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.
Zhonghua Yu Fang Yi Xue Za Zhi. 2007 Jun;41 Suppl:66-9.
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.
18 240 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 classifications. 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.
In 2003, the age-adjusted mortalities of esophageal cancer and gastric cancer were 68.47 per 100,000 and 57.01 per 100,000 respectively 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.
The declining trend in was observed the mortality of esophageal and gastric cancer in Linzhou by this study.
利用林州癌症登记系统中食管癌和胃癌的死亡数据,描述其死亡率并分析变化趋势。
从林州癌症登记系统中提取1988年至2003年期间这两种癌症的18240条死亡记录。其中,食管癌10138例,胃癌8102例。然后按性别、年龄、年份对数据进行分层,并与人口统计学分类相联系。计算两个部位癌症的死亡率,并通过直接标准化到世界人口计算年龄调整率。使用Joinpoint模型获得年龄调整率的估计年度百分比变化(EAPC),以估计林州市这两种癌症的死亡率变化趋势。
2003年,林州市食管癌和胃癌的年龄调整死亡率分别为每10万人68.47例和57.01例。1988年至2003年,两种癌症的死亡率均呈下降趋势。食管癌死亡率的EAPC为-3.82(-4.81 - -2.82,P < 0.001),胃癌死亡率的EAPC为-2.95(-4.16 - -1.73,P < 0.001)。
本研究观察到林州市食管癌和胃癌死亡率呈下降趋势。