2018年山东省城乡居民胃癌发病与死亡水平分析

Analysis of incidence and mortality of stomach cancer in urban and rural area of Shandong Province, 2018

目的 分析2018年山东省胃癌发病与死亡现状,为胃癌防控提供参考。方法 收集并整理29个肿瘤登记处提交的2018年肿瘤发病和死亡资料,经审核和质控后,用Excel 2010和SAS 9.3分别计算发病(死亡)率、标化率、累积率等。采用Joinpoint Regression Program 4.8.0.1进行发病和死亡率的趋势分析。结果 2018年山东省胃癌粗发病率为39.13/10万,中国人口标化率(中标率)为21.66/10万,世界人口标化率(世标率)为24.24/10万,累积率为2.64%,发病率在35岁之后快速上升,在80~84岁组达到最高峰,男性中标率为女性的2.87倍。胃癌粗死亡率为26.93/10万,中标率为14.24/10万,世标率为16.44/10万,累积率为1.65%。男性中标率为女性的3.07倍。死亡率在40岁之后快速上升,在80~84岁组达到最高峰。城市地区发病(死亡)率与农村地区相当。经趋势分析,2013-2018年山东省胃癌粗发病率下降不明显(均P>0.05),而中国人口标化发病率、粗死亡率及其标化死亡率均呈现下降趋势,均P<0.05。结论 山东省胃癌发病率与死亡率较高,应加强重点人群预防和控制,降低发病率和死亡率。

Objective To analyze the incidence and mortality of stomach cancer in Shandong Province in 2018,so as to provide reference for prevention and control.Methods We collected the incidence and mortality cases of stomach cancer submitted by 29 tumor registries in 2018.After audit and quality control, Excel 2010 and SAS 9.3 were used for data analysis.The incidence and mortality rate, standardized rate and cumulative rate were calculated.The trend analysis of incidence and mortality of stomach cancer was performed with joinpoint regression program 4.8.0.1.Results The incidence rate of stomach cancer was 39.13/10~5 in Shandong Province in 2018,the age-standardised rate(ASR) was 21.66/10~5 in China and 24.24/10~5 in the world.The cumulative rate was 2.64%.The incidence rate increased rapidly after 35 years old and peaked in individuals aged 80 to 84 years.The incidence of ASR China was 2.87 times in male as that in female.The mortality rate of stomach cancer was 26.93/10~5,the ASR was 14.24/10~5 in China and 16.44/10~5 in the world.The cumulative rate was 1.65%.The mortality of ASR China was 3.07 times in male as that in female.The mortality rate increased rapidly after 40years old and peaked in individuals aged 80to 84years.The incidence(mortality)rate in urban areas was similar to that in rural areas.According to the trend analysis,the crude incidence rate of stomach cancer in Shandong Province did not decrease significantly from 2013to 2018(P>0.05),but the standardized incidence rate,crude mortality and its standardized mortality showed a downward trend,with Pvalues all less than 0.05.Conclusion The incidence and mortality rate of stomach cancer in Shandong Province are high,prevention and control of focus groups should be strengthened to reduce stomach cancer incidence and mortality.