实用肿瘤学杂志 ›› 2012, Vol. 26 ›› Issue (6): 506-510.doi: 10.3969/j.issn.1002-3070.2012.06.006

• 论著 • 上一篇    下一篇

黑龙江省尚志市2009年恶性肿瘤的发病和死亡情况分析

陈王洋1, 宋冰冰1, 杨凤娟1, 孙惠昕1, 谭秀芝2, 付美倩2   

  1. 1.哈尔滨医科大学肿瘤防治研究所(哈尔滨 150081);
    2.尚志市疾病预防控制中心
  • 收稿日期:2012-02-03 出版日期:2012-12-28 发布日期:2014-12-03
  • 通讯作者: 宋冰冰,E-mail:bingbingsong2008@126.com
  • 作者简介:陈王洋,女,(1980-),硕士,助理研究员,从事肿瘤流行病学研究
  • 基金资助:
    黑龙江省卫生厅科研课题(2009-003)

Analysis on the cancer incidence and death based on cancer registry of Shangzhi town in 2009 year

CHEN Wangyang1,SONG Bingbing1,YANG Fengjuan1,SUN Huixin1,TAN Xiuzhi2,FU Meiqian2   

  1. 1.Institute of Cancer Prevention and Treatment,Harbin Medical University,Harbin 150081,China;
    2.Centre of Disease Control,Shangzhi
  • Received:2012-02-03 Online:2012-12-28 Published:2014-12-03

摘要: 目的 通过分析尚志市恶性肿瘤的发病和死亡情况,从而为黑龙江省农村地区恶性肿瘤的发病和死亡提供初步数据。此外通过分析该地区恶性肿瘤登记数据,对该地区肿瘤登记工作质量作以简要评估。 方法 收集尚志市恶性肿瘤的发病和死亡数据,采用Canreg4软件录入,通过Excel和SPSS软件进行整理分析该地区恶性肿瘤的发病率/死亡率,标化发病(死亡)率、累积发病(死亡)率等指标。并依据全国肿瘤登记中心规定,对数据的病理组织学诊断所占比例(MV%),只有死亡医学证明书比例(DCO%),死亡/发病比(M/I)进行评估。结果 2009年尚志市恶性肿瘤发病人数为1 254人,死亡人数为724人,发病粗率为203.556/105,死亡粗率为105.999/105。经年龄构成调整后,发病的中标率为110.726/105,世标率为149.046/105,死亡的中标率为56.723/105,世标率为79.819/105。前10位高发恶性肿瘤分别为:肺癌、肝癌、大肠癌、胃癌、乳腺癌、食管癌、宫颈癌、胰腺癌、膀胱癌和喉癌。肺癌和肝癌在男性和女性中均居发病率的前两位,全人口发病率分别为56.814/105和40.744/105。前10位高死亡率的恶性肿瘤分别为:肺癌、肝癌、胃癌、大肠癌、胰腺癌、食管癌、乳腺癌、骨癌和喉癌。其中肺癌、肝癌和胃癌在男性和女性的死亡率均排在前3位,分别为33.926/105、26.946/105 和10.227/105。经质量评估,尚志市肿瘤登记数据质量不能完全符合国家癌症中心的标准,需要给予更多的关注。结论 尚志市肿瘤登记数据基本反映了农村地区恶性肿瘤的发病和死亡情况,体现了具有农村特点的恶性肿瘤发病和死亡谱。此外,加大对农村肿瘤登记工作的建设,确保肿瘤登记数据的质量,为科研探索,卫生决策提供可靠的依据。

关键词: 癌症, 发病率, 死亡率, 肿瘤登记, 农村

Abstract: Objective We provide primary epidemical status of cancer incidence and death in Heilongjiang provincial rural area by analyzing the incidence and death rate of Shangzhi town.The quality of data was evaluated through data,which was from cancer registry centre of Shangzhi analyzing.Methods The new cases diagnosed as cancer or death from cancer in 2009 were collected in Shangzhi town.The information of each case were input by Canreg4 software.Incidence rate,death rate,age-standardized rates,cumulative incidence and death rate were calculated by Excel and SPSS software.The standard of evaluating quality of cancer registry abide by National Cancer Center command.The main markers of evaluation were MV%,DCO% and M/I.Results The number of new diagnosis cases was 1254,and death cases was 742.Crude incidence rate was 203.566/105,and crude death rate was 105.999/105.Age-standardized incidence rates by Chinese standard population(ASIRC)and by world standard population(ASIRW)were 110.726/105 and 149.046/105,respectively.Age-standardized death rates by Chinese standard population(ASDRC)and world standard population(ASDRW)were 56.723/105 and 79.819/105,respectively Malignancy ranked on top ten incidence rate were lung cancer,liver cancer,colorectal cancer,gastric cancer,breast cancer,esophageal cancer,cervical cancer,pancreatic cancer,bladder cancer and laryngeal cancer.Lung cancer and liver cancer ranked on first and second both in male and female,and those incidence rate were 56.814/105 and 40.744/105 in total population,respectively.The top ten death rate of cancer type were lung cancer,liver cancer,gastric cancer,colorectal cancer,pancreatic cancer,esophageal cancer,breast cancer,bone cancer and throat cancer.Lung cancer,liver cancer and gastric cancer ranked the top three death rate,and those death rate were 33.926/105,26.946/105and 10.227/105,respectively.The quality of registry data did not completely meet the standards of Nation Cancer Center,and need more attention.Conclusion The data from cancer registry centre of Shangzhi revealed the epidemical status of cancer incidence and death of rural area in Heilongjiang Province.The cancers frequent spectrum reflected the characteristics of cancer in rural area.In addition,more focus were paid for cancer registry in country to improve the quality of data.Furthermore,it will provide reliable evidence for cancer research and formulation of health policy.

Key words: Cancer, Incidence rate, Death rate, Cancer registry, Rural

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