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[目的]评价山东省招远市2013年恶性肿瘤的疾病负担。[方法]数据来源于山东省疾病预防控制中心慢性病监测信息管理系统。使用早死所致的寿命损失年(YLLs)、残疾所致寿命年损失(YLDs)和伤残调整寿命年(DALYs)等指标分析恶性肿瘤疾病负担情况。[结果]招远市2013年居民恶性肿瘤粗发病率为398.99/10万,粗死亡率为268.82/10万。每千人损失DALYs为41.96;男性DALYs率(51.91%)高于女性(32.15%);其中YLLs为34.49/千人,YLDs为7.47/千人。恶性肿瘤DALYs前5位依次为肺癌、肝癌、胃癌、结直肠癌和乳腺癌,前5位恶性肿瘤疾病负担占全部肿瘤的73.97%。恶性肿瘤DALYs随年龄增加而增加。[结论]山东省招远市恶性肿瘤疾病负担较高,肺癌、肝癌、胃癌是造成恶性肿瘤疾病负担的主要原因。
[Objective] To evaluate the disease burden of malignant tumor in Zhaoyuan, Shandong Province in 2013. [Method] The data come from the chronic disease monitoring information management system of Shandong Provincial Center for Disease Control and Prevention. YLLs, YLDs and DALYs were used to analyze the burden of malignant disease. [Results] The crude incidence rate of malignant tumors of inhabitants in Zhaoyuan City in 2013 was 398.99 / lakh and the crude mortality rate was 268.82 / lakh. DALYs loss per 1000 people was 41.96; male DALYs rate (51.91%) was higher than female (32.15%); YLLs was 34.49 per thousand and YLDs was 7.47 per thousand. The top 5 DALYs of malignant tumors were lung cancer, liver cancer, gastric cancer, colorectal cancer and breast cancer in succession. The top five malignant tumors accounted for 73.97% of the total cancers. Malignant tumor DALYs increase with age. [Conclusion] There is a high burden of malignant tumor in Zhaoyuan, Shandong Province. Lung cancer, liver cancer and gastric cancer are the main causes of cancer burden.