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目的分析浙江省肿瘤登记地区居民2000—2009年膀胱癌发病与死亡的流行状况。方法 2000—2009年膀胱癌发病与死亡数据来源于浙江省6个肿瘤登记地区,并经浙江省肿瘤防治办公室审核和整理,分析居民发病和死亡的粗率、标化率及变化趋势。结果浙江省肿瘤登记地区居民2000—2009年膀胱癌合计发病率为6.97/10万,男性高于女性,男性与女性发病比值为3.40。发病率从2000年的6.36/10万,升高到2009年的7.99/10万,年度变化百分比(APC)为3.69%(95%可信区间为2.49%~4.90%)。居民膀胱癌合计死亡率为2.00/10万,男性与女性死亡比值为3.27。10年膀胱癌死亡率呈现小幅度波动趋势,年度变化百分比(APC)为2.28%。膀胱癌发病与死亡在55岁组之后呈现明显增长趋势,发病在80~84岁组达到高峰,死亡在85岁以上组达到高峰。结论高龄老年男性人群应作为膀胱癌防治工作的重点对象。
Objective To analyze the epidemiological status of bladder cancer incidence and mortality in residents registered in Zhejiang province from 2000 to 2009. Methods The data of incidence and mortality of bladder cancer from 2000 to 2009 were collected from 6 tumor registration areas in Zhejiang Province. The data were reviewed and sorted out by Zhejiang Cancer Prevention and Control Office to analyze the crude rate, standardization rate and trend of residents’ morbidity and mortality. Results The total incidence of bladder cancer in residents registered in Zhejiang Province from 2000 to 2009 was 6.97 / 100000, higher than that of males, and the incidence of males to females was 3.40. The incidence rose from 6.36 / 100,000 in 2000 to 7.99 / 100,000 in 2009, with an annual change percentage (APC) of 3.69% (95% confidence interval 2.49% -4.90%). The total death rate of residents with bladder cancer was 2.00 / 100,000 and the ratio of male to female death was 3.27. The mortality rate of bladder cancer showed a slight fluctuation with an annual percentage of change (APC) of 2.28%. The incidence and death of bladder cancer showed a significant increase trend after 55 years old group, the incidence peaked in 80-84 years old group, and the death reached the peak in 85 years old group. Conclusion Elderly male population should be the focus of prevention and treatment of bladder cancer.