中国循证医学杂志

中国循证医学杂志

2014 年河南省恶性肿瘤发病与死亡情况分析

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目的分析 2014 年河南省肿瘤登记地区恶性肿瘤的发病与死亡情况。方法按照肿瘤登记质量评价标准,对 2017 年河南省各肿瘤登记处上报的 2014 年河南省恶性肿瘤发病、死亡和人口资料进行评估。以 2000 年全国人口普查的人口和 Segi’s 人口结构为中国和世界标准年龄构成,按地区(城乡)、性别、年龄别计算恶性肿瘤发病率/死亡率,计算标化发病率/死亡率和累积率(0~74 岁)。结果纳入 2014 年河南省 27 个数据质量符合标准的肿瘤登记处数据,覆盖人口 21 044 835 例,约占河南省 2014 年年末总人口的 19.73%。2014 年河南省肿瘤登记地区的恶性肿瘤发病率为 252.79/10 万(男性 273.55/10 万,女性 230.70/10 万),中标率 205.27/10 万,世标率 203.78/10 万,累积率(0~74 岁)为 24.17%。恶性肿瘤死亡率为 156.58/10 万(男性 188.10/10 万,女性 123.02/10 万),中标率 123.94/10 万,世标率 123.80/10 万,累积率(0~74 岁)为 14.30%。肺癌、胃癌、食管癌、肝癌、乳腺癌、结直肠癌、宫颈癌、脑瘤、白血病和甲状腺癌是河南省主要的恶性肿瘤,约占全部新发病例的 83%。肺癌、胃癌、食管癌、肝癌、结直肠癌、乳腺癌、脑瘤、白血病、胰腺癌和宫颈癌是主要的肿瘤死因,约占全部肿瘤死亡病例的 88%。结论2014 年河南省恶性肿瘤标化发病率和死亡率均高于全国同期水平,恶性肿瘤以肺癌、乳腺癌和消化系统肿瘤为主,应根据河南省的实际情况有重点地开展恶性肿瘤的防治工作。

ObjectiveTo describe the cancer incidence and mortality in Henan cancer registries in 2014.MethodsRegistration data (including incidence, mortality and population data) were evaluated according to the criteria of quality control of cancer registry. The incidence, mortality, and cumulative rate (0 to 74 years old) were calculated and stratified by area (urban/rural), gender, and age. Chinese Population Census in 2000 and Segi’s Population were used for age-standardized incidence and mortality rates.ResultsThe total covered population of the 27 cancer registries in 2014 was 21 044 835, accounting for 19.73% of Henan's total population at the end of 2014. The crude incidence rate in Henan cancer registration areas was 252.79/100 000 (males 273.55/100 000, females 230.70/100 000). Age-standardized incidence rates by Chinese standard population and by world standard population were 205.27/100 000 and 203.78/100 000 with the cumulative incidence rate (0 to 74 years old) of 24.17%. The cancer mortality in Henan was 156.58/100 000 (188.10/100 000 in males and 123.02/100 000 in females). The age-standardized incidence rates by Chinese standard population and by world standard population were 123.94/100 000 and 123.80/100 000, and the cumulative incidence rate (0 to 74 years old) was 14.30%. Lung cancer, gastric cancer, esophageal cancer, liver cancer, breast cancer, colorectal cancer, cervical cancer, encephala, leukemia and thyroid cancer were the most common cancers, accounting for approximately 83% of all cancer cases in urban and rural areas. Lung cancer, gastric cancer, esophageal cancer, liver cancer, colorectal cancer, breast cancer, encephala, leukemia, pancreatic cancer and cervical cancer accounted for approximately 88% of all cancer deaths.ConclusionsThe age-standardized incidence and mortality in Henan are above the national level. The common cancers in Henan are lung cancer, female breast cancer and digestive system cancers. The strategy of cancer prevention and control in Henan should be implemented depending on pratical situations.

关键词: 肿瘤登记; 恶性肿瘤; 发病率; 死亡率; 河南省

Key words: Cancer registry; Malignant tumor; Incidence; Mortality; Henan province

引用本文: 郭兰伟, 刘曙正, 曹小琴, 陈琼, 张韶凯, 张萌, 于达, 全培良, 孙喜斌. 2014 年河南省恶性肿瘤发病与死亡情况分析. 中国循证医学杂志, 2018, 18(9): 896-902. doi: 10.7507/1672-2531.201805020 复制

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