实用肿瘤学杂志 ›› 2018, Vol. 32 ›› Issue (5): 437-441.doi: 10.11904/j.issn.1002-3070.2018.05.010

• 流行病学研究 • 上一篇    下一篇

上海市金山区2002-2013年肺癌发病及死亡分析

朱晓云, 张亚宁, 林菲, 马碧萍   

  1. 上海市金山区疾病预防控制中心(上海 201599)
  • 收稿日期:2018-06-27 出版日期:2018-10-28 发布日期:2018-10-23
  • 通讯作者: 朱晓云,E-mail:magicxln@163.com
  • 作者简介:朱晓云,男,(1974-),硕士,副主任医师,从事肿瘤防治工作的研究。
  • 基金资助:
    上海市金山区科委医药卫生创新项目(编号:2016-3-14)

Analysis of lung cancer incidence and mortality in Jinshan District of Shanghai from 2002 to 2013

ZHU Xiaoyun, ZHANG Yaning, LIN Fei, MA Biping   

  1. Jinshan Center for Disease Prevention and Control,Shanghai 201599,China
  • Received:2018-06-27 Online:2018-10-28 Published:2018-10-23

摘要: 目的 了解2002—2013年金山区肺癌发病与死亡特征,为制订有针对性肺癌防控措施提供依据。方法 通过肿瘤登记信息系统采集2002—2013年肺癌发病和死亡病例,计算粗发病率、粗死亡率、标化率、截缩率、累积率、潜在减寿年、潜在减寿率和标化减寿率。结果 2002—2013年,金山区肺癌粗发病率为70.79/10万,中标发病率为36.90/10万,世标发病率为36.65/10万,肺癌粗死亡率为62.53/10万,中标死亡率为32.30/10万,世标死亡率为31.99/10万,男性发病率和死亡率均高于女性。12年间,男性中标发病率无明显变化趋势(APC=-0.36%,P=0.632),女性中标发病率呈上升趋势(APC=4.42%,P<0.001),同期男性肺癌中标死亡率呈下降趋势(APC=-1.70%,P=0.033),女性中标死亡率无明显变化趋势(APC=0.02%,P=0.980)。2002—2013年,金山区居民肺癌所致潜在减寿率为7.21‰,标化减寿率为4.18‰。12年间,男性标化减寿率呈下降趋势(APC=-2.58%,P=0.025),女性标化减寿率无明显升降趋势(APC=2.16%,P=0.143)。结论 肺癌是对金山居民健康威胁最大的恶性肿瘤之一。人口老龄化是造成金山区肺癌发病率和死亡率升高的重要因素。

关键词: 肺癌, 发病率, 死亡率, 寿命损失

Abstract: Objective The aims of this study were to understand the characteristics of lung cancer incidence and mortality in Jinshan District of Shanghai from 2002 to 2013,and to provide the evidence for the development of targeted lung cancer prevention and control measures.Methods The incidence and mortality of lung cancer were collected from the tumor registration information system in Jinshan District from 2002 to 2013.Crude rates of incidence and mortality,age-standardized rates of incidence and mortality by Chinese standard population(ASR China)and by world standard population(ASR world),truncated rates of incidence and mortality,cumulative rates of incidence and mortality,potential years of life loss(PYLL),potential years of life loss rate(PYLLR),and standardized potential years of life loss rate were calculated.Results From 2002 to 2013,the crude incidence rate of lung cancer in Jinshan District was 70.79/100,000,the incidence rate of ASR China was 36.9/100,000 and 36.65/100,000 for the incidence rate of ASR World.The crude mortality rate of lung cancer was 62.53/100,000.The mortality rates of ASR China and ASR World were 32.30/100,000 and 31.99/100,000,respectively.The male morbidity and mortality were higher than those in females.During 12 years,there was no significant changes in the incidence rate of males(APC=-0.36%,P=0.632),and the incidence rate of females was increased(APC=4.42%,P<0.001).Moreover,the mortality of ASR China decreased in male(APC=-1.70%,P=0.033)and there was no significant change in female(APC=0.02%,P=0.980).From 2002 to 2013,the PYLLR and SPYLLR of lung cancer in Jinshan residents were 7.21‰ and 4.18‰,respectively.The SPYLLR of males showed a downward trend(APC=-2.58%,P=0.025),and there was no significant changes in female(APC=2.16%,P=0.143).Conclusion Lung cancer is one of the most serious malignant tumors in Jinshan residents.The aging of the population is an important factor for increasing incidence and mortality of lung cancer in Jinshan District of Shanghai.

Key words: Lung cancer, Incidence, Mortality, Life loss

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