He Yutong, Liang Di, Li Daojuan, Zhai Jingbo, Liu Bo, Zhu Junqing, Shan Baoen
Cancer Institute, Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China.
Disease Control Office, Hebei Provincial Health Department.
Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Aug;36(8):846-51.
To analyze the cancer incidence and mortality in Hebei cancer registry available areas in 2011.
Data were collected from 8 population-based cancer registries systems in Hebei province. Incidence and mortality rates stratified by areas (urban/rural), sex, age group and cancer site were analyzed. 10 common cancers in different groups, proportions and cumulative rates were calculated. The Chinese population census in the year 2000 and Segi's populations were used for age-standardized incidence/mortality rates.
In all the 8 cancer registries that covering a total of 4 573 293 population (2 139 779 in urban and 2 433 514 in rural areas), data was used for the analysis. The total new cancer incidence cases and deaths were 11 269 and 7 477, respectively. All the morphologically verified cancer cases (MV%) accounted for 75.26% while 3.85% of the incident cases were identified only through death certification records (DCO%). The mortality to incidence ratio appeared as 0.66. The crude incidence appeared in the Hebei cancer registration areas was 246.41/10⁵ (264.55/10⁵ in males and 227.75/10⁵ in females). The age-standardized incidence rates by Chinese standard population (ASIRC) and by world standard population (ASIRW) appeared as 207.13/10⁵ and 206.61/10⁵ respectively, with the cumulative incidence rates as (0-74 age years old) 23.57%. The cancer incidence and ASIRC were 242.64/10⁵ and 200.19/10⁵ in urban areas, whereas 249.72/10⁵ and 214.11/10⁵, respectively in rural areas. The crude mortality in Hebei cancer registration areas was 163.49/10⁵ (196.54/10⁵ in male, 129.51/10⁵ in female), with age-standardized mortality rates by Chinese standard population (ASMRC) and by world standard population (ASMRW) as 144.48/10⁵ and 147.69/10⁵. The cumulative mortality rate (0-74 age years old) was 14.71%. The cancer mortality (167.91/10⁵) in rural areas seemed higher than the mortality (158.47/10⁵) in urban areas. The most common sites of cancers were: stomach, lung, esophagus, breast, liver and colorectal, which accounted for 71.66% of all the cancer cases. Lung cancer, stomach cancer, esophagus cancer, liver cancer and colorectal cancer were the major causes responsible for the cancer deaths in the areas with data of cancer registration, which accounted for 74.79% of all the cancer deaths.
The coverage of Hebei cancer registration population could reflect the cancer burden in various areas and populations. The most commonly seen cancers were stomach, lung, esophagus, breast, liver, and colorectal, in Hebei province. In order to reduce the burden of cancers, prevention and control measures should be strengthened.
分析2011年河北省癌症登记覆盖地区的癌症发病率和死亡率。
数据收集自河北省8个基于人群的癌症登记系统。分析按地区（城市/农村）、性别、年龄组和癌症部位分层的发病率和死亡率。计算不同组中的10种常见癌症及其比例和累积率。采用2000年中国人口普查数据和Segi人口数据对发病率/死亡率进行年龄标准化。
在全部8个癌症登记处，共覆盖4573293人（城市2139779人，农村2433514人），数据用于分析。癌症新发病例和死亡病例总数分别为11269例和7477例。所有经形态学证实的癌症病例（MV%）占75.26%，而仅通过死亡证明记录（DCO%）识别的病例占3.85%。死亡率与发病率之比为0.66。河北省癌症登记地区的粗发病率为246.41/10⁵（男性为264.55/10⁵，女性为227.75/10⁵）。按中国标准人口计算的年龄标准化发病率（ASIRC）和按世界标准人口计算的年龄标准化发病率（ASIRW）分别为207.13/10⁵和206.61/10⁵，累积发病率（0至74岁）为23.57%。城市地区的癌症发病率和ASIRC分别为242.64/10⁵和200.19/10⁵，而农村地区分别为249.72/10⁵和214.11/10⁵。河北省癌症登记地区的粗死亡率为163.49/10⁵（男性为196.54/10⁵，女性为129.51/10⁵），按中国标准人口计算的年龄标准化死亡率（ASMRC）和按世界标准人口计算的年龄标准化死亡率（ASMRW）分别为144.48/10⁵和147.69/10⁵。累积死亡率（0至74岁）为14.71%。农村地区的癌症死亡率（167.91/10⁵）似乎高于城市地区的死亡率（158.47/10⁵）。最常见的癌症部位为：胃、肺、食管、乳腺、肝和结肠直肠，占所有癌症病例的71.66%。肺癌、胃癌、食管癌、肝癌和结肠直肠癌是癌症登记地区癌症死亡的主要原因，占所有癌症死亡的74.79%。
河北省癌症登记人群的覆盖范围能够反映不同地区和人群的癌症负担。河北省最常见的癌症为胃、肺、食管、乳腺、肝和结肠直肠癌。为减轻癌症负担，应加强预防和控制措施。
