2010-2018年甘肃省胃癌发病死亡比较分析

目的:分析2010-2018年全球、亚洲、东亚地区、中国、甘肃省胃癌发病、死亡情况。为中国及甘肃省胃癌预防控制工作提供流行病学依据。方法:中国人口标准化率(中标率)采用2000年全国人口普查的标准人口年龄构成,世界人口标准化率(世标率)采用Segi's标准人口年龄构成。由GLOBOCAN数据库获得全球、亚洲、东亚地区、中国的胃癌世标发病率、死亡率。由国家癌症中心公布的统计数据获得2010-2014年中国胃癌中标发病率及死亡率。由甘肃省肿瘤登记处上报的数据获得甘肃省胃癌中标发病率及死亡率。分别分析五个地区层次胃癌发病率、死亡率的变化趋势,并对5个地区的胃癌发病率、死亡率进行比较。结果:各地区胃癌的发病率、死亡率均呈逐年下降趋势;亚洲及东亚地区胃癌发病率、死亡率较全球的高,中国胃癌发病率、死亡率较亚洲的高,甘肃省胃癌发病率、死亡率较中国的高。结论:甘肃省胃癌的发病率、死亡率明显高于全国平均水平。今后胃癌的防治仍需作为中国尤其是甘肃省恶性肿瘤预防控制工作的重点。

Comparison of incidence and mortality of gastric cancer in Gansu province from 2010 to 2018

Objective:To analyze the incidence and the mortality of gastric cancer in the world,Asia,Eastern Asia,China and Gansu province from 2010 to 2018,and to provide epidemiological basis for the prevention and control of gastric cancer in China and Gansu province.Methods:The age composition of standard population of Chinese census in 2000 was used for age-standardized incidence and mortality rates in China(ASIRC/ASMRC),and Segi's population was used for age-standardized incidence and mortality rates worldwide(ASIRW/ASMRW).The ASIRW/ASMRW of gastric cancer in the world,Asia,Eastern Asia and China was obtained from the GLOBOCAN database.According to the data released by the National Cancer Center,the ASIRC/ASMRC of gastric cancer in China from 2010 to 2014 were obtained.The ASIRC/ASMRC of gastric cancer in Gansu province were obtained from the data reported by Gansu cancer registries.The trends of incidence and mortality of gastric cancer in five regions were analyzed,and the incidence and the mortality of gastric cancer in five regions were compared.Results:The incidence and the mortality of gastric cancer were decreasing year by year in all regions.The incidence and the mortality of gastric cancer were higher in Asia and Eastern Asia than the whole world,in China than in Asia and Eastern Asia,and in Gansu province than in China.Conclusion:The incidence and the mortality of gastric cancer in Gansu province are obviously higher than the national average.In the future,the prevention and treatment of gastric cancer should be the focus of cancer prevention and control in China,especially in Gansu province.