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