Analysis of the incidence and mortality of liver cancer in Liuzhou City from 2012 to 2019
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摘要:
目的 分析2012–2019年柳州市肝癌发病与死亡情况及变化趋势,了解当前柳州市肝癌的防控现状。 方法 通过广西壮族自治区柳州市肿瘤登记中心获取2012–2019年柳州市居民肝癌发病、死亡和人口资料,计算发病率、死亡率,中国人口标化发病率、死亡率,世界人口标化发病率、死亡率等,利用Joinpoint 5.0.2软件对发病率、死亡率的变化趋势进行分析。 结果 肝癌发病数共3 844例,发病率为33.99/10万,中国人口标化发病率为34.44/10万,世界人口标化发病率为26.89/10万。肝癌死亡数共3 116例,死亡率为27.55/10万,中国人口标化死亡率为28.01/10万,世界人口标化死亡率为21.76/10万。性别方面,男性发病率和死亡率水平均高于女性;年龄方面,肝癌发病率和死亡率均随年龄的增长而增加,≥85岁年龄组的发病率和死亡率最高;变化趋势方面,2012–2019年肝癌发病率总体呈先增长后下降趋势,中国人口标化发病率由35.53/10万下降至33.01/10万,肝癌死亡率呈缓慢上升趋势,中国人口标化死亡率由28.94/10万上升至30.84/10万,但差异均无统计学意义(均P>0.05)。 结论 2012–2019年柳州市居民肝癌发病率呈下降趋势,但发病率和死亡率仍偏高,肝癌的疾病负担较重,应加强肝癌筛查和早诊早治力度,同时利用多种健康宣教活动,提倡健康生活方式,提高居民健康水平。 Abstract:Objective This study aims to analyze the incidence and mortality rates of liver cancer in Liuzhou City, and to assess the current prevention and control measures. Methods Data on the incidence, mortality, and population statistics related to liver cancer in Liuzhou City were collected. The crude incidence and mortality rates, as well as the age-standardized incidence and mortality rates for both the Chinese and global populations, were calculated. Joinpoint 5.0.2 software was utilized to analyze trends in morbidity and mortality rates. Results A total of 3 844 liver cancer cases were reported, resulting in a incidence rate of 33.99 per 100 000 individuals. The age-standardized incidence rate was 34.44 per 100 000 for the Chinese population and 26.89 per 100 000 for the global population. There were 3 116 liver cancer-related deaths, yielding a crude mortality rate of 27.55 per 100 000. The age-standardized mortality rate was 28.01 per 100 000 for the Chinese population and 21.76 per 100 000 for the global population. In terms of gender, both incidence and mortality rates were higher in males compared to females. Additionally, both rates increased with age, peaking in the ≥85 years age group. From the changing trends, the incidence of liver cancer initially increased and then decreased. The age-standardized incidence rate for the Chinese population declined from 35.53 per 100 000 to 33.01 per 100 000. In contrast, the mortality rate for liver cancer exhibited a gradual upward trend, with the age-standardized mortality rate for the Chinese population rising from 28.94 per 100 000 to 30.84 per 100 000, but there were no significant difference (all P>0.05). Conclusions Although the incidence of liver cancer among residents of Liuzhou shows a downward trend, the morbidity and mortality rates remain high, indicating a significant disease burden. Therefore, it is essential to enhance implement liver cancer screening and early diagnosis and treatment protocols, and promote healthy lifestyle choices through diverse health education initiatives. -
Key words:
- Liver cancer /
- Incidence /
- Mortality /
- Variation tendency
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表 1 2012–2019年柳州市肝癌发病情况
Table 1. Incidence of liver cancer in Liuzhou City, 2012-2019
年份
Year男性Male 女性Female 合计Total 发病率
Incidence rate/100 000-1ASRC/100 000-1 ASRW/100 000-1 发病率
Incidence rate/100 000-1ASRC/100 000-1 ASRW/100 000-1 发病率
Incidence rate/100 000-1ASRC/100 000-1 ASRW/100 000-1 2012 52.81 56.44 43.41 14.00 14.41 11.25 33.98 35.53 27.43 2013 49.22 53.52 41.54 13.53 13.79 11.30 31.89 33.43 26.29 2014 48.26 52.35 41.64 12.78 12.95 9.49 31.04 32.68 25.59 2015 52.21 57.46 44.68 13.27 13.47 10.03 33.31 35.20 27.16 2016 53.93 59.39 46.43 15.26 15.54 11.78 35.15 37.25 28.93 2017 54.89 56.29 44.01 16.42 15.64 11.93 36.12 36.04 28.06 2018 53.02 54.48 42.53 14.02 13.28 10.35 33.98 33.90 26.52 2019 54.13 53.05 41.71 13.84 12.21 9.71 34.80 33.01 26.00 合计Total 52.61 55.02 43.02 14.25 13.81 10.67 33.99 34.44 26.89 注:ASRC,中国人口标化率;ASRW,世界人口标化率。
Note: ASRC, age-standardized rate by Chinese standard population; ASRW, age-standardized rate by world standard population.表 2 2012–2019年柳州市肝癌死亡情况
Table 2. Live cancer mortality in Liuzhou City, 2012-2019
年份
Year男性Male 女性Female 合计Total 死亡率
Mortality rate/100 000-1ASRC/100 000-1 ASRW/100 000-1 死亡率
Mortality rate/100 000-1ASRC/100 000-1 ASRW/100 000-1 死亡率
Mortality rate/100 000-1ASRC/100 000-1 ASRW/100 000-1 2012 41.57 45.81 35.35 12.11 12.47 9.47 27.27 28.94 22.28 2013 39.64 43.92 33.45 9.79 9.95 7.76 25.15 26.64 20.42 2014 37.19 41.00 31.77 10.16 10.35 7.42 24.06 25.58 19.54 2015 42.94 47.77 38.04 12.58 12.76 9.56 28.20 29.98 23.58 2016 41.45 46.15 36.08 12.04 12.36 9.29 27.17 28.91 22.41 2017 40.98 42.06 32.99 13.23 12.52 9.61 27.44 27.37 21.38 2018 41.47 42.72 33.21 10.77 10.01 7.66 26.49 26.41 20.50 2019 51.44 50.82 39.88 11.81 10.36 7.82 32.43 30.84 24.07 合计Total 42.57 44.90 35.05 11.62 11.23 8.51 27.55 28.01 21.76 注:ASRC,中国人口标化率;ASRW,世界人口标化率。
Note: ASRC, age-standardized rate by Chinese standard population; ASRW, age-standardized rate by world standard population. -
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