樟树市2018年恶性肿瘤发病与死亡情况分析

Analysis on incidence and mortality of malignant tumors in Zhangshu City in 2018

目的 分析樟树市2018年恶性肿瘤发病与死亡情况,为制定樟树市恶性肿瘤防治策略提供参考依据。方法根据樟树市2018年恶性肿瘤登记报告数据,分析恶性肿瘤发病(死亡)粗率、发病(死亡)标化率、0~74岁累积发病(死亡)率、年龄别发病(死亡)粗率以及恶性肿瘤发病和死亡顺位。结果 2018年樟树市恶性肿瘤发病粗率为226.42/10万,标化率为165.00/10万(男性204.58/10万、女性127.63/10万),0~74岁累积发病率为19.77%(男性24.83%、女性14.54%)。恶性肿瘤发病顺位前5位依次为肺癌、肝癌、胃癌、乳腺癌和结直肠癌。2018年樟树市恶性肿瘤死亡粗率为146.15/10万,标化率为102.79/10万(男性143.91/10万、女性63.87/10万),0~74岁累积死亡率为12.37%(男性17.25%、女性7.40%)。恶性肿瘤死亡顺位前5位依次为肺癌、肝癌、胃癌、结直肠癌和脑瘤。樟树市居民恶性肿瘤发病率男女差异有统计学意义(χ^(2)=49.958,P<0.001),死亡率男性高于女性(χ^(2)=80.196,P<0.01)。恶性肿瘤发病率和死亡率均随年龄增加呈上升趋势。结论 樟树市恶性肿瘤主要为肺癌、肝癌、胃癌、结直肠癌、乳腺癌、脑瘤,不同年龄与性别人群发病不同,应关注重点人群和主要癌种的防治工作。

Objective To analyze the incidence and mortality of malignant tumors in Zhangshu City in 2018, so as to provide reference for the development of prevention and treatment strategies of malignant tumors in Zhangshu City.Methods Based on the malignant tumors registration report data of Zhangshu City in 2018, the crude incidence( death) rate of malignant tumors, the Chinese standard population incidence( death) rate, the cumulative incidence( death) rate of 0~ 74 years old, the crude incidence( death) rate of age-specific malignant tumors, and the sequence of incidence and death of malignant tumors was calculated.Results The crude incidence rate of malignant tumors of Zhangshu City in 2018 was 226. 42/100 000, the Chinese standard population incidence rate was 165. 00/100 000( male 204. 58/100 000, female 127. 63/100 000), and the cumulative incidence of malignant tumors in 0 ~ 74 years old was 19. 77%( male 24. 83%, female 14. 54%). The top 5 malignant tumors were lung cancer, liver cancer, stomach cancer, breast cancer and colorectal cancer. The crude mortality rate of malignant tumors of Zhangshu City in 2018 was 146. 15/100 000, the Chinese standard population death rate was 102. 79/100 000( male 143. 91/100 000, female 63. 87/10 0000), and the cumulative death rate of 0~74 years old was 12. 37%( male 17. 25%, female 7. 40%). The top 5 malignant tumor deaths were lung cancer, liver cancer, stomach cancer, colorectal cancer and brain tumor. There was a statistically significant difference between males and females in the incidence of malignant tumors among residents in Zhangshu City(χ^(2) = 49. 958, P<0. 001), and the mortality rate in males was higher than that in females(χ^(2) = 80. 196, P<0. 01). The incidence and mortality of malignant tumors increased with age.Conclusion The main malignant tumors in Zhangshu City were lung cancer, liver cancer, stomach cancer, colorectal cancer, breast cancer and brain tumor. The incidence varies among people of different ages and genders. Attention should be paid to the prevention and treatment of key groups and major cancer types.