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目的了解大肠癌疾病负担及其变化趋势,进一步从社会经济角度认识和理解大肠癌。方法应用伤残调整寿命年(DALY)、疾病死亡损失健康生命年(YLL)与疾病伤残损失健康生命年(YLD)等健康状况评价指标,对2002-2011年上海市闵行区大肠癌所造成的疾病负担进行测量和分析。结果 2002-2011年,上海市闵行区大肠癌总疾病负担为45 315.91个DALYs,总疾病负担强度为5.36人年/1 000人,YLLs占DALYs比例为52.18%,近5年疾病负担强度逐年上升,>45岁的DALYs占总DALYs的90.15%。结论 45~79岁应作为大肠癌筛查的重点人群,尤其是45~60岁人群,以降低大肠癌带来的疾病负担。
Objective To understand the burden of colorectal cancer and its changing trend, and to further understand and understand colorectal cancer from the perspective of socioeconomic. Methods The assessment indexes of health status such as DALY, YLL and YLD were used to evaluate the health status of patients with colorectal cancer in Minhang District from 2002 to 2011 The burden of disease is measured and analyzed. Results The total burden of colorectal cancer in Minhang District in Shanghai from 2002 to 2011 was 45 315.91 DALYs. The total burden of disease burden was 5.36 person-years / 1,000 people, the proportion of YLLs in DALYs was 52.18%, and the burden of disease burden increased year by year in the recent 5 years DALYs> 45 years old accounted for 90.15% of total DALYs. Conclusion 45-79 years old should be the focus of colorectal cancer screening, especially 45 ~ 60 years old, to reduce the burden of disease caused by colorectal cancer.