2014—2018年保山市口腔和咽喉癌发病及死亡情况趋势分析

Trend of incidence and death of oral cavity and throat cancer in Baoshan City from 2014 to 2018

目的分析了解保山市2014—2018年口腔和咽喉癌的发病和死亡情况。方法从保山市肿瘤登记处选择符合标准的2014—2018年口腔和咽喉癌(除鼻咽癌)发病率与死亡率数据,计算年龄标准化发病率(ASIR)、年龄标准化死亡率(ASMR)和年估计百分比变化(EAPC)来描述保山市口腔和咽喉癌(除鼻咽癌)流行情况及其趋势。结果2014—2018年保山市肿瘤登记地区共收集新发口腔和咽喉癌病例243例,口腔癌死亡病例128例。粗发病率1.96/10万~2.99/10万,APC=10.50%;中国人口标化率(简称中标率)为1.66/10万~2.30/10万,APC=8.34%;世界人口标化率(简称世标率)为1.61/10万~2.17/10万,APC=8.10%,总体均呈上升趋势(t=3.98、5.56、5.51,P<0.05)。2014—2018年保山市口腔和咽喉癌(除鼻咽癌)粗死亡率0.70/10万~1.72/10万,APC=22.59%,中标率0.47/10万~1.31/10万,APC=24.30%,世标率0.53/10万~1.27/10万,APC=21.66%,总体变化趋势差异均无统计学意义(t=2.94、2.54、2.59,P>0.05)。结论2014—2018年保山市口腔癌和咽喉癌(除鼻咽癌)的发病率呈上升趋势,尤其是男性,应针对男性开展相应的健康教育,改变其生活习惯,以此来预防疾病的发生。

【Objective】To analyze the incidence and mortality of oral and throat cancer(except for nasopharyngeal cancer)in Baoshan from 2014 to 2018.【Methods】The standardized incidence and mortality data of oral and throat cancer(excluding nasopharyngeal cancer)from 2014 to 2018 were selected from Baoshan Cancer Registry,and the age standardized incidence rate(ASIR),age standardized mortality rate(ASMR)and estimated annual percentage change(EAPC)were calculated to describe the prevalence and trend of oral and throat cancer(excluding nasopharyngeal cancer)in Baoshan.【Results】From 2014 to 2018,243 new cases of oral and throat cancer(excluding nasopharyngeal cancer)were collected in Baoshan tumor registration area,and 128 cases of oral cancer died.The crude incidence rate was 1.96/100000 to 2.99/100000,APC=10.50%.China's population standardization rate(hereinafter referred to as bid winning rate)is 1.66/100000 to 2.30/100000,APC=8.34%.The standardized rate of the world population(hereinafter referred to as the world standard rate)is 1.61/100000 to 2.17/100000,and the APC is 8.10%,showing an overall upward trend(t=3.98,5.56,5.51,P<0.05).From 2014 to 2018,the crude mortality rate of oral cavity and throat cancer(except nasopharyngeal cancer)in Baoshan City was 0.70 to 1.72 per 100000,APC=22.59%,the bid winning rate was 0.47 to 1.31 per 100000,APC=24.30%,the world standard rate was 0.53 to 1.27 per 100000,and APC=21.66%.The overall change trend was not statistically significant(t=2.94,2.54,2.59,P>0.05).【Conclusion】From 2014 to 2018,the incidence of oral cancer and throat cancer(except for nasopharyngeal cancer)in Baoshan City showed an upward trend.Especially for men,corresponding health education should be carried out for men to change their living habits in order to prevent the occurrence of diseases.