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CN 34-1304/RISSN 1674-3679

Volume 25 Issue 9
Oct.  2021
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JIA Shan-qun, ZHOU Qian-yv, LIU Hui-min, LIU Dan-dan, SUN Chang-qing. The mortality trend of digestive tract malignant tumor in China from 2004 to 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(9): 1020-1025. doi: 10.16462/j.cnki.zhjbkz.2021.09.006
Citation: JIA Shan-qun, ZHOU Qian-yv, LIU Hui-min, LIU Dan-dan, SUN Chang-qing. The mortality trend of digestive tract malignant tumor in China from 2004 to 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(9): 1020-1025. doi: 10.16462/j.cnki.zhjbkz.2021.09.006

The mortality trend of digestive tract malignant tumor in China from 2004 to 2018

doi: 10.16462/j.cnki.zhjbkz.2021.09.006
Funds:

National Social Science Foundation of China 20BRK041

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  • Corresponding author: SUN Chang-qing, E-mail: suncq@zzu.edu.cn
  • Received Date: 2021-01-16
  • Rev Recd Date: 2021-03-21
  • Available Online: 2021-10-23
  • Publish Date: 2021-09-10
  •   Objective  To analyze the mortality status and trend of digestive tract malignant tumors in China from 2004 to 2018.  Methods  The mortality data of digestive tract malignant tumors in the national disease surveillance areas from 2004 to 2018 were collected. The crude and standardized mortality rates with various digestive tract malignant tumors were calculated. The trend of standardized mortality was analyzed using Joinpoint regression model.  Results  From 2004 to 2018, the standardized mortality rates of esophageal cancer and gastric cancer in China showed a general downward trend, with an average annual percent change (AAPC) of -4.7% and -4.3%(all P < 0.05), respectively. The mortality rate of colorectal cancer showed no significant change(AAPC=0.4%, P=0.733). The mortality rates of various digestive tract malignant tumors increased with age. The standardized mortality rates of various digestive tract malignant tumors among males were higher than those of females, and the average annual decline was smaller. The standardized mortality rates of esophageal cancer and gastric cancer in rural areas were higher than those in urban areas, but the average annual decrease was larger. The standardized mortality rate of esophageal cancer in eastern areas was the highest. The standardized mortality rate of gastric cancer in central areas was highest, and the rate of decline was faster. The mortality rate of colorectal cancer in western areas increased slowly.  Conclusions  From 2004 to 2018, the mortality rates of esophageal cancer and gastric cancer had improved, but the mortality rate of colorectal cancer was still on the rise in western areas. The preventive measures of digestive tract malignant tumors should be strengthened to reduce the burden of digestive tract malignant tumors.
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