2016—2019年锦州市城区居民恶性肿瘤死亡减寿分析

Analysis on death and life loss of malignant tumors among urban residents in Jinzhou City from 2016-2019

目的分析2016—2019年锦州市城区居民恶性肿瘤死因数据,研究其流行特征及减寿情况,为恶性肿瘤防治工作提供科学依据。方法采用ICD-10死因分类法进行死因分类,计算主要恶性肿瘤的死亡率、中标死亡率、世标死亡率、构成比、潜在减寿年数(YPLL)、平均减寿年数(AYLL)、标化潜在减寿年数(SPYLL)及标化减寿率(SPYLLR)。结果 2016—2019年锦州市城区居民恶性肿瘤死亡率为219.73/10万,中标率为180.24/10万,世标率为140.04/10万,男性死亡率高于女性,差异有统计学意义(χ^(2)=433.842,P<0.05);前5位恶性肿瘤死因顺位为肺癌、肠癌、肝癌、胃癌和胰腺癌;PYLL为50 953.50人年,SPYLL为42 742.06人年,SPYLLR为11.11‰,AYLL为11.38年/人;居PYLL前5位的恶性肿瘤依次为肺癌、肝癌、肠癌、胃癌和胰腺癌;居AYLL前5位的恶性肿瘤依次为白血病、脑瘤及中枢神经系统(CNS)肿瘤、乳腺癌、肝癌和淋巴癌;4年间恶性肿瘤死亡率呈逐年升高趋势。结论锦州市城区居民恶性肿瘤死亡率处在较高的水平,应制定符合本地形势的恶性肿瘤防治策略。重点防治的恶性肿瘤是肺癌、白血病、肝癌、肠癌、胃癌、胰腺癌、食管癌,同时还要关注男性脑瘤及CNS肿瘤和女性乳腺癌。

Objective To analyze the data of death causes of malignant tumors among urban residents in Jinzhou City from 2016-2019,study its epidemic characteristics and life loss,and provide scientific basis for the prevention and control of malignant tumors. Methods The death causes were classified according to the ICD-10,and the mortality rates,the China standardized mortality rate,the world standardized mortality rate,constituents,the potential years of life lost(YPLL),the average potential years of life lost(AYLL), the standardized potential years of life lost(SYPLL) and the rate of standardized potential years of life lost(SPYLLR) due to malignant tumors were calculated. Results The mortality rate of malignant tumors among urban residents in Jinzhou from 2016-2019 was 219.73/lakh,the China standardized mortality rate was 180.24/lakh and the world standardized mortality rate was 140.04/lakh,which was higher in male than that in female (χ^(2)=433.842,P<0.05).The top five death causes of malignant tumors were lung cancer,bowel cancer,liver cancer,stomach cancer and pancreatic cancer. The PYLL was 50 953.50 person-years,the SPYLL was 42 742.06 person-years,the SPYLLR was 11.11‰ and the AYLL was 11.38 person-years.The top five PYLL of malignant tumors were lung cancer,liver cancer,bowel cancer,stomach cancer and pancreatic cancer.The top five AYLL of malignant tumors were leukemia,brain tumors and CNS tumors,breast cancer,liver cancer and lymphoma. The mortality rate of malignant tumor increased year by year in 4 years. Conclusion The mortality rate of malignant tumors among urban residents in Jinzhou is at a relatively high level,and malignant tumor prevention and control strategies that meet the local situation should be formulated. The most important malignant tumors for prevention and control are lung cancer,leukemia,liver cancer,bowel cancer,stomach cancer,pancreatic cancer,and esophageal cancer. At the same time,attention should be paid to male brain tumors and CNS tumors and female breast cancer.