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目的了解甘肃省疾病监测点胃癌死亡特征,为制定胃癌的防制策略提供科学依据。方法对甘肃省各监测点依据死亡医学证明书收集的胃癌死因数据进行核对,按照ICD标准进行死因编码,然后由甘肃省CDC进行分类汇总和统计分析。结果1993-2007年甘肃省疾病监测点胃癌死亡均处于肿瘤死亡的第一位。2007年胃癌的死亡率为36.73/10万,占所有肿瘤死亡的35.91%,胃癌死亡的潜在减寿年数(PYLL)为5 420人年,潜在减寿年数顺位处第一位,胃癌死亡的减寿率为3.38‰,胃癌平均死亡年龄为64.08岁,去胃癌死因预期寿命为72.83岁,延长寿命0.75岁。胃癌死亡男性显著高于女性。结论胃癌死亡率和减寿率均处甘肃省肿瘤死亡的第一位,并且男性死亡大于女性死亡,中老年男性是胃癌防治的重点人群。
Objective To understand the characteristics of gastric cancer death at disease surveillance sites in Gansu Province and to provide a scientific basis for the development of strategies for preventing and treating gastric cancer. Methods The data of death causes of gastric cancer collected from death medical certificates at all monitoring sites in Gansu Province were checked and the cause of death codes were coded according to ICD standards. Then the CDCs of Gansu Province were classified and summaried and statistically analyzed. Results The deaths from gastric cancer in the disease surveillance sites of Gansu Province from 1993 to 2007 all ranked the first place in the death of cancer. In 2007, the mortality rate of gastric cancer was 36.73 / 100 000, accounting for 35.91% of all tumor deaths. The PYLL of gastric cancer was 5420 person-years. The number of potential life-years lost was the first place in gastric cancer death Life expectancy was 3.38 ‰, the average age of death of gastric cancer was 64.08 years, the life expectancy of gastric cancer was 72.83 years, prolonged life expectancy 0.75 years. Men died of gastric cancer was significantly higher than women. Conclusions Gastric cancer mortality and longevity rates are the highest among cancer deaths in Gansu Province, and the deaths of males are more than those of females. Middle-aged and elderly men are the key population for prevention and treatment of gastric cancer.