重庆市2014年恶性肿瘤流行病学数据分析及防治对策研究

The epidemiology analysis and countermeasure research of cancer in Chongqing 2014

目的评估2014年重庆恶性肿瘤发病及死亡情况。方法按照国家癌症中心制定的方法和标准对重庆11个登记处上报的2014年肿瘤登记数据进行整理和汇总,按地区(城乡)、性别、年龄的肿瘤发病率和病死率分层,进行比较分析。结果 2014年纳入11个监测点恶性肿瘤新发病例累计报告24 506例,报告发病率为244.66/10万。发病率居前6位的肿瘤部位依次为气管、支气管、肺,结直肠肛门,肝脏,食管,乳房,胃。肿瘤新发病例中,男性14 610例,发病率为289.01/10万;女性9 896例,发病率为199.47/10万;报告发病性别比1.45∶1,男性高于女性。2014年各年龄组的发病率随年龄增长总体呈上升趋势,从40岁组开始发病率增长速度加快,在80~84岁组发病率达到最高。结论重庆市肿瘤登记数据质量可靠性和代表性逐步提高,肿瘤登记作为肿瘤防治的基础工作,发挥不可替代的作用。

Objective To estimate the cancer incidence and mortality in Chongqing in 2014. Methods On basis of the meth- ods and criteria of data quality control made by NCCR,authors compiled and summarized the 2014 tumor registration data reported by 11 registries in Chongqing; The datas which were stratified by area （urban/rural）, gender, age and cancer type, incidence and mortality were calculated combined with national population. Results All 11 cancer registries reported 24 506 new cancer cases （14 610 were male and 9 896 were female）in 2014. The crude incidence in Chongqing was 244.66/10^5 （male was 289.01/10^5 ,female was 199.47/10^5）. Sex ratio was 1.45 ： 1.00, male was significantly higher than female. The incidence of lung cancer, colorectum,liver, esophagus,breast,stomach were the top six tumor. The incidence rate of all age groups in 2014 increased with age, the incidence rate increased from 40--44 years old group, and reached the highest incidence rate in the 80--84 years old group. Conclusion The data quality and representativeness in Chongqing tumor registration are gradually improved. Cancer registration as the basis of canc- er prevention and control work, play an irreplaceable role.