【摘要】：目的了解2003-2012年江蘇省胃癌發(fā)病死亡流行水平,分析2003-2005年江蘇農(nóng)村地區(qū)新發(fā)胃癌患者的生存情況。方法收集2003-2012年江蘇省的腫瘤登記數(shù)據(jù),按照年份、年齡分層,使用粗率、中國人口標(biāo)化率(中標(biāo)率)和世界人口標(biāo)化率(世標(biāo)率)描述胃癌的發(fā)病及死亡情況,并計算發(fā)病率及死亡率的年度變化百分比(annual percent change,APC)。隨訪2003-2005年江蘇農(nóng)村地區(qū)胃癌發(fā)病的患者信息,按不同性別、年齡分組計算其觀察生存率和相對生存率,分析不同組別間的生存情況差異。結(jié)果 2003-2012年江蘇省腫瘤登記地區(qū)胃癌年平均發(fā)病率為48.2/10萬,中標(biāo)率為32.0/10萬。同期胃癌年平均死亡率為35.1/10萬,中標(biāo)率為22.5/10萬。2003-2012年胃癌發(fā)病率和死亡率均明顯下降。2003-2005年江蘇農(nóng)村地區(qū)新發(fā)胃癌病人5年觀察生存率為21.8%,相對生存率為25.1%,生存率男性高于女性,隨年齡增長呈下降趨勢。結(jié)論 2003-2012年江蘇省胃癌發(fā)病率及死亡率均明顯下降,但仍處于較高水平,且患者預(yù)后較差。加強(qiáng)上消化道癌篩查,提高早期檢出率是改善生存率的重要手段之一。
[Abstract]:Objective to investigate the prevalence of gastric cancer in Jiangsu Province from 2003 to 2012, and to analyze the survival status of newly diagnosed gastric cancer patients in rural areas of Jiangsu Province from 2003 to 2005. Methods Cancer registration data were collected from 2003 to 2012 in Jiangsu Province. The incidence and death of gastric cancer were described by age stratification, gross rate, Chinese population standard rate (bid winning rate) and world population standard rate (world standard rate). The percentage of annual change in morbidity and mortality was calculated in (annual percent change,APC). The information of gastric cancer patients in rural areas of Jiangsu Province from 2003 to 2005 was followed up. The observed survival rate and relative survival rate were calculated according to sex and age, and the difference of survival among different groups was analyzed. Results from 2003 to 2012, the average incidence of gastric cancer was 48.2 / 100 000, and the winning rate was 32.0 / 100 000. In the same period, the average annual mortality rate of gastric cancer was 35.1 / 100,000, and the winning rate was 22.5 / 100,000. The incidence and mortality of gastric cancer decreased significantly in 2003-2012. The 5-year survival rate of newly diagnosed gastric cancer patients in rural areas of Jiangsu Province from 2003 to 2005 was 21.8%, and the relative survival rate was 25.1%. The survival rate of males was higher than that of females. There is a downward trend with age. Conclusion the incidence and mortality of gastric cancer in Jiangsu Province decreased significantly from 2003 to 2012, but it was still in a high level, and the prognosis of the patients was poor. Strengthening the screening of upper gastrointestinal cancer and increasing the early detection rate is one of the important methods to improve the survival rate.
【作者單位】： 東南大學(xué)公共衛(wèi)生學(xué)院流行病與衛(wèi)生統(tǒng)計學(xué)系;江蘇省疾病預(yù)防控制中心慢性非傳染病防制所;
【基金】：中央高校基本科研業(yè)務(wù)費專項資金資助 江蘇省普通高校研究生科研創(chuàng)新計劃資助項目(SJLX15_0076) 江蘇省衛(wèi)生計生委預(yù)防醫(yī)學(xué)科研課題(Y2015058)
【分類號】：R735.2

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