2010-2019年苏州市相城区甲状腺癌发病与死亡分析

Thyroid cancer incidence and mortality in Suzhou Xiangcheng District from 2010-2019

目的分析苏州市相城区2010-2019年甲状腺癌发病与死亡情况。方法提取2010-2019年户籍为苏州市相城区的甲状腺癌病例资料,计算甲状腺癌发病率、死亡率及年度变化百分比(annual percentage change,APC),采用2010年全国第六次人口普查数据为标准计算标化率。结果2010-2019年,苏州市相城区甲状腺癌新发562例,粗发病率为13.97/10万,标化发病率为12.22/10万;其中男120例,粗发病率为6.10/10万,标化发病率为5.39/10万;女442例,粗发病率为21.50/10万,标化发病率为18.76/10万。累计死亡18例,粗死亡率为0.45/10万,标化死亡率为0.21/10万;其中男5例,粗死亡率为0.25/10万,标化死亡率为0.11/10万;女13例,粗死亡率为0.63/10万,标化死亡率为0.31/10万。2010-2016年,甲状腺癌粗发病率APC为34.04%,标化发病率APC为34.17%,差异有统计学意义(P<0.05);2016-2019年,甲状腺癌粗发病率APC为-3.35%,标化发病率APC为-2.67%,差异无统计学意义(P>0.05)。2010-2019年,甲状腺癌粗死亡率APC为-1.29%,标化死亡率APC为0.26%,差异无统计学意义(P>0.05)。结论应针对甲状腺癌的发病与死亡特征,采取积极有效的防控措施,有效遏制甲状腺癌的健康危害。

Objective To describe and analyze the thyroid cancer incidence and mortality in Suzhou Xiangcheng District from 2010-2019.Methods Patients diagnosed with thyroid cancer between 2010 and 2019 in Suzhou Xiangcheng District were extracted to calculate the incidence,mortality,and annual percentage change(APC).The standard rate was calculated based on the 2010 sixth national census data.Results From 2010-2019,there were 562 new thyroid cancer cases in Suzhou Xiangcheng District(crude incidence,13.97/105;age-standardized incidence,12.22/105),among which 120 were male(crude incidence,6.10/105;age-standardized incidence,5.39/105)and 442 were female(crude incidence,21.50/105;age-standardized incidence,18.76/105).There were 18 thyroid cancer-related deaths(crude mortality,0.45/105;age-standardized mortality,0.21/105),among which 5 were male(crude mortality,0.25/105;age-standardized mortality,0.11/105)and 13 were female(crude mortality,0.63/105;age-standardized mortality,0.31/105).From 2010-2016,the APC of the thyroid cancer crude and age-standardized incidence was 34.04%(P<0.05)and 34.17%(P<0.05),respectively.From 2016-2019,the APC thyroid cancer crude and age-standardized incidence was-3.35%(P>0.05)and-2.67%(P>0.05),respectively.From 2010-2019,the APC thyroid cancer crude and age-standardized incidence was-1.29%(P>0.05)and 0.26%(P>0.05),respectively.Conclusions Active and effective measures should be implemented to curb the health hazards of thyroid cancer based on the morbidity and mortality characteristics of thyroid cancer.