Xu Z L, Zhang H, Wang D Z, Song G D, Shen C F, Zhang S, Zhang Y, Jiang G H
Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Feb 10;38(2):231-234. doi: 10.3760/cma.j.issn.0254-6450.2017.02.019.
To explore the causes of cancer deaths and cause-eliminated-life-expectancy among residents of Tianjin. Data from the death registry system of Tianjin residents in 2015 were collected and cancers were grouped according to the classification of Global Burden of Disease. Specific cancer crude death rate and cause eliminated life expectancy (CELE) were calculated. In 2015, 17 641 Tianjin residents died of cancer, with the crude death rate as 171.79 per 100 thousand and the standardized rate according to the Chinese population in 2000 as 86.32 per 100 thousand. The cancer deaths among men was 10 165, with crude death rate of 197.39 per 100 thousand and standardized rate was 95.41 per 100 thousand. While among females the cancer deaths was 7 476, with crude death rate as 146.04 per 100 thousand and standardized rate as 76.65 per 100 thousand. The top five leading deaths on cancers among men were lung, liver, stomach, "colon, rectum and anal" , pancreas, while lung, breast, liver, "colon, rectum and anal" , stomach were in women. The life expectancy increased 3.53 and 2.88 years among men and women respectively after the exclusion of cancer deaths. When lung cancer death was excluded, the life expectancy increased 1.25 and 0.97 years respectively among men and women. Lung cancer was the main reason of life expectancy lost than cancer of other locations. Cancers, with lung cancer in particular, were the major diseases causing death and life expectancy lost in the Tianjin residents which called for urgent effective intervention programs to develop.
探讨天津市居民癌症死亡原因及消除病因后的预期寿命。收集2015年天津市居民死亡登记系统的数据，并根据全球疾病负担分类对癌症进行分组。计算特定癌症粗死亡率和消除病因后的预期寿命（CELE）。2015年，17641名天津居民死于癌症，粗死亡率为每10万人171.79例，根据2000年中国人口标准化率为每10万人86.32例。男性癌症死亡10165例，粗死亡率为每10万人197.39例，标准化率为每10万人95.41例。女性癌症死亡7476例，粗死亡率为每10万人146.04例，标准化率为每10万人76.65例。男性癌症死亡的前五位是肺癌、肝癌、胃癌、“结肠、直肠和肛门癌”、胰腺癌，而女性是肺癌、乳腺癌、肝癌、“结肠、直肠和肛门癌”、胃癌。排除癌症死亡后，男性和女性的预期寿命分别增加了3.53岁和2.88岁。排除肺癌死亡后，男性和女性的预期寿命分别增加了1.25岁和0.97岁。肺癌是导致预期寿命损失比其他部位癌症更主要的原因。癌症，尤其是肺癌，是导致天津居民死亡和预期寿命损失的主要疾病，需要制定紧急有效的干预方案。
