实用肿瘤学杂志 ›› 2020, Vol. 34 ›› Issue (1): 1-5.doi: 10.11904/j.issn.1002-3070.2020.01.001

• 流行病学研究 •    下一篇

2000—2015年中国肿瘤登记地区胃癌发病趋势及年龄变化

周家琛1,2, 郑荣寿2, 庄贵华1, 张思维2, 曾红梅2, 陈茹2, 王少明2, 孙可欣2, 邹小农2, 魏文强2, 赫捷3   

  1. 1.西安交通大学医学部公共卫生学院流行病与卫生统计学系(西安 710061);
    2.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院肿瘤登记办公室;
    3.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胸外科
  • 收稿日期:2019-11-02 修回日期:2019-12-16 发布日期:2020-02-20
  • 通讯作者: 魏文强,E-mail:weiwq@cicams.ac.cn;赫捷,Email:prof.hejie@263.net
  • 作者简介:周家琛,男,(1993-),博士,从事肿瘤流行病学和食管癌预防与控制的研究。
  • 基金资助:
    国家重点研发计划资助(编号:2016YFC0901404);中国医学科学院中央级公益性科研院所基本科研业务费专项资金资助(编号:2018PT32012);北京市优秀人才基金(编号:2016000020124G068)

Analysis on the trend of gastric cancer incidence and age change in cancer registration regions of China,2000 to 2015

ZHOU Jiachen1,2, ZHENG Rongshou2, ZHUANG Guihua1, ZHANG Siwei2, ZENG Hongmei2, CHEN Ru2, WANG Shaoming2, SUN Kexin2, ZOU Xiaonong2, WEI Wenqiang2, HE Jie3   

  1. 1.Department of Epidemiology and Biostatistics,School of Public Health,Xi′an Jiaotong University Health Science Center,Xi′an 710061,China;
    2.Office for Cancer Registry,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College;
    3.Department of Thoracic Surgery,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College
  • Received:2019-11-02 Revised:2019-12-16 Published:2020-02-20

摘要: 目的 了解中国胃癌发病趋势及年龄变化,为胃癌防控提供依据。方法 基于22个有连续数据的登记处,整理2000—2015年胃癌发病数据,利用Joinpoint软件进行发病趋势分析。分析2000—2015年平均发病年龄,2000及2015年标化年龄别发病构成,构建出生队列并计算1920—2015年出生人群发病率、年龄别发病率。结果 2000—2015年中国22个肿瘤登记地区胃癌标化发病率呈现下降趋势,平均每年下降3.0%(-3.5~-2.4%)。人群出现发病年龄后移趋势,人口结构标化后除农村地区外各人群发病年龄的后移趋势消失。农村地区发病年龄上升趋势明显,高年龄发病患者占比增加。结论 胃癌发病率出现下降趋势,平均发病年龄出现后移趋势。

关键词: 胃癌, 肿瘤登记, 发病率

Abstract: Objective The Objective of this study was to understand the trend and age change of gastric cancer in China,and to provide evidence for the prevention and control of gastric cancer.Methods Based on 22 registries with continuous data,the incidence data of gastric cancer from 2000 to 2015 were collated,and the incidence trend analysis was performed using Joinpoint software.The average age of onset between 2000 and 2015,the standardized age-specific incidence composition in 2000 and 2015 were analyzed.The birth cohort was constructed and the incidence and age-specific incidence were also calculated.Results From 2000 to 2015,the incidence of standardized gastric cancer in 22 cancer registration regions in China showed a downward trend,with an average annual decrease of 3.0%(-3.5%~-2.4%).The age of this disease onset in the population showed an increasing trend,after the population structure standardization,except for rural areas,this trend disappeared.The age of this disease onset in rural areas was raised,and the proportion of older patients was also increased.Conclusion The incidence of gastric cancer is declining,and the average age of onset shows an increasing trend.

Key words: Gastric cancer, Cancer registry, Incidence

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