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重庆市疾病预防控制中心慢性病预防控制所
纸质出版日期:2017,
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丁贤彬, 吕晓燕, 唐文革, 等. 2015年重庆市结直肠肛门癌发病与死亡现状分析[J]. 重庆医科大学学报, 2017,42(11):1453-1456.
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, 2017,42(11):1453-1456.
丁贤彬, 吕晓燕, 唐文革, 等. 2015年重庆市结直肠肛门癌发病与死亡现状分析[J]. 重庆医科大学学报, 2017,42(11):1453-1456. DOI: 10.13406/j.cnki.cyxb.001256.
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, 2017,42(11):1453-1456. DOI: 10.13406/j.cnki.cyxb.001256.
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
2
=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
2
=9.410
P=0.002)
城市高于农村(χ
2
=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
2
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。
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
2
=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
2
=9.410
P=0.002). The mortality of colorectal cancer in urban area was higher than that in rural area significantly(χ
2
=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
2
=14.533
P=0.000;χ
2
=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.
结直肠肛门癌发病率死亡率累积危险度
colorectal cancerincidencemortalitycumulative risk
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