2014—2020年辽宁省阜新市城市居民恶性肿瘤发病与死亡流行趋势分析

doi:10.11904/j.issn.1002-3070.2025.04.003

实用肿瘤学杂志 ›› 2025, Vol. 39 ›› Issue (4): 278-283.doi: 10.11904/j.issn.1002-3070.2025.04.003

2014—2020年辽宁省阜新市城市居民恶性肿瘤发病与死亡流行趋势分析

代晓泽¹, 马玉霞¹, 李雨婷², 齐笑晴¹, 祝天岑³, 穆慧娟³, 刘辉¹

1.阜新市疾病预防控制中心(阜新市卫生监督所)艾滋病与慢性病预防控制部(阜新 123000);
2.大连市公共卫生临床中心感染管理与疾病预防控制部;
3.辽宁省疾病预防控制中心慢性非传染性疾病预防控制所

收稿日期:2024-12-18 修回日期:2025-03-02 发布日期:2025-09-09
通讯作者: 刘辉,E-mail:547777608@qq.com
作者简介:代晓泽,女,(1990—),硕士,副主任医师,从事慢性病监测及管理的研究。

Analysis of the incidence and mortality trends of malignant tumors among urban residents in Fuxin City,Liaoning Province from 2014 to 2020

DAI Xiaoze¹, MA Yuxia¹, LI Yuting², QI Xiaoqing¹, ZHU Tiancen³, MU Huijuan³, LIU Hui¹

1. Department of AIDS and Chronic Disease Prevention and Control,Fuxin Center for Disease Control and Prevention(Fuxin Health Inspection Institute),Fuxin 123000,China;
2. Department of Infection Management and Disease Prevention and Control,Dalian Public Health Clinical Center;
3. Department of Chronic Non-communicable Disease Prevention and Control,Liaoning Center for Disease Control and Prevention

Received:2024-12-18 Revised:2025-03-02 Published:2025-09-09

摘要/Abstract

摘要： 目的分析2014—2020年辽宁省阜新市城市居民恶性肿瘤的发病与死亡流行趋势。方法整理分析2014—2020年辽宁省阜新市肿瘤登记系统中城市居民发病和死亡资料,计算粗发病率、粗死亡率、中标发病率、中标死亡率、世标发病率、世标死亡率和年度变化百分比(annual percentage change,APC)。采用Joinpoint 4.8.0软件分析2014—2020年阜新市城市居民恶性肿瘤发病和死亡流行趋势。结果 2014—2020年辽宁省阜新市城市居民恶性肿瘤粗发病率386.02/10万,中标发病率188.18/10万,世标发病率185.56/10万,粗发病率呈上升趋势(APC=3.17%,95% CI:1.73%~4.63%,P=0.002),中标发病率变化趋势无统计学意义(APC=-2.15%,95% CI:-4.55%~0.31%,P=0.075)。2014—2020年辽宁省阜新市城市居民恶性肿瘤粗死亡率274.40/10万,中标死亡率131.07/10万,世标死亡率128.22/10万,同期粗死亡率呈上升趋势(APC=6.37%,95% CI:4.64%~8.14%,P＜0.001),中标死亡率变化趋势无统计学意义(APC=0.68%,95% CI:-0.77%~2.17%,P=0.282)。2014—2020年发病率及死亡率随年龄的增长不断上升,在80~84岁年龄组达到峰值(发病率为1 890.49/10万,死亡率为1 634.84/10万)。发病率前5位为肺癌、女性乳腺癌、结直肠癌、肝癌和胃癌,死亡率前5位为肺癌、肝癌、结直肠癌、胃癌和食管癌。结论 2014—2020年辽宁省阜新市城市居民恶性肿瘤发病和死亡趋势平稳,老年人为恶性肿瘤的高发人群,应作为恶性肿瘤防控干预的重点。

关键词: 恶性肿瘤, 发病率, 死亡率, 流行趋势

Abstract: Objective The Objective of this study was to analyze the incidence and mortality trends of malignant tumors among urban residents in Fuxin City,Liaoning Province from 2014 to 2020. Methods The incidence and mortality data of urban residents in Fuxin City from 2014 to 2020 were analyzed,and the crude incidence,crude mortality,age-standardized incidence rate by Chinese standard population(ASIRC),age-standardized mortality rate by Chinese standard population(ASMRC),age-standardized incidence rate by World standard population(ASIRW),age-standardized mortality rate by World standard population(ASMRW)and annual percentage change(APC)were calculated.Joinpoint 4.8.0 software was used to analyze the incidence and mortality trends of malignant tumors among urban residents in Fuxin City from 2014 to 2020. Results The crude incidence of malignant tumors among urban residents in Fuxin City,Liaoning Province from 2014 to 2020 was 386.02/100,000,the ASIRC was 188.18/100,000 and the ASIRW was 185.56/100,000,the trend of crude incidence showed an upward trend(APC=3.17%,95% CI:1.73%4.63%,P=0.002).The change trend of ASIRC was not statistically significant(APC=-2.15%,95% CI:-4.55%0.31%,P=0.075).The crude mortality of malignant tumors among urban residents in Fuxin City,Liaoning Province from 2014 to 2020 was 274.40/100,000,the ASMRC was 131.07/100,000,the ASMRW was 128.22/100,000.During the same period,the trend of crude mortality showed an upward trend(APC=6.37%,95% CI:4.64%8.14%,P＜0.001),but the change trend of ASMRC was not statistically significant(APC=0.68%,95% CI:-0.77%2.17%,P=0.282).The incidence and mortality of malignant tumors increased with age,reaching the peak in the 80-84 years old age group from 2014 to 2020(the incidence was 1 890.49/100,000 and the mortality was 1 634.84/100,000).The five most common malignant tumors by incidence were lung cancer,female breast cancer,colorectal cancer,liver cancer and stomach cancer.The five most common malignant tumors by mortality were lung cancer,liver cancer,colorectal cancer,stomach cancer and esophageal cancer. Conclusions The incidence and mortality trends of malignant tumors among urban residents in Fuxin City,Liaoning Province from 2014 to 2020 remain stable.Elderly people are at high risk of malignant tumors and should be the focus of malignant tumors prevention and control interventions.

Key words: Malignant tumors, Incidence, Mortality, Epidemic trend

中图分类号:

R73-31

代晓泽, 马玉霞, 李雨婷, 齐笑晴, 祝天岑, 穆慧娟, 刘辉. 2014—2020年辽宁省阜新市城市居民恶性肿瘤发病与死亡流行趋势分析[J]. 实用肿瘤学杂志, 2025, 39(4): 278-283.

DAI Xiaoze, MA Yuxia, LI Yuting, QI Xiaoqing, ZHU Tiancen, MU Huijuan, LIU Hui. Analysis of the incidence and mortality trends of malignant tumors among urban residents in Fuxin City,Liaoning Province from 2014 to 2020[J]. Journal of Practical Oncology, 2025, 39(4): 278-283.

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2014—2020年辽宁省阜新市城市居民恶性肿瘤发病与死亡流行趋势分析

Analysis of the incidence and mortality trends of malignant tumors among urban residents in Fuxin City,Liaoning Province from 2014 to 2020

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