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[目的]探究昆山市2006~2013年胃癌发病与死亡趋势。[方法]胃癌发病病例来源于恶性肿瘤登记报告系统,死亡病例来源于死因监测,计算胃癌粗发病(死亡)率和年龄标化发病(死亡)率。采用平均年度变化百分比(annual percentage change,APC)评价胃癌年龄标化发病率和死亡率在年份之间变化趋势。[结果]2006~2013年男女合计(APC=-4.2%,95%CI:-5.9%~-2.5%)、男性(APC=-4.5%,95%CI:-6.4%~-2.6%)与女性(APC=-2.9%,95%CI:-5.2%~-0.6%)胃癌标化发病率均呈明显下降趋势。男女合计(APC=-6.4%,95%CI:-8.0%~-4.8%)、男性(APC=-6.5%,95%CI:-8.1%~-4.9%)与女性(APC=-5.2%,95%CI:-9.8%~-0.6%)胃癌标化死亡率也均呈现下降趋势。[结论]虽然当前胃癌发病与死亡率呈现下降态势,但仍需加强疾病监测以探究其长期变化趋势。
[Objective] To investigate the incidence and mortality of gastric cancer in Kunshan from 2006 to 2013. [Methods] The incidence of gastric cancer originated from malignant tumor registration and reporting system. The deaths were from the monitoring of cause of death and the rates of crude disease (death) and age-standardized incidence (death) of gastric cancer were calculated. The annual percentage change (APC) was used to evaluate the trend of age-standardized morbidity and mortality of gastric cancer between years. [Results] The total male and female (APC = -4.2%, 95% CI: -5.9% -2.5%), male (APC -4.5%, 95% CI -6.4% -2.6% Female (APC = -2.9%, 95% CI: -5.2% -0.6%) showed a marked decline in the incidence of gastric cancer. Men and women (APC = -6.4%, 95% CI: -8.0% -4.8%), men (APC -6.5%, 95% CI -8.1% -4.9%) and women (APC -5.2% , 95% CI: -9.8% -0.6%) also showed a downward trend in the standardization of gastric cancer mortality. [Conclusion] Although the morbidity and mortality of gastric cancer are on the decline at present, it is still necessary to strengthen disease surveillance to explore its long-term trend of change.