Chen W Q, Zheng R S, Zhang S W, Zeng H M, Zou X N, He J
National Office for Cancer Prevention and Control, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Department of Thoracic Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Zhonghua Zhong Liu Za Zhi. 2017 Jan 23;39(1):60-66. doi: 10.3760/cma.j.issn.0253-3766.2017.01.012.
To estimate the cancer incidence and mortality in elderly Chinese population in 2013 based on the data from local cancer registries submitted to National Central Cancer Registry (NCCR). Data from 255 cancer registries submitted to NCCR with qualified data after checked and evaluated, were selected for this estimation. Cancer incidence and mortality were stratified by areas, sex, age groups and cancer site, combined with population data of the year 2013 to estimate cancer epidemiology in older people in China. Chinese population census in 2000 and Segi's population were used for the estimation of age-standardized incidence/mortality rates. All the 255 cancer registries (88 in urban and 167 in rural areas) were selected for this estimation, covered 37 407 728 elderly subjects, accounting for 17.73% of the entire national elderly population. It was estimated about 2 171.0 thousand new cancer cases in older people in China, accounting for 58.96% of all cancer incidence, with the crude incidence rate of 1 029.16/100 000 (1 297.96 per 100 000 in male, 777.18 per 100 000 in female), and the age-standardized incidence rate by Chinese standard population (ASIRC, 2000) was 1 019.25 per 100 000. It was estimated about 1 600.5 thousand deaths in older people in China, accounting for 67.70% of all cancer deaths, with the crude mortality of 758.72/100 000 (988.37 per 100 000 in males, 543.44 per 100 000 in females), and the age-standardized incidence rate by Chinese standard population (ASIRC, 2000) was 730.78 per 100 000. Lung cancer, stomach cancer, colorectal cancer, liver cancer and esophageal cancer were the most common cancers, accounting for about 67.70% of all cancer cases in China. Those cancers are also the most common cancers in China, accounting for about 73.45% of all cancer deaths. The cancer burden of elderly population in China is very serious. The major cancer incidence and mortality in urban and rural areas are similar, but the cancer patterns are very different in urban and rural areas. As cancer burdens for older people are different between urban and rural areas in China, more attention should be paid to the need of older people according to the actual situation.
基于提交至国家癌症中心（NCCR）的地方癌症登记数据，估算2013年中国老年人群的癌症发病率和死亡率。选取经检查和评估后数据合格的255个提交至NCCR的癌症登记处的数据进行此项估算。癌症发病率和死亡率按地区、性别、年龄组和癌症部位进行分层，并结合2013年的人口数据来估算中国老年人的癌症流行病学情况。采用2000年中国人口普查数据和Segi人口数据来估算年龄标准化发病率/死亡率。此次估算选取了所有255个癌症登记处（88个城市登记处和167个农村登记处），覆盖37407728名老年受试者，占全国老年人口的17.73%。据估算，中国老年人中新发癌症病例约217.10万例，占所有癌症发病率的58.96%，粗发病率为1029.16/10万（男性为1297.96/10万，女性为777.18/10万），按中国标准人口（ASIRC，2000）计算的年龄标准化发病率为1019.25/10万。据估算，中国老年人中癌症死亡病例约160.05万例，占所有癌症死亡病例的67.70%，粗死亡率为758.72/10万（男性为988.37/10万，女性为543.44/10万），按中国标准人口（ASIRC，2000）计算的年龄标准化发病率为730.78/10万。肺癌、胃癌、结直肠癌、肝癌和食管癌是最常见的癌症，约占中国所有癌症病例的67.70%。这些癌症也是中国最常见的癌症，约占所有癌症死亡病例的73.45%。中国老年人群的癌症负担非常严重。城乡地区主要癌症的发病率和死亡率相似，但城乡地区的癌症模式差异很大。由于中国城乡老年人的癌症负担不同，应根据实际情况更加关注老年人的需求。
