2016~2018年成都市双流区恶性肿瘤发病与死亡分析

Incidence and Mortality of Malignant Tumors in Shuangliu District of Chengdu from 2016 to 2018

目的:分析2016~2018年成都市双流区恶性肿瘤报告发病与死亡情况。方法:资料来源于“成都市重点慢性病监测信息系统”,采用SPSS18.0对恶性肿瘤发病与死亡情况进行统计分析,人口标准化率按照2000年中国标准人口结构和Segi’s世界标准人口结构进行计算。结果:2016~2018年成都市双流区恶性肿瘤年平均报告发病率为255.35/10万,中标率为175.34/10万,世标率为172.76/10万。男性年平均报告发病率(311.06/10万)高于女性(196.53/10万)。50岁后各年龄发病率均呈快速上升趋势,并在75~79岁年龄组达到高峰,为1578.76/10万~1938.33/10万。报告发病前五位的恶性肿瘤均有肺癌、肠癌、肝癌、食管癌和胃癌。2016~2018年恶性肿瘤年平均报告死亡率为173.50/10万,中标率为115.54/10万,世标率为114.45/10万。男性年平均报告死亡率(228.16/10万)高于女性(115.80/10万)。55岁后各年龄死亡率均呈快速上升趋势,除2017年报告死亡率在75~79岁年龄组达到高峰(1647.08/10万)外,其余各年份死亡率均在80岁以后年龄组达到高峰,为1278.70/10万~1450.53/10万。报告死亡前五位的恶性肿瘤各年份均有肺癌、肝癌、食管癌、肠癌和胃癌。结论:肺癌、肝癌、食管癌、肠癌和胃癌应作为双流区恶性肿瘤防治的主要癌种。

Objective:To analyze the reported incidence and mortality of malignant tumors in Shuangliu District of Chengdu from 2016 to 2018.Methods:The data was from Key Chronic Disease Surveillance System.Incidence and mortality were analyzed by SPSS 18.0 software.Chinese standard population in 2000 and Segi(world)population were used for calculating age-standardized incidence and mortality rates.Results:The average incidence rate in Shuangliu District from 2016 to 2018 was 255.35/10^(5),the age-standardized incidence rates by Chinese and world standard population were 175.34/10^(5) and 172.76/10^(5),respectively.The annual average incidence rate of males(311.06/10^(5))was higher than that of females(196.53/10^(5)).The annual incidence rate showed a significant upward trend among the over 50-year-olds,and peaked in the 75〜79 age group(1,578.76/10^(5)~1,938.33/10^(5)).Cancer with top 5 incidence rates were lung cancer,colorectal cancer,liver cancer,esophageal cancer and gastric cancer.The average mortality rate from 2016 to 2018 was 173.50/10^(5),the age-standardized incidence rates by Chinese and world standard population were 115.54/10^(5) and 114.45/10^(5),respectively.The annual average mortality rate of males(228.16/10^(5))was higher than that of females(115.80/10^(5)).The annual mortality rate showed a significant upward trend among the over 55-year-olds,and peaked in the over 80-year-olds(1,278.70/10^(5)~1,450.53/10^(5)),with the exception of 2017 in which the annual mortality rate peaked in the 75~79 age group(1,647.08/10^(5)).Cancer with top 5 incidence rates were lung cancer,liver cancer,esophageal cancer,colorectal cancer and gastric cancer.Conclusion:Lung cancer,liver cancer,esophageal cancer,colorectal cancer and gastric cancer are major malignant tumors in Shuangliu District,which should be the future concern in the prevention and control.