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2008年中国肺癌的发病率与死亡率

Lung cancer incidence and mortality in China, 2008.

作者信息

Zeng Hongmei, Zheng Rongshou, Zhang Siwei, He Jie, Chen Wanqing

机构信息

National Office for Cancer Prevention and Control & National Cancer Center, Beijing, China.

出版信息

Thorac Cancer. 2013 Feb;4(1):53-58. doi: 10.1111/j.1759-7714.2012.00160.x.

Abstract

BACKGROUND

To provide cancer statistics to health planners, researchers, and the public, we reported the incidence and mortality data of lung cancer in 2008 in Chinese registration areas by age, sex, and geographic area.

METHODS

In 2011, 56 population-based cancer registries reported the lung cancer incidence and mortality data of 2008 to the Chinese National Central Cancer Registry. Forty-one registries' data met the national criteria. The crude incidence and mortality rates of lung cancer were calculated by age, gender, and area. Age-standardized rates were calculated using the Chinese and World populations.

RESULTS

The crude incidence rate for lung cancer was 54.75/100 000 (73.12/100 000 for male and 36.08/100 000 for female; 57.96/100 000 in urban and 42.80/100 000 in rural). Age-standardized rates by China population (CASR) and World population (WASR) for incidence were 24.98/100 000 and 34.07/100 000, respectively. The crude mortality rate for lung cancer was 46.07/100 000 (62.47/100 000 for male and 29.39/100 000 for female; 48.76/100 000 in urban and 36.03/100 000 in rural). The CASR and WASR for mortality were 20.09/100 000 and 27.68/100 000, respectively. Both for incidence and mortality, the rates for lung cancer were higher in males than in females, and in urban areas than in rural areas. The overall age-specific incidence and mortality rates showed that both rates were relatively low up to 35 years of age, but dramatically increased from such age, reaching a peak with subjects of 80-84 years old.

CONCLUSION

The burden of lung cancer remains high in China, especially for males in urban areas. Effective intervention, such as smoking control, should be enhanced in the future.

摘要

背景

为向卫生规划者、研究人员及公众提供癌症统计数据,我们报告了2008年中国登记地区肺癌按年龄、性别和地理区域划分的发病率和死亡率数据。

方法

2011年,56个基于人群的癌症登记处向中国国家癌症中心报告了2008年的肺癌发病率和死亡率数据。41个登记处的数据符合国家标准。按年龄、性别和地区计算肺癌的粗发病率和死亡率。使用中国人群和世界人群计算年龄标准化率。

结果

肺癌的粗发病率为54.75/10万(男性为73.12/10万,女性为36.08/10万;城市为57.96/10万,农村为42.80/10万)。按中国人群(CASR)和世界人群(WASR)计算的年龄标准化发病率分别为24.98/10万和34.07/10万。肺癌的粗死亡率为46.07/10万(男性为62.47/10万,女性为29.39/10万;城市为48.76/10万,农村为36.03/10万)。死亡率的CASR和WASR分别为20.09/10万和27.68/10万。无论发病率还是死亡率,肺癌发病率男性高于女性,城市高于农村。总体年龄别发病率和死亡率显示,35岁及以下两者相对较低,但此后急剧上升,在80 - 84岁人群中达到峰值。

结论

中国肺癌负担仍然很高,尤其是城市男性。未来应加强有效干预措施,如控烟。

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