Analysis on incidence and mortality of colorectal cancer in Chongqing municipality,2015

Ding Xianbin; Lü Xiaoyan; Tang Wenge; Mao Deqiang; Jiao Yan

doi:10.13406/j.cnki.cyxb.001256

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Analysis on incidence and mortality of colorectal cancer in Chongqing municipality,2015

更新时间：2024-01-17

- Analysis on incidence and mortality of colorectal cancer in Chongqing municipality,2015
- Journal of Chongqing Medical University Vol. 42, Issue 11, Pages: 1453-1456(2017)
- 作者机构：
  
  重庆市疾病预防控制中心慢性病预防控制所
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001256
  CLC： R735.3
- Published：2017，
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Ding Xianbin, Lü Xiaoyan, Tang Wenge, et al. Analysis on incidence and mortality of colorectal cancer in Chongqing municipality,2015. [J]. Journal of Chongqing Medical University 42(11):1453-1456(2017)
DOI：

Ding Xianbin, Lü Xiaoyan, Tang Wenge, et al. Analysis on incidence and mortality of colorectal cancer in Chongqing municipality,2015. [J]. Journal of Chongqing Medical University 42(11):1453-1456(2017) DOI： 10.13406/j.cnki.cyxb.001256.

摘要

目的:了解重庆市结直肠肛门癌发病死亡现状

为开展结直肠肛门癌防治工作提供建议。方法:采用国际疾病分类与国际肿瘤学分类收集整理2015年重庆市11个肿瘤登记点报告的结直肠肛门癌（C18-C21）新发肿瘤病例资料。数据经SPSS19.0统计分析发病率、死亡率、中国人口标化发病率与死亡率、世界人口标化发病率与死亡率与构成比。不同性别、地区间发病率与死亡率的比较采用卡方检验

年龄别发病率与死亡率趋势分析采用趋势卡方检验

检验水准α=0.05。结果:2015年结直肠肛门癌发病率居所有恶性肿瘤的第2位

占所有报告恶性肿瘤的10.51%

发病率、ASIRC与ASIRW分别为28.32/105、17.57/105、19.32/105

发病率男性（32.80/105）高于女性（23.74/105）

差异有统计学意义（χ

=8.572

P=0.003）。截缩率为25.77/105

累积率为2.10%

累积危险度为2.08%。死亡率、ASMRC与ASMRW分别为13.95/105、8.02/105、9.33/105

死亡率男性高于女性（χ

=9.410

P=0.002）

城市高于农村（χ

=6.378

P=0.012）

截缩率为9.38/105

累积率与累积危险度分别为0.89%与0.88%。结直肠肛门癌发病率与死亡率均随年龄的增长而上升

趋势检验差异有统计学意义（χ

值分别为14.533与11.398

P值分别为0.000和0.001）

发病率40岁后呈快速上升趋势

死亡率50岁后呈快速上升。结论:重庆市结直肠肛门癌发病率与死亡率均较高

应重视结直肠肛门的三级预防工作。

Abstract

Objective:To understand the incidence and mortality of colorectal cancer in Chongqing and to provide the suggestion for colorectal cancer prevention and control. Methods:Colorectal cancer cases（ICD-10 code:C18-C21）from 11 cancer registration sites were collected and sorted by the international category of disease（ICD-10）and the international category of tumor（ICD-O-3）. The data were analyzed to calculate the incidence

mortality and age-specific standardized incidence rate and mortality rate by Chinese standard population（ASIRC/ASMRC）and World standard population（ASIRW/ASMRW）and proportion by SPSS 19.0. The difference of the incidence and mortality of colorectal cancer between the male and female

urban and rural area was compared by Chi-square test. The trend of colorectal cancer with age was analyzed by trend Chi-square test（α =0.05）. Results:The incidence of colorectal cancer ranked the second of all cancers in 2015 in Chongqing

which accounted for 10.51% of all cancers. The incidence

ASIRC

ASIRW of colorectal cancer was 28.32/105

17.57/105 and 19.32/105 respectively in 2015. The incidence of colorectal cancer among male residents（32.80/105）was higher than that among female residents（23.74/105）significantly（χ

=8.572

P=0.003）. The truncated rate of age 35-64

cumulative rate and cumulative risk of colorectal cancer incidence were 25.77/105

2.10% and 2.08% respectively.The mortality

ASMRC and ASMRW of colorectal cancer were 13.95/105

8.02/105 and 9.33/105 respectively in 2015. The mortality of colorectal cancer among male residents was higher than that among female residents significantly（χ

=9.410

P=0.002）. The mortality of colorectal cancer in urban area was higher than that in rural area significantly（χ

=6.378

P=0.012）. The truncated rate of age 35-64

cumulative rate and cumulative risk of colorectal cancer mortality were 9.38/105

0.89% and 0.88% respectively. The incidence and mortality of colorectal cancer increased significantly with the age（χ

=14.533

P=0.000;χ

=11.398

P=0.001）. The incidence of colorectal cancer increased rapidly after 40 years old and its mortality increased rapidly after 50 years old. Conclusion:The incidence and mortality of colorectal cancer is high in Chongqing municipality. Great importance should be attached to tertiary prevention for colorectal cancer.

关键词

结直肠肛门癌发病率死亡率累积危险度

Keywords

colorectal cancerincidencemortalitycumulative risk

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Related Institution

Department of Non-communicable Disease Prevention and Control,Chongqing Center for Disease Prevention and Control

Department of General Surgery,College of Clinical Medicine,Chongqing Medical University

重庆医科大学临床学院普外科

Institute of Non-communicable Disease Prevention and Control，Chongqing Center for Disease Prevention and Control

Teaching and Research Section of Preventive Medicine，Faculty of Medical Technology

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