天津市河东区2015-2020年肺癌发病与死亡情况分析

Analysis of lung cancer incidence and mortality in Hedong district,Tianjin,from 2015 to 2020

目的分析天津市河东区2015—2020年肺癌的发病与死亡情况,为肺癌的防治策略提供数据依据。方法收集2015年1月1日—2020年12月31日河东区户籍居民在天津市肿瘤随访登记系统和人口死亡信息登记系统中肺癌发病与死亡病例资料。按性别和年龄别计算粗发病率、粗死亡率、中标发病率和中标死亡率。采用Joinpoint回归模型分析2015—2020年肺癌发病与死亡变化趋势。结果天津市河东区2015—2020年肺癌粗发病率为106.51/10万(男性135.99/10万,女性77.21/10万);标化发病率为40.80/10万(男性50.84/10万,女性30.70/10万);肺癌粗死亡率为87.96/10万(男性115.60/10万,女性60.49/10万);标化死亡率为31.58/10万(男性40.85/10万,女性22.17/10万);河东区肺癌发病率与死亡率均随年龄增长呈上升趋势,在80~岁年龄组达到顶峰;肺癌标化发病率(APC=-5.6%,P<0.05)、女性肺癌标化发病率(APC=-6.7%,P<0.05)、女性肺癌标化死亡率(APC=-6.5%,P<0.05)均呈现下降趋势。结论天津市河东区肺癌发病率呈下降趋势,死亡率变化不显著。男性发病率与死亡率均高于女性。年龄是影响肺癌发生发展的重要因素,应将老年人作为日常干预重点人群。

Objective The aim of this study was to analyze the incidence and mortality of lung cancer in Hedong district,Tianjin,from 2015 to 2020,and provide data for strategies of the prevention and treatment of lung cancer.Methods The data of lung cancer incidence and mortality registered residents of Hedong district in Tianjin from January 1,2015,to December 31,2020 were collected from the Tianjin Tumor Follow-up Registration System and the Population Death Information Registration System.The crude incidence and mortality,China standardized incidence and mortality by sex and age were calculated.The Joinpoint regression model was used to analyze the trend of incidence and mortality of lung cancer.Results The crude incidence of lung cancer in Hedong district,Tianjin,from 2015 to 2020 was 106.51/100,000(male 135.99/100,000 and female 77.21/100,000).The China standardized incidence was 40.80/100,000(male 50.84/100,000 and female 30.70/100000).The crude mortality of lung cancer was 87.96/100,000(115.60/100,000 for males and 60.49/100,000 for females).The China standardized mortality was 31.58/100,000(40.85/100,000 for males and 22.17/100,000 for females).The incidence and mortality of lung cancer in Hedong district increased with age,reaching the peak in the 80~years old age group.The China standardized incidence of lung cancer(APC=-5.6%,P<0.05),the China standardized incidence of female lung cancer(APC=-6.7%,P<0.05),and the China standardized mortality of female lung cancer(APC=-6.5%,P<0.05)all showed a downward trend.Conclusion The incidence of lung cancer in Hedong district,Tianjin,showed a downward trend,and the mortality did not change significantly.The incidence and mortality of men are higher than those of women.Age is an important factor affecting the occurrence and development of lung cancer,and elderly people should be the focus of daily intervention.