中国老年人群肿瘤发病和死亡分析

Incidence and Mortality of Cancer in Elderly Population in China

目的分析1990年和2019年中国老年人群肿瘤发病和死亡情况。方法利用2019年全球疾病负担数据库,分析1990-2019年中国60~89岁老年人群、不同年龄组的发病死亡情况以及老年人群不同肿瘤发病死亡顺位。结果1990年中国老年肿瘤发病率为862.59/100000,2019年上升到1147.15/100000,发病率平均每年升高0.9%[95%可信区间(confidence interval,CI)0.6~1.1],死亡率从1990年的837.43/100000下降到2019年的767.57/100000,死亡率平均每年下降0.4%(95%CI-0.7~-0.2)。肺癌居老年男性和女性第一发病和死亡顺位,男性发病和死亡比较常见的癌种为肺癌、胃癌、结直肠癌和食管癌,女性为肺癌、乳腺癌、结直肠癌和胃癌。随着年龄的升高,发病率和死亡率逐年升高,2019年发病率和死亡率最高的年龄组均为85~89岁年龄组,分别为1965.68/100000和1920.83/100000。结论我国老年人群恶性肿瘤疾病负担较大,男性和女性发病死亡第一顺位均为肺癌,应加强老年人群肿瘤防控,并根据实际情况有针对性的开展老年人群的肿瘤防治策略。

Objective To analyze the incidence and mortality of cancer among the elderly in China in 1990 and 2019.Methods Using the 2019 global burden of disease database,the incidence and mortality of Chinese elderly between 60~89 years old and different age groups from 1990 to 2019 were analyzed.Results The incidence of cancer among the elderly in China was 862.59/100000 in 1990 and 1147.15/100000 in 2019,with an average annual increase of 0.9%[95%confidence interval(CI)0.6~1.1].The mortality rate decreased from 837.43/100000 in 1990 to 767.57/100000 in 2019,with an average annual decrease of 0.4%(95%CI-0.7~-0.2).Lung cancer ranked first in male and female incidence and mortality.The most common types of cancer in male incidence and mortality were lung,gastric,colorectal,and esophageal,while in females,lung,breast,colorectal,and gastric cancer.With the increase in age,the incidence and mortality increase year by year.In 2019,the age group with the highest incidence and mortality was 85~89 years old,1965.68/100000 and 1920.83/100000 respectively.Conclusions The burden of malignant tumor disease in the elderly population in China is large,and the first order of incidence and mortality for both men and women is lung cancer.Cancer prevention and control should be strengthened in the elderly population,and targeted cancer prevention and control strategies should be carried out in the elderly population according to the actual situation.