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目的调查常州市天宁区居民2011—2013年恶性肿瘤发病和死亡情况,了解其分布特征及规律,为制定防治对策提供依据。方法从常州市肿瘤登记处和常州市疾病预防控制中心居民死因监测登记报告信息系统中提取常州市2011—2013年恶性肿瘤新发病例数据和死亡病例数据,分别计算2011—2013年恶性肿瘤粗发病率、标化发病率、粗死亡率、标化死亡率。结果常州市天宁区2011—2013年恶性肿瘤发病情况显示,粗发病率从2011年的262.75/10万上升到2013年的302.85/10万,2011—2013年标化发病率分别为340.22/10万、368.86/10万、276.82/10万,粗死亡率从2011年的166.50/10万上升到2013年的203.69/10万,2011—2013年标化死亡率分别为217.96/10万、244.74/10万、184.97/10万。男女发病率差异有统计学意义(χ2=37.39,P<0.01)。男女死亡率差异有统计学意义(χ2=185.90,P<0.01)。肺癌、胃癌、肠癌、乳腺癌和肝癌是天宁区主要的发病肿瘤,2011—2013年前5位恶性肿瘤分别占全部恶性肿瘤发病的54.90%、51.93%、57.87%。胃癌、肺癌、肝癌、肠癌和胰腺癌是主要导致天宁区人群死亡的肿瘤,2011—2013年前5位恶性肿瘤分别占全部恶性肿瘤死亡的50.73%、63.96%、68.69%。结论 2011—2013年常州市天宁区居民肿瘤发病率和死亡率逐年上升,疾病负担进一步加重,肿瘤防治相关措施亟需开展。
Objective To investigate the incidence and mortality of malignant tumors among residents in Tianning District of Changzhou City from 2011 to 2013, understand the distribution characteristics and laws of them, and provide basis for prevention and treatment measures. Methods Data of new malignant tumor cases and deaths in Changzhou City from 2011 to 2013 were extracted from the information system of death cause monitoring registration of residents in Changzhou Cancer Registry and Changzhou CDC Center and the data of death cases in 2011-2013 malignant tumor Rate, standardized incidence, crude mortality, standardized mortality. Results The incidence of malignant tumors in Tianning District of Changzhou from 2011 to 2013 showed that the incidence of crude diseases increased from 262.75 / 100 000 in 2011 to 302.85 / 100 000 in 2013, and the standardized incidence rates in 2011-2013 were 340.22 / 10 368.86 / 100000, 276.82 / 100000, the crude death rate rose from 166.50 / 100000 in 2011 to 203.69 / 100000 in 2013. The standardized death rates in 2011-2013 were 217.96 / 100000 and 244.74 / 100,000, 184.97 / 100,000. There was a significant difference in the incidence of males and females (χ2 = 37.39, P <0.01). The difference in mortality rate between men and women was statistically significant (χ2 = 185.90, P <0.01). Lung cancer, gastric cancer, intestinal cancer, breast cancer and liver cancer are the major tumor in Tianning district. The top five malignant tumors in 2011-2013 accounted for 54.90%, 51.93% and 57.87% of all malignant tumors respectively. Gastric cancer, lung cancer, liver cancer, intestinal cancer and pancreatic cancer are the major tumors that cause death in Tianning District. The top 5 malignant tumors in 2011-2013 accounted for 50.73%, 63.96% and 68.69% of all malignant tumor deaths respectively. Conclusion From 2011 to 2013, the morbidity and mortality of cancer in Tianning District, Changzhou City increased year by year, and the burden of disease was further aggravated. Relevant measures for tumor prevention and treatment were urgently needed.