| 邹艳花,廖先珍,许可葵.2009—2018年湖南省肿瘤登记地区女性乳腺癌发病与死亡趋势分析[J].中国肿瘤,2022,31(5):341-347. |
| 2009—2018年湖南省肿瘤登记地区女性乳腺癌发病与死亡趋势分析 |
| Trend Analysis of Incidence and Mortality of Female Breast Cancer in Hunan Cancer Registration Areas from 2009 to 2018 |
| 投稿时间：2021-12-22 |
| DOI：10.11735/j.issn.1004-0242.2022.05.A004 |
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| 中文关键词: 肿瘤登记 女性乳腺癌 发病率 死亡率 湖南 |
| 英文关键词:cancer registration female breast cancer incidence rate mortality rate Hunan |
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| 中文摘要: |
| 摘 要：［目的］ 分析湖南省肿瘤登记地区2009—2018年女性乳腺癌的发病与死亡情况。 ［方法］ 收集2009—2018年湖南省32个肿瘤登记点上报的女性乳腺癌发病与死亡数据，按照地区计算湖南省女性乳腺癌的发病（死亡）率、中标发病（死亡）率，年龄别发病（死亡）率、0～74岁累积发病（死亡）率、 35～64 岁截缩发病（死亡）率和年度变化百分比（annual percentage change，APC）等指标。［结果］ 2009—2018年湖南省肿瘤登记地区女性乳腺癌发病率为31.99/10万，0～74岁累积发病率为2.83%，35～64 岁截缩发病率56.63/10万，城市地区以上三项指标分别为42.72/10万、4.07%、71.36/10万,农村地区以上三项指标分别为26.38/10万、2.20%、48.81/10万。2009—2018年湖南省肿瘤登记地区女性乳腺癌死亡率为8.86/10万，0～74岁累积死亡率为1.00%，35～64 岁截缩死亡率13.49/10万，城市地区以上三项指标分别为11.73/10万、1.43%、16.86/10万，农村地区以上三项指标分别为7.36/10万、0.78%、11.69/10万。2009—2018年湖南省肿瘤登记地区女性乳腺癌中标发病率、0～74岁累积发病率、35～64 岁截缩发病率呈上升趋势，且均有统计学意义（P均<0.05），APC依次为4.1%、4.9%、4.3%。趋势变化均在2011年出现一个拐点，2009—2011年的趋势变化无统计学意义。2009—2018年湖南省肿瘤登记地区女性乳腺癌中标死亡率、0～74岁累积死亡率、35～64 岁截缩死亡率较为稳定，趋势变化无统计学意义。趋势均在2011年出现一个拐点，2011—2018年趋势变化均有统计学意义（P均<0.05）。2009—2018年湖南省肿瘤登记地区女性乳腺癌年龄别发病率峰值出现在50~54岁年龄组，年龄别死亡率呈持续增长趋势。［结论］ 湖南省肿瘤登记地区女性乳腺癌发病率呈明显逐年增长趋势，死亡率也有上升趋势，应加强对女性乳腺癌的防治。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the trend of incidence and mortality of female breast cancer in Hunan cancer registration areas from 2009 to 2018. ［Methods］ The new cases and deaths data of female breast cancer were collected from 32 cancer registries of Hunan Province. The crude incidence/mortality rate， age-standardized incidence/mortality rate by Chinese standard population(ASIRC/ASMRC)， age-specific incidence/mortality rate, the cumulative incidence/mortality rate(0～74 years old)， the truncated incidence/mortality rate(35～64 years old)， annual percentage change(APC) were calculated by stratification of areas. ［Results］ The average crude incidence rate， the cumulative incidence rate(0～74 years old) and the truncated incidence rate(35～64 years old) of female breast cancer were 31.99/105， 2.83%， and 56.63/105， respectively in Hunan cancer registration areas from 2009 to 2018. These indicators were 42.72/105， 4.07% and 71.36/105 in urban areas; and 26.38/105， 2.20% and 48.81/105 in rural areas， respectively. The ASIRC， the cumulative incidence rate(0～74 years old) and the truncated incidence rate(35～64 years old) of female breast cancer from 2009 to 2018 showed a significantly increasing trend with the APC of 4.1%， 4.9% and 4.3%， respectively（all P<0.05）. The trend of these indicators showed a turning point in 2011， and the trend changes from 2009 to 2011 were not statistically significant. The crude moryears old) of female breast cancer were 8.86/105， 1.00% and 13.49/105， respectively in Hunan cancer registration areas from 2009 to 2018. And the above three indicators were 11.73/105， 1.43% and 16.86/105 in urban areas， and 7.36/105， 0.78% and 11.69/105 in rural areas， respectively. The ASMRC， the cumulative mortality rate(0～74 years old) and the truncated mortality rate(35～64 years old) of female breast cancer were relatively stable(P>0.05). The trend showed a turning point in 2011， and from 2011 to 2018 the changes were statistically significant(all P<0.05). The age-specific incidence peaked at the age group of 50~54 years， and the age-specific mortality rate showed a continuous increase trend. ［Conclusion］ The incidence of female breast cancer in Hunan shows a significant increasing trend and the mortality rate is on the rise. The prevention and treatment of female breast cancer should be strengthened. |
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