Liang D, Li D J, Shi J, Zhang Y C, Guo T T, He Y T
Cancer Institute of Hebei Province, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Jan 10;39(1):35-39. doi: 10.3760/cma.j.issn.0254-6450.2018.01.007.
To analyze the data of malignant tumor mortality and change in disease burden in Hebei province from 1973 to 2013. Cancer mortality rate, age-standardized mortality rate and the years of life lost due to premature mortality (YLLs) were calculated by using the data from three rounds of all death causes survey and database of cancer registry in Hebei during 1973-2013. From 1973 to 2013, a linear upward of malignant tumor mortality was observed, with a 51.57% increase. The mortality rate during 1973-1975 was 98.52/100 000 and it was 149.33/100 000 during 2011-2013. During 1973-1975, the YLLs was 17.0/1 000 in males and 12.8/1 000 in females. While during 2011-2013, the YLLs was 23.2/1 000 in males and 15.9/1 000 in females. During 1973-1975, esophagus cancer, stomach cancer and liver cancer were top three leading causes of deaths. During 2011-2013, lung cancer, stomach cancer and liver cancer were main leading causes of deaths. During the past 40 years, the deaths of esophagus cancer and cervix cancer decreased dramatically, but the deaths of lung cancer and breast cancer increased sharply. The disease burden caused by malignant tumor is becoming more serious in Hebei. It is necessary to strengthen the primary prevention and screening of malignant tumor.
分析1973年至2013年河北省恶性肿瘤死亡率及疾病负担变化情况。利用河北省1973 - 2013年三轮全死因调查数据及癌症登记数据库，计算癌症死亡率、年龄标准化死亡率和过早死亡所致寿命损失年（YLLs）。1973年至2013年，恶性肿瘤死亡率呈线性上升，增长了51.57%。1973 - 1975年死亡率为98.52/10万，2011 - 2013年为149.33/10万。1973 - 1975年，男性YLLs为17.0/1000，女性为12.8/1000；2011 - 2013年，男性YLLs为23.2/1000，女性为15.9/1000。1973 - 1975年，食管癌、胃癌和肝癌是前三位主要死因；2011 - 2013年，肺癌、胃癌和肝癌是主要死因。在过去40年里，食管癌和宫颈癌死亡人数大幅下降，但肺癌和乳腺癌死亡人数急剧增加。河北省恶性肿瘤所致疾病负担日益加重，有必要加强恶性肿瘤的一级预防和筛查。
