2015年江苏省恶性肿瘤发病和死亡分析

Analysis of Cancer Incidence and Mortality in Jiangsu 2015

[目的]分析江苏省2015年恶性肿瘤发病和死亡情况。[方法]利用2018年江苏省疾病预防控制中心收集并确认质量合格的35个肿瘤登记处的2015年肿瘤登记资料,分别计算城乡、性别及年龄组发病(死亡)率、中国人口标化率(中标率)、世界人口标化率(世标率)、累积发病(死亡)率(0~74岁)和前10位恶性肿瘤发病(死亡)顺位等指标。结合江苏省2015年户籍人口资料,估算全省恶性肿瘤的发病数和死亡数。[结果]2015年江苏省35个肿瘤登记处覆盖人口38761144人(男性19548364人,女性19212780人),占同期全省户籍总人口数的50.87%。据估计,2015年江苏省新发恶性肿瘤病例23.30万例(男性13.31万例,女性9.99万例),死亡15.54万例(男性9.87万例,女性5.67万例)。江苏省恶性肿瘤发病率为305.80/10万,发病中标率为180.18/10万,发病世标率为176.92/10万,0~74岁累积发病率为20.77%。肺癌、胃癌、食管癌、肝癌、结直肠癌和女性乳腺癌是江苏省常见的恶性肿瘤。全省恶性肿瘤死亡率为204.00/10万,死亡中标率为111.00/10万,死亡世标率为109.75/10万,0~74岁累积死亡率为12.42%。肺癌、胃癌、食管癌、肝癌和结直肠癌是江苏省常见的恶性肿瘤死亡原因。江苏省恶性肿瘤发病率在0~29岁、死亡率在0~34岁均处于较低水平,之后随年龄增长快速升高,均于80~84岁年龄组达到发病和死亡高峰。江苏省80%以上的恶性肿瘤发病和90%以上的恶性肿瘤死亡均发生在50岁以上人群,尤其是60岁及以上老年人。[结论]随着人口老龄化进程的不断加剧,江苏省恶性肿瘤疾病负担逐年升高,应针对肺癌、胃癌、食管癌、肝癌、结直肠癌和女性乳腺癌等高发癌种和50岁及以上高危人群,重点开展综合防治和相关研究工作。

[Purpose]To analyze the cancer incidence and mortality in Jiangsu,2015.[Methods]Cancer registration data in 2015 were collected from 35 registries in Jiangsu province,then assessed and pooled in Jiangsu Provincial Center for Disease Control and Prevention.Stratified by areas(urban and rural),gender and age groups,the crude incidence/mortality rates,age-standardized incidence/mortality rates by Chinese standard population,age-standardized incidence/mortality rates by world standard population,cumulative incidence/mortality rate(0~74 years old)and the top 10 leading cancers were calculated,respectively.Combined with provincial population data in 2015,new cancer cases and deaths in Jiangsu were estimated.[Results]The 35 cancer registries covered a total of 38761144 population(19548364 in males,19212780 in females),accounting for50.87%of total Jiangsu population in 2015.It was estimated about 233.0 thousands new cancer cases(133.1 thousands in males,99.9 thousands in females)and 155.4 thousands cancer deaths(98.7 thousands in males,56.7 thousands in females)in Jiangsu during 2015,respectively.The crude incidence rate of cancer in Jiangsu was 305.80/105,age-standardized incidence rates by Chinese standard population(ASIRC)and by world standard population(ASIRW)were 180.18/105 and176.92/105,respectively,with the cumulative incidence rate(0~74 years old)of 20.77%.Cancers of lung,stomach,esophagus,liver,colorectum and female breast were the most common cancers in Jiangsu,2015.The crude mortality rate of cancer in Jiangsu was 204.00/105,the age-standardized mortality rates by Chinese standard population(ASMRC)and by world standard population(ASMRW)were 111.00/105 and 109.75/105,respectively,with the cumulative mortality rate(0~74 years old)of 12.42%.Lung cancer,stomach cancer,esophageal cancer,liver cancer and colorectal cancer were the most common causes of cancer related death in Jiangsu.The age-specific incidence rate of cancer before 30 years old and age-specific mortality rate before 35 years old were relatively lower,then increased with the age and reached peak at the age group of 80~84 years.It was estimated that more than 80%of new cancer cases and over 90%of cancer deaths in Jiangsu occurred in the population aged 50 years and above,particularly in the population aged 60 years old and above.[Conclusion]With the population aging,the cancer disease burdent ends to increase year by year in Jiangsu.Comprehensive prevention and control strategies should be implemented for the most common cancers and among the high risk population in Jiangsu province.