论文部分内容阅读
[目的]估计山东省恶性肿瘤的发病与死亡水平。[方法]2015年共收到21个肿瘤登记处上报的2012年肿瘤登记数据,通过审核和评估,共15个肿瘤登记处的数据符合入选标准。将入选的登记处按地区(城乡)、性别以及年龄别、肿瘤别发病率和死亡率分层,结合2012年山东省人口数据,估计山东省恶性肿瘤合计和主要肿瘤的发病、死亡情况。标化率分别采用2000年全国人口普查人口和Segi’s标准人口结构为标准。[结果 ]山东省15个肿瘤登记处共覆盖登记人口17 189 988人(其中城市7 486 039人,农村9 703 949人)。恶性肿瘤病理诊断比例为66.12%,只有死亡证明书比例为2.93%,死亡发病比为0.60。估计全省2012年新发恶性肿瘤病例253 060例,死亡病例157 750例。山东省恶性肿瘤发病率为263.86/10万(男性303.29/10万、女性223.23/10万)。中国人口标化率(中标率)为192.42/10万,世界人口标化率(世标率)为189.50/10万,累积率(0~74岁)为22.07%。城市地区发病率为267.64/10万,中标发病率为195.27/10万,农村地区发病率为262.32/10万,中标发病率为191.26/10万。山东省恶性肿瘤死亡率为164.47/10万(男性207.42/10万,女性120.23/10万),中标死亡率为117.54/10万,世标死亡率为116.90/10万,累积死亡率(0~74岁)为13.53%。城市地区死亡率为141.59/10万,中标死亡率为101.17/10万,农村地区恶性肿瘤死亡率为173.79/10万,中标死亡率为124.20/10万。肺癌、胃癌、肝癌、食管癌、结直肠癌、女性乳腺癌、脑瘤、白血病、膀胱癌和胰腺癌是山东省主要的恶性肿瘤,约占全部新发病例的82.12%。肺癌、胃癌、肝癌、食管癌、结直肠癌、乳腺癌、胰腺癌、脑瘤、白血病和淋巴瘤是主要的肿瘤死因,约占全部肿瘤死亡病例的89%。[结论]目前山东省肿瘤疾病负担严重,应继续加强肿瘤防治工作。
[Objective] To estimate the incidence and mortality of malignant tumors in Shandong Province. [Methods] A total of 2012 tumor registration data reported by 21 cancer registries were received in 2015. After auditing and evaluating, the data of 15 tumor registries met the inclusion criteria. The selected registries were stratified by region (urban-rural), sex, age, disease-free morbidity and mortality, and combined with the population data of Shandong Province in 2012 to estimate the total number of malignant tumors and the incidence and mortality of major tumors in Shandong Province. The standardization rates are respectively based on the 2000 national census population and Segi’s standard population structure. [Results] There were 17 189 988 registered population in 15 tumor registries in Shandong Province (including 7 486 039 in urban areas and 9 703 949 in rural areas). Pathological diagnosis of malignant tumors was 66.12%, only the death certificate was 2.93%, the incidence of death was 0.60. An estimated 253,060 new cases of malignancies and 157 750 fatal cases were reported in 2012 in the province. The incidence of malignant tumors in Shandong Province was 263.86 / 100,000 (303.29 per 100,000 males and 223.23 females for females). China’s population standardization rate (winning rate) is 192.42 / 100000, the world’s population standardization rate (world standard rate) was 189.50 / 100000, the cumulative rate (0-74 years) was 22.07%. The incidence rate in urban area was 267.64 / lakh, the incidence of winning bid was 195.27 / lakh, the incidence in rural areas was 262.32 / lakh, and the winning rate was 191.26 / lakh. The death rate of malignant tumor in Shandong Province was 164.47 / 100000 (207.42 / 100000 for males and 120.23 / 100000 for females), the successful death rate was 117.54 / 100000, the death rate of world standard was 116.90 / 100000, the cumulative mortality rate was 0 ~ 74 years old) was 13.53%. In urban areas, the death rate was 141.59 / lakh and the successful death rate was 101.17 / lakh. The death rate of malignant tumors in rural areas was 173.79 / lakh and the successful death rate was 124.20 / lakh. Lung cancer, gastric cancer, liver cancer, esophageal cancer, colorectal cancer, female breast cancer, brain tumor, leukemia, bladder cancer and pancreatic cancer are the major malignancies in Shandong Province, accounting for 82.12% of all new cases. Lung cancer, stomach cancer, liver cancer, esophageal cancer, colorectal cancer, breast cancer, pancreatic cancer, brain tumor, leukemia and lymphoma are the major tumor causes of death, accounting for 89% of all cancer deaths. [Conclusion] At present, the burden of oncology diseases in Shandong Province is serious, and the prevention and treatment of cancer should be further strengthened.