2016—2020年保山市消化系统主要恶性肿瘤流行情况及变化趋势分析

Analysis on epidemiciological characteristics and change trend of major malignant tumors in digestive system of Baoshan City from 2016 to 2020

目的了解保山市消化系统主要恶性肿瘤流行特征,评价近年来消化系统恶性肿瘤防控效果,为进一步制定消化系统恶性肿瘤防控措施提供依据。方法利用2016—2020年保山市全人群死因监测数据,分析保山市消化系统主要恶性肿瘤死亡情况及其变化趋势。结果2016—2020年保山市消化系统恶性肿瘤粗死亡率和标化死亡率分别为71.22/10万~80.32/10万、64.96/10万~79.67/10万,男性恶性肿瘤粗死亡率和标化死亡率分别为87.79/10万~98.07/10万、84.50/10万~101.76/10万,女性恶性肿瘤粗死亡率和标化死亡率分别为51.08/10万~63.27/10万、44.10/10万~61.26/10万,女性下降幅度高于男性[年度变化百分比(annual percentage change,APC)=-5.24%、-7.99%;APC=-2.01%、-4.67%];肝癌、胃癌粗死亡率和标化死亡率总体呈下降趋势,粗死亡率分别从2016年的13.21/10万、9.76/10万下降至2020年的10.65/10万、6.84/10万,女性总体下降趋势高于男性(APC=-10.12%、-8.97%;APC=-3.80%、-8.39%);标化死亡率从2016年的13.24/10万、9.55/10万下降至2020年的9.68/10万、6.18/10万,女性总体下降趋势高于男性(APC=-12.38%、-11.18%;APC=-6.60%、-10.59%);结直肠癌粗死亡率和标化死亡率总体呈下降趋势,粗死亡率分别从2016年的7.36/10万下降至2020年的6.43/10万,男性总体下降趋势高于女性(APC=-4.62%、APC=-3.51%);标化死亡率从2016年的7.14/10万下降至2020年的5.74/10万,男性总体下降趋势高于女性(APC=-7.04%、APC=-5.33%)。结论2016—2020年保山市消化系统主要恶性肿瘤粗死亡率、标化死亡率总体呈下降趋势,女性下降幅度高于男性,今后防治工作应以结直肠癌为重,同时加强男性肝癌、胃癌防治工作。

Objective To understand the epidemic characteristics of major malignant tumors in the digestive system in Baoshan City,evaluate the effect of prevention and control of digestive system malignant tumors in recent years,and provide basis for further development of prevention and control measures of digestive system malignant tumors.Methods The cause of death monitoring data of the whole population in Baoshan City from 2016 to 2020 is used to analyze the death situation and change trend of major malignant tumors in the digestive system in Baoshan City.Results From 2016 to 2020,the crude mortality and standardized mortality of malignant tumors in Baoshan City were 71.22/10^(5)-80.32/10^(5),64.96/10^(5)-79.67/10^(5),respectively.The crude mortality and standardized mortality of male malignant tumors were 87.79/10^(5)-98.07/10^(5),84.50/10^(5)-101.76/10^(5),respectively.The crude mortality and standardized mortality of female malignant tumors were 51.08/10^(5)-63.27/10^(5),44.10/10^(5)-61.26/10^(5),respectively.The decline rate of women was higher than that of men[annual percentage change(APC)=-5.24%,-7.99%and-2.01%,-4.67%].The crude mortality rate and standardized mortality rate of liver cancer and gastric cancer showed a general downward trend.The crude mortality rate decreased from 13.21/10^(5) and 9.76/10^(5) in 2016 to 10.65/10^(5) and 6.84/10^(5) in 2020,respectively.The overall downward trend of women was higher than that of men(APC=-10.12%,-8.97%and-3.80%,-8.39%).The standardized mortality rate decreased from 13.24/10^(5) and 9.55/10^(5) in 2016 to 9.68/10^(5) and 6.18/10^(5) in 2020,the overall downward trend of women was higher than that of men(APC=-12.38%,-11.18%and-6.60%,-10.59%).The crude mortality rate and standardized mortality rate of colorectal cancer showed a general downward trend.The crude mortality rate decreased from 7.36/10^(5) in 2016 to 6.43/10^(5) in 2020,the overall downward trend of men was higher than that of women(APC=-4.62%,-3.51%).The standardized mortality rate decreased from 7.14/10^(5) in 2016 to 5.74/10^(5) in 2020,the overall downward trend of men was higher than that of women(APC=-7.04%,-5.33%).Conclusion From 2016 to 2020,the crude mortality rate and standardized mortality rate of major malignant tumors in the digestive system in Baoshan City shows a general downward trend,and the decline rate of women is higher than that of men.In the future,the prevention and treatment work should focus on colorectal cancer,and strengthen the liver cancer and gastric cancer prevention and treatment work for men.