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2019年甘肃省肿瘤登记地区甲状腺癌流行特征及2010—2019年变化趋势分析

Epidemic Characteristics of Thyroid Cancer in Gansu Cancer Registration Areas in 2019 and Trends from 2010 to 2019
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摘要 [目的]分析2019年甘肃省肿瘤登记地区甲状腺癌发病与死亡情况及2010—2019年甲状腺癌趋势变化情况。[方法]按照国家癌症中心制定的数据质量审核评价标准,对甘肃省符合质控要求的23个肿瘤登记处上报的甲状腺癌发病(死亡)率、标化发病(死亡)率、0~74岁累积率等指标按照性别、年龄、地区分别进行计算。利用Joinpoint软件计算年度变化百分比(annual percentage change,APC)和平均年度变化百分比(average annual percentage change,AAPC),分析2010—2019年变化趋势。[结果]2019年甘肃省肿瘤登记地区甲状腺癌粗发病率为6.89/10万,中标率为5.50/10万,世标率为5.33/10万,0~74岁累积率为0.48%。甲状腺癌粗死亡率为0.42/10万,中标率为0.27/10万,世标率为0.31/10万,0~74岁累积率为0.03%。发病率和死亡率分别在30岁和55岁开始逐渐上升,高峰分别集中在45~49岁和60~64岁年龄组。兰州市城关区中标发病率最高,古浪县中标死亡率最高。2010—2019年甘肃省肿瘤登记地区甲状腺癌中标发病率的AAPC为17.12%(95%CI:7.52%~30.42%),呈明显上升趋势(P<0.05);甲状腺癌中标死亡率的AAPC为-3.64%(95%CI:-15.67%~10.10%),趋势变化无统计学意义(P>0.05)。[结论]甘肃省甲状腺癌整体发病水平呈上升趋势,应加强对高危人群的疾病预防。 [Purpose]To analyze the incidence and mortality of thyroid cancer in Gansu cancer registration areas in 2019 and the trends from 2010 to 2019.[Methods]The data of thyroid cancer from 2010 to 2019 were collected from 23 cancer registries in Gansu Province and the data quality was evaluated.The crude incidence/mortality rates,age-standardized incidence/mortality rates by Chinese standard population(ASIRC,ASMRC)and world standard population(ASIRW,ASMRW)and cumulative rate(0~74 years old)were calculated.The annual percentage change(APC)and average annual percentage change(AAPC)were calculated with Joinpoint software to analyze the trends of the incidence and mortality from 2010 to 2019.[Results]In 2019,the crude incidence of thyroid cancer was 6.89/105,the ASIRC was 5.50/105,the ASIRW was 5.33/105and the cumulative rate(0~74 years old)was 0.48%in 2019.The crude mortality rate of thyroid cancer was 0.42/105,ASMRC was 0.27/105,ASMRW was 0.31/105,cumulative rate(0~74years old)was 0.03%.Incidence and mortality rates gradually increasing at age 30 and 55,respectively,reaching the peaks in the 45~49 and 60~64 age groups,respectively.Chengguan District of Lanzhou City had the highest incidence rate,and Gulang County had the highest mortality rate.From 2010 to 2019,the AAPC of ASIRC of thyroid cancer was 17.12%(95%CI:7.52%~30.42%,P<0.05)showing an upwards trend;while that of ASMRC was-3.64%(95%CI:-15.67%~10.10%,P>0.05)showing a downward trend,but the change was not statistically significant.[Conclusion]The overall incidence of thyroid cancer in Gansu cancer registration areas is on the rise,and the prevention of high-risk groups should be strengthened.
作者 马珠媛 闫纳 丁高恒 魏兴民 刘玉琴 MA Zhuyuan;YAN Na;DING Gaoheng;WEI Xingmin;LIU Yuqin(School of Public Health,Gansu University of Chinese Medicine,Lanzhou 730000,China;Gansu Provincial Cancer Hospital,Lanzhou 730050,China)
出处 《中国肿瘤》 CAS CSCD 北大核心 2024年第11期922-929,共8页 China Cancer
关键词 甲状腺癌 发病率 死亡率 趋势 甘肃 thyroid cancer incidence mortality trend Gansu
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