摘要: |
目的:分析上海市原卢湾区2004—2011年户籍人群消化系统常见肿瘤的发病率和死亡率。方法:系统性收集整理上海市肿瘤登记报告中原卢湾区户籍人群2004年1月—2011年12月消化系统常见肿瘤(包括食管癌、胃癌、结直肠癌、肝癌、胆囊癌和胰腺癌)的发病和死亡资料,计算和分析发病率、死亡率、中国及Segi世界人口标化率。应用年均变化百分率计算其年均率值,并进行趋势分析。结果:2004—2011年,上海市原卢湾区共报告新发胃癌1 072例、结直肠癌1 502例、肝癌718例、胰腺癌393例、食管癌218例、胆囊癌207例。以上6种恶性肿瘤共占同期全区恶性肿瘤发病人数的39.45%,且标化发病率较平稳。2004—2011年上海市原卢湾区共报告肿瘤死亡病例中,结直肠癌896例、胃癌849例、肝癌593例、胰腺癌357例、食管癌194例、胆囊癌191例。2004—2011年上海市原卢湾区总体肿瘤发病和死亡趋势均随着人群年龄增加而升高。结论:2004—2011年上海市原卢湾区户籍人群消化系统肿瘤位于恶性肿瘤负担的前列,且恶性程度较高。其中,近年来男性的结直肠癌、胃癌、肝癌,女性的结直肠癌和胃癌发病及死亡趋势均较为平稳,但呈年轻化趋势。 |
关键词: 消化系统肿瘤 发病率 死亡率 年龄分布 社区 |
DOI:10.12025/j.issn.1008-6358.2018.20171118 |
分类号:R 735 |
基金项目:上海市高峰学科(中西医结合)建设项目(20150407). |
|
Analysis of incidence and mortality trends of common gastrointestinal cancers in Luwan District of Shanghai from 2004 to 2011 |
CAI Hui1△,XU Guang-huan1△,WANG Jue2,WANG Ye-jing3,GAO Shu-na3,DING Yi-bo4,DU Yan2*1,2
|
1.Department of General Surgery, Changhai Hospital, Navy Military Medical University, Shanghai 200433, China2.Office of Clinical Epidemiology, Obstetrics and Gynecology Hospital of Fudan University;2.Institute of Obstetrics and Gynecology, Academy of Integrative Chinese and Western Medicine, Fudan University, Shanghai 200011, China3.Division of Chronic Disease Control and Prevention, Center of Disease Control and Prevention of Huangpu District, Shanghai 200023, China4.Department of Epidemiology, Navy Military Medical University, Shanghai 200433, China
|
Abstract: |
Objective:To analyze the incidence and mortality of common gastrointestinal cancers among local residents in Luwan District, Shanghai from January 2004 to December 2011. Methods:The data of the common gastrointestinal cancers including esophageal cancer, stomach cancer, colorectal cancer, liver cancer, gallbladder cancer, and pancreatic cancer in permanent residents of Luwan District were systematically extracted from the Shanghai Cancer Registration and Management System. The incidence and mortality as well as the standardized rates based on the result of Chinese national census in 2000 and Segi’s world standard population were calculated and analyzed. The average annual rate of change was calculated, and the temporal trends of incidence and mortality were analyzed using annual percent change (APC) model. Results:A total of 1 072 cases of stomach cancer, 1 502 cases of colorectal cancer, 718 cases of liver cancer, 393 cases of pancreatic cancer, 218 cases of esophageal cancer, and 207 cases of gallbladder cancer were diagnosed in the Luwan District, Shanghai from 2004 to 2011. The above six kinds of cancers accounted for 39.45% of the total malignant cases in the whole region during the same period, and the standardized incidences of six kinds of cancers were relatively stable from 2004 to 2011. Of the reported cancer deaths, 896 patients died of colorectal cancer, 849 patients died of stomach cancer, 593 patients died of liver cancer, 357 patients died of pancreatic cancer, 194 patients died of esophageal cancer, and 191 patients died of gallbladder cancer during this period. Generally, both the incidence and mortality increased with the age of the population. Conclusions:From 2004 to 2011, the gastrointestinal cancers were at the forefront of the burden of malignant cancers for the permanent residents in Luwan District, Shanghai, and the degree of malignancy was relatively high. Especially for colorectal, stomach, and liver cancers in males, as well as colorectal and stomach cancers in females, the trends of incidence and mortality have been relatively stable in recent years. However, the incidence rate among young people is on the rise. |
Key words: digestive system neoplasms incidence mortality age distribution community |