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[目的]分析河北省肿瘤登记地区2010~2013年甲状腺癌发病和死亡情况,估计河北省甲状腺癌的疾病负担。[方法]河北省肿瘤登记办公室收集2010~2013年10个国家级肿瘤登记处恶性肿瘤发病和死亡数据。将登记处按城乡、性别以及年龄别发病率和死亡率分层,结合河北省统计局公布人口数据,估计全省甲状腺癌的发病和死亡情况。中标率采用2000年中国第五次人口普查结果构成,世标率采用Segi’s世界人口构成。[结果]2010~2011年甲状腺癌全省估计新发病例约4720例,发病率为3.29/10万;2012~2013年河北省甲状腺癌估计新发病例约8820例,发病率为6.08/10万,比2010~2011年增长了84.80%。各年度城市地区发病率高于农村地区。2010~2011年河北省甲状腺癌死亡率为0.21/10万;2012~2013年死亡率为0.59/10万。[结论]河北省甲状腺癌整体呈现快速上升趋势,城市女性为高发人群,应针对其危险因素做相应的防控,从而降低甲状腺癌的疾病负担。
[Objective] To analyze the incidence and mortality of thyroid cancer from 2010 to 2013 in the region of cancer registration in Hebei Province and estimate the burden of thyroid cancer in Hebei Province. [Methods] Hebei Provincial Tumor Registry collected data on the incidence and mortality of malignant tumors from 10 national tumor registries from 2010 to 2013. The registry stratified by morbidity, sex and age-related morbidity and mortality, combined with population data published by Bureau of Statistics of Hebei Province to estimate the incidence and death of thyroid cancer in the province. The winning rate adopts the result of the fifth census of China in 2000. The rate of world standard products is composed of Segi’s world population. [Results] The estimated incidence of thyroid cancer in the province from 2010 to 2011 was 4720 cases, the incidence was 3.29 / 100 000. 2012 to 2013, an estimated 8820 new cases of thyroid cancer in Hebei Province, the incidence was 6.08 / 100 000 , An increase of 84.80% over 2010-2011. The incidence of urban areas in each year is higher than in rural areas. The death rate of thyroid cancer in Hebei Province from 2010 to 2011 was 0.21 / 100,000 and the death rate from 2012 to 2013 was 0.59 / 100,000. [Conclusion] The overall thyroid cancer in Hebei Province shows a rapid upward trend. Female urban women are high risk population. Corresponding prevention and control should be made according to their risk factors so as to reduce the disease burden of thyroid cancer.