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江苏省昆山市1993—2014年白血病死亡趋势分析

Trends of Leukemia Mortality in Kunshan City, Jiangsu Province from 1993 to 2014

  • 摘要:
    目的 探究江苏省昆山市1993—2014年白血病死亡趋势。
    方法 江苏省昆山市1993—2014年白血病死亡病例来源于昆山市历年的死因监测;计算历年白血病粗死亡率,以及中国2000年人口年龄构成标化的死亡率(age standardized rate, ASR);使用年度变化百分比(annual percentage change, APC)及其95%CI评价白血病死亡率在年份之间变化趋势。
    结果 江苏省昆山市1993—2014年期间白血病死亡总例数为570例,占全肿瘤比例2.19%;其中男312例,女258例。白血病粗死亡率在男女合计(APC=1.5, 95%CI: 0.0~3.0, P=0.0604)、男性人群(APC=0.8,95%CI: -0.6~2.2, P=0.2756)及女性人群中(APC=2.7, 95%CI: 0.0~5.4, P=0.0622)均没有明显的变化趋势。1993—2014年白血病中标死亡率在男女合计(APC=1.5, 95%CI: 0.0~3.0, P=0.0604)、男性(APC=-0.7, 95%CI: -2.4~1.0, P=0.4087)以及女性(APC=0.4, 95%CI: -2.3~3.1, P=0.7612)人群中均没有明显变化趋势。
    结论 虽然白血病死亡率变化趋势不明显,但是因白血病死亡的例数逐年增加,在全人群中开展白血病预防控制十分必要。

     

    Abstract:
    Objective To explore the temporal trends of leukemia death rates in Kunshan city, Jiangsu Province, 1993-2014.
    Methods Leukemia death cases were collected from vital registry from 1993 to 2014 in Kunshan City, Jiangsu Province. Crude death rate of leukemia were estimated and age standardized death rate (ASR) were calculated according to the 2000 Chinese Standard Population. Annual percentage changes (APC) and 95% confidence interval (CI) were used to examine the time trend of leukemia mortality.
    Results  From 1993 to 2014, 570 leukemia death cases were registered, accounting for 2.19% of the total cancers, of which 312 were male and 258 were female. Leukemia crude death rate were stable in both gender (APC=1.5, 95%CI: 0.0-3.0, P=0.0604), male (APC=0.8, 95%CI: -0.6%-2.2%, P=0.2756) and female (APC=2.7, 95%CI: 0.0-5.4, P=0.0622). Furthermore, the age standardized death rate were stable and no significantly change in both sex (APC=1.5, 95%CI: 0.0-3.0, P=0.0604), male (APC=-0.7, 95%CI: -2.4-1.0, P=0.4087) and female (APC=0.4, 95%CI: -2.3-3.1, P=0.7612).
    Conclusion Although the mortality rate of leukemia is stable from 1993 to 2014 in Kunshan City, the death number of leukemia is increasing year by year, therefore, it is necessary to carry out the prevention and control of leukemia in the general population.

     

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