.
[15]李丽华,史健.肿瘤微环境与肺癌相关性研究进展[J].中国肿瘤,2015,24(6):501-504.