2011-2016年北京市户籍居民胰腺癌死亡负担研究

The death burden of pancreatic cancer for Beijing residents in 2011-2016

目的分析2011-2016年北京市户籍居民胰腺癌死亡情况和疾病负担及变化。方法利用2011-2016年北京市户籍居民胰腺癌死因资料,计算并分析死亡率、早死所致生命损失年(YLL),采用间接法计算伤残造成的生命损失年(YLD)和伤残调整寿命年(DALY)等指标。结果2011-2016年北京市户籍居民胰腺癌死亡率由2011年的7.80/10万增加到2016年的9.83/10万,上升26.03%,呈上升趋势(χ^2趋势=36.66,P<0.05)。2011-2016年北京市户籍居民胰腺癌疾病负担中每10万人DALY从2011年的91.18人年至2016年的107.18人年,增幅17.55%,其中男性增幅22.98%,女性增幅11.35%。2011-2016年北京市户籍居民胰腺癌的疾病负担主要集中在50~79岁人群。结论2011-2016年北京市户籍居民胰腺癌死亡率呈上升趋势,胰腺癌造成的疾病负担也在逐年增加,50岁以上的人群是重点防治人群。

Objective To analyze the transition of mortality rate and disease burden for pancreatic cancer among residents in Beijing from 2011 to 2016.Methods Based on datasets of death causes of pancreatic cancer in 2011-2016,the mortality and early life loss years(YLL)were calculated and analyzed,and the life loss year(YLD)and disability adjustment life caused by disability(DALY)were also calculated by the indirect method.Results From 2011 to 2016,the mortality rate of pancreatic cancer in Beijing residents increased from 7.80/105 to 9.83/105(growth of 26.03%),displaying an upward trend(χ^2 trend=36.66,P<0.05).For the DALY per 100000 people,the burden of pancreatic cancer in Beijing increased by 17.55%,from 91.18 person-years in 2011 to 107.18 person-years in 2016;what’s more,the burden increased by 22.98%for men and by 11.35%for women.Also,the burden of pancreatic cancer in Beijing residents is mainly concentrated in the population ageing from 50 to 79.Conclusions The mortality rate and disease burden of pancreatic cancer in Beijing mounted from 2011 to 2016 year by year,and the people older than 50 years should be considered as the key prevention and treatment group.