Chen Wanqing, Zheng Rongshou, Zhang Siwei, Zeng Hongmei, Xia Changfa, Zuo Tingting, Yang Zhixun, Zou Xiaonong, He Jie
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.
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.
Cancer Lett. 2017 Aug 10;401:63-71. doi: 10.1016/j.canlet.2017.04.024. Epub 2017 May 3.
National Central Cancer Registry of China (NCCRC) updated nationwide statistics of cancer incidence and mortality in China using population-based cancer registration data in 2013 from all available cancer registries.
In 2016, 255 registries' data were qualified and included in this analysis. We estimated numbers of new cancer cases and deaths in China in 2013 using age-specific rates and corresponding national population stratified by area, sex, age group (0, 1-4, 5-9, 10-14…85+) and cancer type. The world Segi's population was applied for age-standardized rates. All rates were expressed per 100,000 person-year.
A total of 3,682,000 new cancer cases and 2,229,300 cancer deaths were estimated in China in 2013. Cancers of lung, female breast, stomach, liver, colon-rectum and esophagus were the most common cancers, accounting for about half of all cancer new cases. Lung cancer, liver cancer, stomach cancer, esophageal cancer, colorectal cancer were the five leading causes of cancer death, accounting for about 60% of all cancer deaths. The cancer patterns showed differences not only between male and female, but also among different geographic regions in China. For overall cancers, the age-standardized incidence rates were stable during the past decades in male, but significantly increased by 2.2% per year in female.
Cancer poses a major threat to public health and the cancer burden keep raising in China. The annual updated cancer statistics can provide scientific basis for cancer prevention and control.
中国国家癌症中心（NCCRC）利用2013年所有可用癌症登记处基于人群的癌症登记数据，更新了中国全国癌症发病率和死亡率的统计数据。
2016年，255个登记处的数据符合要求并纳入本分析。我们使用特定年龄发病率以及按地区、性别、年龄组（0、1 - 4、5 - 9、10 - 14…85 +）和癌症类型分层的相应全国人口，估算了2013年中国新发癌症病例数和死亡数。采用世界标准人口计算年龄标准化率。所有发病率均以每10万人年表示。
2013年中国估计共有368.2万例新发癌症病例和222.93万例癌症死亡病例。肺癌、女性乳腺癌、胃癌、肝癌、结直肠癌和食管癌是最常见的癌症，约占所有癌症新发病例的一半。肺癌、肝癌、胃癌、食管癌、结直肠癌是癌症死亡的五大主要原因，约占所有癌症死亡的60%。癌症模式不仅在男性和女性之间存在差异，在中国不同地理区域之间也存在差异。对于所有癌症而言，过去几十年男性年龄标准化发病率保持稳定，但女性每年显著上升2.2%。
癌症对公众健康构成重大威胁，中国的癌症负担持续上升。年度更新的癌症统计数据可为癌症防控提供科学依据。
