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2022年雅安市恶性肿瘤流行现状及2013—2022年变化趋势

Cancer Incidence and Mortality in Ya'an City in 2022 and Trends from 2013 to 2022

  • 摘要:
    目的 分析2022年雅安市恶性肿瘤的发病与死亡状况,并描述2013—2022年间其变化趋势。
    方法 基于2022年雅安市肿瘤登记数据,分性别与年龄组计算发病(死亡)率及中国人口标化率。采用Joinpoint回归模型分析2013—2022年中标率的年度变化趋势。
    结果 2022年,雅安市恶性肿瘤发病率为317.19/10万,中标发病率为178.45/10万;死亡率为185.10/10万,中标死亡率为85.22/10万。发病顺位前三位为肺癌、结直肠癌、女性乳腺癌,死亡顺位前三位为肺癌、结直肠癌、肝癌。2013—2022年趋势分析显示,恶性肿瘤总体中标发病率变化平稳,但男性呈下降趋势(P<0.05),女性呈上升趋势(P<0.05);总体中标死亡率呈下降趋势(P<0.05)。在此期间,甲状腺癌、前列腺癌和肺癌的中标发病率呈上升趋势(P<0.05),而肝癌、胃癌和食管癌的中标发病率呈下降趋势(P<0.05);胃癌、女性乳腺癌、肝癌及食管癌的中标死亡率亦呈下降趋势(P<0.05)。
    结论 雅安市恶性肿瘤疾病负担依然严峻,建议针对肺癌、结直肠癌、女性乳腺癌、肝癌、甲状腺癌及前列腺癌等重点癌种实施精准干预措施,以有效遏制疾病负担。

     

    Abstract:
    Objective To analyze the incidence and mortality of cancer in Ya'an City in 2022 and its trends from 2013 to 2022.
    Methods The crude and age-standardized cancer incidence and mortality rates (based on the Chinese standard population) were calculated by gender and age group from the Ya'an City registry data for 2022, and their trends from 2013 to 2022 were assessed using Joinpoint regression analysis.
    Results In 2022, the crude incidence rate of cancer in Ya'an City was 317.19/105, and the age-standardized incidence rate was 178.45/105. The crude mortality rate of cancer in Ya'an City was 185.10/105, and the age-standardized mortality rate was 85.22/105. The top three cancer types with the highest incidence were lung cancer, colorectal cancer, and female breast cancer, and those with the highest mortality were lung cancer, colorectal cancer, and liver cancer. From 2013 to 2022, the overall age-standardized incidence rate of cancer was relatively stable but showed a downward trend in males (P<0.05) and an upward trend in females (P<0.05). The overall age-standardized mortality rate exhibited a downward trend (P<0.05). The age-standardized incidence rate of thyroid cancer, prostate cancer, and lung cancer showed an upward trend (P<0.05), whereas those of liver cancer, gastric cancer, and esophageal cancer showed a downward trend (P<0.05). The age-standardized mortality rate of gastric cancer, female breast cancer, liver cancer, and esophageal cancer showed a downward trend (P<0.05).
    Conclusion The burden of cancer remains severe in Ya'an City. Targeted interventions should be implemented for lung cancer, colorectal cancer, female breast cancer, liver cancer, thyroid cancer, prostate cancer, and other common cancers to effectively control the cancer burden.

     

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