上海市黄浦区1973-2013年大肠癌发病情况分析
Analysis on Colorectal Cancer Incidence in Huangpu District of Shanghai, 1973-2013
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摘要:
目的 利用1973-2013年黄浦区肿瘤登记数据，分析大肠癌的发病流行趋势，为卫生部门提供大肠癌的防治依据。
方法 从历年肿瘤登记数据中收集大肠癌发病资料，计算分性别和年龄别大肠癌发病率，采用1966年世界人口年龄结构进行标化。应用JoinPoint软件计算年度变化率（APC）。
结果 1973-2013年，黄浦区登记的大肠癌发病率为32.68/10万，标化发病率为20.78/10万；其中男性发病率为32.63/10万，标化发病率22.47/10万，女性发病率为32.73/10万，标化发病率19.52/10万。结肠癌发病率为19.18/10万，标化发病率12.06/10万，直肠癌发病率为13.50/10万，标化发病率8.72/10万；男、女性结肠癌和直肠癌的发病率均随着年龄的增长而上升。期间，大肠癌发病总体呈上升趋势，发病粗率的APC为9.90%，调整年龄结构之后上升有所减缓，APC为5.05%。
结论 上海市黄浦区大肠癌的发病率呈上升趋势，应加大防控力度。
Abstract:Objective To analyze the colorectal cancer incidence trends using cancer registration data in Huangpu District from 1973 to 2013 to provide a basis for colorectal cancer prevention and treatment for health sectors.
Methods Data of diagnosed colorectal cancer patients were retrieved from the National Cancer Registry Database. Annual incidence rates of colorectal cancer stratified by age and gender were calculated; while age standardized rate (ASR) was standardized by 1966 world population age structure. JoinPoint software was used to calculate annual percent change (APC).
Results From 1973 to 2013, the incidence rate and ASR of colorectal cancer patients registered to Huangpu District were 32.68/105 and 20.78/105, respectively (32.63/105 and 19.90/105 for male population, 32.73/105 and 19.52/105 for female population). The colon cancer incidence was 19.18/105, with ASR of 12.06/105, while the rectum cancer incidence was 13.50/105, with ASR of 8.72/105. Both the incidences of colon cancer and rectum cancer in both genders were increased with older age. In the period, the incidence of colorectal cancer was on the rise in general, and the APC of crude incidence rate was 9.90%; after adjusted by age structure, the slope was less steep and the APC was 5.05%.
Conclusion A rising incidence of colorectal cancer is identified in Huangpu District of Shanghai, which requires strengthened actions on prevention and control.
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