2011—2018年余姚市恶性肿瘤发病趋势

Trends in incidence of malignant tumors in Yuyao City from 2011 to 2018

目的了解2011—2018年浙江省余姚市恶性肿瘤发病趋势,为制定恶性肿瘤防治策略提供依据。方法通过宁波市数字疾控平台慢性病监测模块收集2011—2018年余姚市恶性肿瘤发病资料,计算恶性肿瘤粗发病率、中国人口标化发病率(中标率)、世界人口标化发病率(世标率)、0~74岁累积发病率、35~64岁截缩发病率和平均年度变化百分比(AAPC),分析恶性肿瘤发病趋势。结果2011—2018年余姚市恶性肿瘤粗发病率为433.78/10万,中标率为289.37/10万,世标率为224.22/10万,0~74岁累积率为25.83%,35~64岁截缩率为83.34/10万,AAPC值分别为5.90%、3.31%、3.31%、2.84%和4.24%(均P<0.05),发病总体呈上升趋势。恶性肿瘤发病率随年龄增长呈上升趋势;其中,20~<55岁女性恶性肿瘤发病率高于同龄男性,55岁以后男性发病率高于同龄女性。发病前十位恶性肿瘤分别为肺癌、胃癌、结直肠癌、肝癌、乳腺癌、食管癌、甲状腺癌、胰腺癌、前列腺癌和宫颈癌,占全部恶性肿瘤发病的78.84%;肺癌、结直肠癌、乳腺癌、甲状腺癌、胰腺癌和前列腺癌的发病率呈逐年上升趋势,AAPC值分别为8.37%、5.36%、6.42%、24.81%、5.49%和18.78%(均P<0.05)。结论2011—2018年余姚市恶性肿瘤发病率呈上升趋势,肺癌、甲状腺癌、女性特定恶性肿瘤、男性消化道恶性肿瘤和前列腺癌为余姚市今后的防控重点,应将防治关口前移,推进重点人群早筛早诊项目。

Objective To investigate the trends in incidence of malignant tumors in Yuyao City,Zhejiang Province from2011 to 2018,so as to provide insights into formulation of the malignant tumor control strategy.Methods Data pertaining to the incidence of malignant tumor in Yuyao City from 2011 to 2018 were captured from the Chronic Disease Surveillance Module of Ningbo Municipal Digital Disease Control and Prevention Platform.The crude incidence,Chinese population-standardized incidence,global population-standardized incidence,cumulative incidence(0 to 74 years of age),and truncated age-standardized incidence(35 to 64 years of age)of malignant tumors were estimated,and the trends in incidence of malignant tumors were analyzed in Yuyao City from 2011 to 2018 using average annual percentage change(AAPC).Results The crude incidence,Chinese population-standardized incidence,global population-standardized incidence,cumulative incidence(0 to 74 years of age),and truncated age-standardized incidence(35 to 64 years of age)of malignant tumors were 433.78/10~5,289.37/10~5,224.22/10~5,25.83%and 83.34/10~5 in Yuyao City from 2011 to 2018,with AAPC of 5.90%,3.31%,3.31%,2.84%and 4.24%,respectively(all P<0.05),and the incidence of malignant tumors appeared an overall tendency towards a rise.The incidence of malignant tumors increased with age in Yuyao City from 2011 to 2018,and the incidence of malignant tumors was significantly higher in women than in men at ages of 20 to 54 years,while higher incidence was seen in men than in women at ages of 55 years and older.The ten most common malignant tumors included lung cancer,gastric cancer,colorectal cancer,liver cancer,breast cancer,esophageal cancer,thyroid cancer,pancreatic cancer,prostate cancer and cervical cancer,accounting for 78.84%of all malignancies,and the the incidence of lung cancer,colorectal cancer,breast cancer,thyroid cancer,pancreatic cancer and prostate cancer appeared a tendency towards a rise year by year,with AAPC of 8.37%,5.36%,6.42%,24.81%,5.49%and 18.78%,respectively(all P<0.05).Conclusions The of malignant tumors appeared a tendency towards a rise in Yuyao City from 2011 to 2018,and lung cancer,thyroid cancer,specific female cancers,male gastrointestinal and prostate cancers should be given a high priority for cancer control in Yuyao City in the future.Early screening and early diagnosis of cancers should be facilitated among high-risk populations.