2016年河南省鼻咽癌发病与死亡分析

Analysis of incidence and mortality of nasopharyngeal carcinoma in Henan Province,2016

目的根据河南省肿瘤登记地区肿瘤登记数据估计2016年河南省鼻咽癌的发病与死亡情况。方法按照《中国肿瘤登记手册》以及IARC/IACR的肿瘤登记数据质量标准评估2016年河南省肿瘤登记数据的完整性、有效性和可靠性。结合2016年河南省人口数据,按照城乡和年龄分层,估计河南省鼻咽癌的发病及死亡情况。中国人口标化率(简称中标率)采用2000年全国人口普查的标准人口年龄构成计算,世界人口标化率(简称世标率)采用Segi′s世界标准人口年龄构成计算。结果2016年河南省鼻咽癌新发病例为1197例,发病率为1.11/10万,中标发病率为0.89/10万,世标发病率为0.85/10万,男女发病率比为1.93∶1。城市和农村地区的鼻咽癌中标发病率分别为0.83/10万和0.92/10万。河南省2016年鼻咽癌死亡病例为770例,死亡率为0.71/10万,中标死亡率为0.56/10万,世标死亡率为0.54/10万,男女死亡率比为2.36∶1。城市和农村地区的鼻咽癌中标死亡率分别为0.52/10万和0.57/10万。0~74岁累积发病率及死亡率分别为0.09%和0.06%。结论河南省鼻咽癌负担低于全国平均水平,男性是重点防控人群,未来应针对河南省鼻咽癌流行特点制定有效的防控措施。

Objective To estimate the incidence and mortality of nasopharyngeal carcinoma in Henan Province in 2016 based on the cancer registration data.Methods The data quality was assessed,which included completeness,validity,and reliability according to the criteria of Guideline on Cancer Registration in China and IARC/IACR.Based on the population data of Henan Province in 2016,the incidence and mortality of nasopharyngeal carcinoma in Henan Province were estimated by urban/rural areas and gender.The age-standardized rates by Chinese standard population(ASRC)was calculated according to the Chinese standard population in 2000 and the agestandardized rates by world standard population(ASRW)was calculated according to the Segi′s population.Results In 2016,there were 1,197 new cases of nasopharyngeal carcinoma in Henan Province,with an incidence of 1.11/105,with ASRC of 0.89/105 and ASRW of 0.85/105.The male to female incidence ratio was 1.93∶1.The incidences of nasopharyngeal carcinoma in urban and rural areas were 0.83/105 and 0.92/105,respectively.In 2016,there were 770 cases of death from nasopharyngeal cancer in Henan Province,with a mortality rate of 0.71/105,with ASRC of 0.56/105 and ASRW of 0.54/105.The male to female mortality ratio was 2.36∶1.The mortality rates of nasopharyngeal carcinoma in urban and rural areas was 0.52/105 and 0.57/105,respectively.The cumulative incidence and mortality rates(0-74 years old)were 0.09%and 0.06%,respectively.Conclusions The disease burden of nasopharyngeal carcinoma in Henan Province is lower than that of Chinese average level,and males are the key population for prevention and control.The effective prevention and control measures should be established according to the epidemic characteristics of nasopharyngeal carcinoma in Henan Province in the future.