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2013—2017年黑龙江省肿瘤登记地区肝癌发病与死亡分析及变化趋
引用本文:孙惠昕,张茂祥,王婉莹,贾海晗,兰莉,宋冰冰.2013—2017年黑龙江省肿瘤登记地区肝癌发病与死亡分析及变化趋[J].中国癌症防治杂志,2021,13(2):149-154.
作者姓名:孙惠昕  张茂祥  王婉莹  贾海晗  兰莉  宋冰冰
作者单位:哈尔滨医科大学肿瘤防治研究所;黑龙江省癌症中心;哈尔滨市疾病预防控制中心
基金项目:黑龙江省卫生计生委科研课题(2017-199);2020年度黑龙江省省属高等学校基本科研业务费科研项目(2020-KYYWF-1472)。
摘    要:目的 分析黑龙江省肿瘤登记地区肝癌发病死亡情况及时间变化趋势。方法 收集2013—2017 年黑龙江省肿瘤登记地区上报的肝癌发病与死亡资料,计算发病(死亡)率、标化发病(死亡)率、累积率(0~74岁)等,标化率采用2000 年全国人口普查标准人口构成和 Segi's 世界标准人口构成作为标准。年度变化百分比(APC)使用Joinpoint软件计算。结果 2013—2017年黑龙江省肿瘤登记地区肝癌发病率为29.13/10万,中标率为17.18/10万,累积率(0~74岁)为1.96%。 其中男性肝癌发病率(42.59/10万)高于女性(15.90/10万),农村地区肝癌发病率(35.05/10万)高于城市地区(26.75/10万)。2013—2017年黑龙江省肿瘤登记地区肝癌死亡率为26.53/10万,中标率为15.90/10万,累积率(0~74岁)为1.78%。其中男性肝癌死亡率(38.33/10万)高于女性(14.93/10万),农村地区肝癌死亡率(30.65/10万)高于城市地区(24.88/10万)。2013—2017年发病中标率呈下降趋势,死亡中标率无明显变化趋势(P>0.05),男性发病中标率呈下降趋势(P<0.05)。结论 黑龙江省肝癌负担较重,发病率整体呈下降趋势,死亡趋势较平稳。防治工作中应重点关注男性及农村地区,采取综合措施进行有效预防与控制。

关 键 词:肝癌  肿瘤登记  发病率  死亡率  黑龙江

An analysis of incidence and mortality of liver cancer in the registries of Heilongjiang Province from 2013 to 2017
SUN Huixin,ZHANG Maoxiang,WANG Wanying,JIA Haihan,LAN Li,SONG Bingbing.An analysis of incidence and mortality of liver cancer in the registries of Heilongjiang Province from 2013 to 2017[J].Chinese Journal of Oncology Prevention and Treatment,2021,13(2):149-154.
Authors:SUN Huixin  ZHANG Maoxiang  WANG Wanying  JIA Haihan  LAN Li  SONG Bingbing
Affiliation:(Institute of Cancer Prevention and Treatment,Harbin Medical University;Heilongjang Cancer Center,Harbin 150081,China;Harbin Center for Disease Control and Prevention,Harbin 150086,China)
Abstract:ObjectiveTo analyze the incidence and mortality of liver cancer in cancer registration areas of Heilongjiang Province and the trend of change.MethodsThe incidence and mortality data of liver cancer in the cancer registration areas of Heilongjiang Province from 2013 to 2017 were collected,and the incidence(mortality)rate,age-standardized incidence(mortality)rate and cumulative rate(0-74 years old)were calculated.The ASR was calculated based on the Chinese population census in 2000(ASR China)and Segi′s world(ASR world)standard population.Annual percentage change(APC)was calculated by Joinpoint software.ResultsFrom 2013 to 2017,the incidence of liver cancer in the cancer registration areas of Heilongjiang Province was 29.13/105,the ASR China 17.18/10~5,and the cumulative rate(0-74 years old)1.96%.The incidence of liver cancer in males(42.59/10~5)was higher than that in females(15.90/10~5),and the incidence of liver cancer in rural areas(35.05/10~5)was higher than that in urban areas(26.75/10~5).From 2013 to 2017,the mortality rate of liver cancer was 26.53/10~5,the ASR China 15.90/10~5,and the cumulative rate(0-74 years old)1.78%.The mortality rate of liver cancer in males(38.33/10~5)was higher than that in females(14.93/10~5),and the mortality rate of liver cancer in rural areas(30.65/10~5)was higher than that in urban areas(24.88/10~5).From 2013 to2017,the ASR China incidence showed a downward trend,while ASR China mortality showed no significant trend(P>0.05),and the male ASR China incidence showed a significant downward trend(P<0.05).ConclusionsThe burden of liver cancer in Heilongjiang Province is relatively heavy,the incidence rate is decreasing,and the mortality is relatively stable.More attention should be paid to male and rural areas with comprehensive prevention and controlling measures.
Keywords:Liver cancer  Cancer registration  Incidence  Mortality  Heilongjiang
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