甘肃省疾病监测系统肿瘤死亡情况分析

目的了解甘肃省疾病监测系统报告的肿瘤死亡情况,探索肿瘤死亡特点,为制定肿瘤防治策略提供科学依据。方法各监测点负责收集、核对和上报辖区内所有死亡个案,并以死亡证明书形式邮寄至省CDC;省CDC负责逐一核对,并按国际疾病统计分类ICD.9对确定的根本死因进行编码,同时完成计算机录入和统计工作。结果2003年甘肃省疾病监测系统报告肿瘤死亡率由高到低,依次是胃癌(29.56/10万)、肝癌(16.26/10万)、肺癌(12.00/10万)、食管癌(9.29/10万)、白血病(2.45/10万)、宫颈癌(2.07/10万)等,且胃癌、肝癌、肺癌、食管癌的死亡在两性间存在显著差异,即男性死亡率明显高于女性死亡率。另外,1993～2003年胃癌、食管癌死亡呈下降趋势,而肺癌死亡呈缓慢上升趋势,肝癌死亡上下波动变化不大。结论甘肃省疾病监测系统报告肿瘤死亡以胃癌、肝癌、肺癌、食管癌为主,占全部肿瘤死亡85.95%;男性死亡率明显大于女性死亡率。今后应加强这四种肿瘤危害因素的研究,预防和降低其发病率和死亡率。

Analysis of Deaths from Tumors Reported from Disease Surveillance System of Gansu Province

Objective The present study was designed to understand the deaths from tumors reported from Disease Surveillance System of Gansu Province and to investigate the characteristics of the deaths from tumors, so as to provide scientific evidences for establishing tumor prevention strategy. Methods Surveillance Sites took charge of collecting, checking and reporting all death cases in their responsible areas, and then mailing the information in a form of death certification to the provincial CDC. The provincial CDC was responsible for checking them one by one, and then coding the determined prime causes of deaths according to the International Classification of Diseases (ICD.9), and meanwhile, completing the record and statistics of data in computer. Results Based on the 2003 report from Disease Surveillance System of Gansu Province, tumors in decreasing order of fatality rates are as follows: gastric cancer (29.56/100,000), liver cancer (16.26/100,000), lung cancer (12.00/100,000), esophageal cancer (9.29/100,000), leukemia (2.45/100,000), uterine cervix cancer (2.07/100,000). Moreover, the fatality rates of gastric cancer, liver cancer, lung cancer and esophageal cancer are significantly different between male and female, i.e. the fatality rates of male was obviously higher than the corresponding of female. In addition, from 1993 to 2003, the fatality rates of gastric cancer and esophageal cancer tended to decrease while that of lung cancer had a tendency to increase slowly, and that of liver cancer did not severely fluctuate. Conclusion According to the report from Disease Surveillance System of Gansu Province, deaths from tumors were caused mainly by gastric cancer, liver cancer, lung cancer and esophageal cancer, which all together accounted for 85.95%. Furthermore, male fatality rate was significantly higher than female fatality rate. Henceforth, the study on the risk factors of these four kinds of tumors should be reinforced so that the incidence rate and the fatality rate could be reduced.