摘要
目的利用林州市肿瘤登记处的食管癌、胃癌死亡登记报告资料,描述性分析林州市居民的食管癌、胃癌死亡水平及变化趋势.方法从林州市肿瘤登记处抽取1988-2003年期间死亡原因为食管癌、胃癌的全部记录,共获得记录18240例,其中食管癌10138例,胃癌8102例.分别按性别、年龄、年份分组后与相应的人口数据连接.计算食管癌、胃癌各个年份死亡率及世界人口年龄调整率.采用Jionpoint模型估计年龄调整死亡率的年度变化百分率,评价林州市食管癌及胃癌死亡率的时间变化趋势.结果2003年林州市人群食管癌、胃癌年龄调整死亡率分别为68.47/10万和57.01/10万;自1988-2003年期间2种癌症的年龄调整死亡率均呈下降趋势;死亡率的EAPC分别为-3.82(-4.81^-2.82,P<0.001)和-2.95(-4.16^-1.73,P<0.001).同时分性别、胃癌分解剖部位(贲门、胃其他部位)以及食管合并贲门癌的年龄调整死亡率也均呈有统计学意义的下降趋势.结论伴随着社会经济的发展、居民生活水平提高、居住环境条件改善及医疗资源的有效配置,林州市人群食管癌、胃癌的死亡率呈现下降趋势.
Objective Using the data on death for esophagus and stomach cancers in Linzhou cancer registration system,the mortality was described as well as the changing trend was analyzed.Methods 18240 death recorders for the both cancers during 1988 to 2003 were drawn from Linzhou cancer registration system.Of which,10138 cases were esophageal cancer and 8102 cases were gastric cancer.Then data were stratified by sex,age,year and then linked to demographic cassifications.The mortalities of two topographic site cancers were calculated and the age-adjusted rates were calculated by direct standardization to the world population.The Joinpoint model was used to get the estimated annual percent change(EAPC)of the age-adjusted rates,so to estimate the death rate change trends of both cancers in population of Linzhou city.Results In 2003,the age-adjusted mortalties of esophageal cancer and gastric cancer were 68.47 per 100000 and 57.01 per 100000 repectively of Linzhou city.From 1988 to 2003 the death rates for both of cancers had showed the decline trends.The EAPC of the mortality for esophageal cancer was-3.82(-4.81-2.82,P<0.001)and that for gastric cancer was-2.95(-4.16-1.73,P<0.001)respectively.Conclusion The declining trend in was observed the mortality of esophageal and gastric cancer in Linzhou by this study.
作者
孙喜斌
连士勇
刘志才
刘曙正
李变云
全培良
陆建邦
SUN Xi-bin;LIAN Shi-yong;LIU Zhi-cai;LIU Shu-zheng;LI Bian-yun;QUAN Pei-liang;LU Jian-bang(Henan Cancer Research and Control Office,Zhengzhou 450008,China;不详)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2007年第S01期66-69,共4页
Chinese Journal of Preventive Medicine
关键词
食管肿瘤
胃肿瘤
死亡率
疾病影响状态
Esophageal neoplasm
Stomach neoplasm
Mortality
Sickness impact profile
