2012-2016年广州市白云区户籍居民恶性肿瘤发病和死亡情况分析

Analysis on the morbidity and mortality of malignant tumors among residents of Baiyun District in Guangzhou from 2012 to 2016

目的近年来,我国恶性肿瘤发病率和死亡率持续上升。2016年广州市卫生统计年鉴显示,白云区疾病死亡率顺位第2位为恶性肿瘤,占全部疾病的24.75%,是威胁本地区人群健康的重要疾病之一。本研究分析2012-2016年广州市白云区户籍居民恶性肿瘤登记资料,并分析本区恶性肿瘤发病和死亡情况。方法收集整理广州市癌症登记报告管理系统中白云区户籍居民2012-2016年恶性肿瘤发病和死亡资料,采用描述性流行病学方法对资料进行分析。结果白云区2012-2016年户籍居民共报告恶性肿瘤发病病例11366例,总体标化率为189.40/10万,历年波动不大,男性略高于女性。2012-2016年白云区恶性肿瘤平均发病年龄为(59.89±16.09)岁;其中男6069例,平均发病年龄(61.72±15.78)岁,女5297例,平均发病年龄(57.77±16.18)岁,男女性恶性肿瘤年龄别发病率均随年龄增长而增加。肺癌发病率位居本区域首位,其次依次为结直肠癌、肝癌、女性乳腺癌和甲状腺癌,前5位恶性肿瘤发病例数占全部发病例数的56.54%,男女之间发病顺位有所不同。5年间共报告死亡病例6219例,总体年均标化死亡率为96.79/10万。男女性恶性肿瘤死亡率均随年龄增长而增加。肺癌死亡率位居本区域首位,其次依次为肝癌、结直肠癌、鼻咽癌和胃癌,男女之间死亡顺位有所不同。结论肺癌、女性乳腺癌、结直肠癌、肝癌、胃癌、鼻咽癌和甲状腺癌是本地区需要重点防治的癌种。

OBJECTIVE In recent years,the incidence and mortality of malignant tumors in China have continued to rise.The 2016 Guangzhou Municipal Health Statistics Yearbook showed that the second highest mortality rate in Baiyun District is malignant tumors,accounting for 24.75%of all diseases.It was one of the important diseases that threaten the health of the population in this area.This study collected the registration data of malignant tumors of residents in Baiyun District,Guangzhou from 2012 to 2016,and analyzed the incidence and death of malignant tumors in this area.METHODS Collect and sort out the data of malignant tumor morbidity and mortality from 2012 to 2016 in Baiyun District registered residents in the cancer registration report management system of Guangzhou,and analyze the data using descriptive epidemiological methods.RESULTS A total of 11366 cases of malignant tumors were reported by household registration residents in Baiyun District from 2012 to 2016.The overall average annual standardization rate was 189.40/100000.The average age of malignant tumors in Baiyun District was(59.89±16.09)years from 2012 to 2016,6069 males with an average age of onset(61.72±15.78)and 5297 females with an average age of onset(57.77±16.18).The age-specific incidence rates of male and female malignant tumors increase with age.The incidence of lung cancer ranks first in the region,followed by colorectal cancer,liver cancer,female breast cancer and thyroid cancer.The top 5 cases of malignant tumors account for 56.54%of all cases,and the incidence of men and women varies different.A total of 6219 deaths were reported in the past 5 years,and the overall average annual standardized mortality rate was 96.79/100000.Male and female malignant tumor mortality rates increase with age.Lung cancer mortality ranks first in the region,followed by liver cancer,colorectal cancer,nasopharyngeal cancer,and gastric cancer.The order of death varies between male and female.CONCLUSION Lung cancer,female breast cancer,colorectal cancer,liver cancer,stomach cancer,nasopharyngeal cancer and thyroid cancer were the cancer types that need to be focused on prevention and treatment in this region.