2019年重庆市涪陵区恶性肿瘤发病和死亡情况分析

Analysis of malignant tumor incidence and mortality in Fuling District,Chongqing,2019

目的分析2019年重庆市涪陵区恶性肿瘤发病和死亡情况,为制定恶性肿瘤的防控策略和开展干预措施等提供依据。方法按性别和癌种对2019年涪陵区报告的恶性肿瘤发病和死亡资料进行分析,计算发病/死亡粗率、标化率、0~74岁累积发病/死亡率、35~64岁截缩率,以及发病/死亡前10位恶性肿瘤的顺位及其构成。率的比较采用卡方检验。结果2019年涪陵区恶性肿瘤新发病例3017例,发病率为258.30/10万,男性(283.41/10万)发病率高于女性(233.59/10万)(P<0.05),发病中标率为164.71/10万,世标率为157.92/10万,累积率(0~74岁)为17.14%。发病率居前5位的分别是肺癌(67.64/10万)、结直肠癌(32.28/10万)、乳腺癌(31.94/10万)、肝癌(20.21/10万)、子宫颈癌(16.82/10万)。恶性肿瘤死亡1831例,死亡率为156.76/10万,其中男性(208.16/10万)死亡率高于女性(106.18/10万)(P<0.05),死亡中标率为87.03/10万,世标率为86.08/10万,累积率(0~74岁)为8.91%。恶性肿瘤死亡率居前5位的分别是肺癌(57.02/10万)、肝癌(27.14/10万)、结直肠癌(13.53/10万)、食管癌(12.84/10万)、胃癌(9.25/10万)。结论男性恶性肿瘤发病率和死亡率均高于女性,肺癌是涪陵区发病率和死亡率最高的恶性肿瘤,应开展有针对性的综合防治措施。

Objective To analyze the incidence and mortality of malignant tumors in Fuling District,Chongqing in 2019,and to provide a basis for formulating prevention and control strategies and carrying out intervention measures against malignant tumors.Methods Information on the incidence and mortality of malignant tumors reported in Fuling District in 2019 was analyzed by gender and cancer type,and the crude incidence/mortality rate,age-standardized rate,cumulative incidence/mortality rate from 0 to 74 years old,and truncation rate from 35 to 64 years old,as well as the incidence/mortality ranking of the top 10 malignant tumors and their composition were calculated and compared by chi-square test.Results In 2019,there were 3017 new cases of malignant tumors in Fuling District,with an incidence rate of 258.30/100000,a higher incidence rate in men(283.41/100000)than in women(233.59/100000)(P<0.05),an age-standardized incidence rates by Chinese standard population(ASIRC)and by world standard population(ASIRW)of 164.71/100000 and 157.92/100000,respectively,and a cumulative incidence(0-74 years old)of 17.14%.The top 5 incidence rates were those of lung cancer(67.64/100000),colorectal cancer(32.28/100000),breast cancer(31.94/100000),liver cancer(20.21/100000),and cervical cancer(16.82/100000).There were 1831 deaths of malignant tumors,with a mortality rate of 156.76/100000,among which the mortality rate of men(208.16/100000)was higher than that of women(106.18/100000)(P<0.05).the median mortality rate was 87.03/100000,the ASIRW was 86.08/100000,and the cumulative rate(0-74 years old)was 8.91%.The top 5 malignant tumor mortality rates were those of lung cancer(57.02/100000),liver cancer(27.14/100000),colorectal cancer(13.53/100000),esophageal cancer(12.84/100000),and gastric cancer(9.25/100000).Conclusion The incidence and mortality of malignant tumors in men are higher than those in women,and lung cancer is the malignant tumor with the highest incidence and mortality in Fuling District;targeted comprehensive prevention and treatment measures should be carried out.