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2005 - 2013年中国口腔和口咽癌的发病率及死亡率趋势

Incidence and mortality trends in oral and oropharyngeal cancers in China, 2005-2013.

作者信息

Zhang Li-Wei, Li Jin, Cong Xin, Hu Xiao-Sheng, Li Dan, Wu Li-Ling, Hua Hong, Yu Guang-Yan, Kerr Alexander Ross

机构信息

Department of Oral Medicine, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China; Department of Stomatology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, PR China.

Department of Oral Medicine, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China.

出版信息

Cancer Epidemiol. 2018 Dec;57:120-126. doi: 10.1016/j.canep.2018.10.014. Epub 2018 Nov 2.

Abstract

BACKGROUND

Oral and oropharyngeal cancers are among the most common cancers globally. This study aimed to assess the incidence and mortality trends of oral and oropharyngeal cancers in China between 2005 and 2013.

METHODS

Estimates of national trends of oral and oropharyngeal cancers were based on the data from Chinese Cancer Registry Annual Reports. The crude incidence rates of oral and oropharyngeal cancers between 2015 and 2035 were evaluated. The age-standardized rate was based on the world standard population.

RESULTS

It was estimated that 285,857 new cases and 132,698 deaths were related to oral and oropharyngeal cancers in China between 2005 and 2013, with mouth and tongue cancers being the most frequently diagnosed and the leading causes of death among all oral and oropharyngeal cancers. The incidence rates of oral and oropharyngeal cancer fluctuated from 1.69 to 1.89 per 100,000 person-years, and the mortality rate showed an increasing trend, ranging from 0.77 and 0.84 per 100,000 person-years. Males were more susceptible than females to oral and oropharyngeal cancers. The incidence and mortality rates of oral and oropharyngeal cancers were significantly higher in urban regions. The crude incidence rates of oral cancers are projected to increase from 2.26 to 3.21 per 100,000 person-years over the next 20 years in China.

CONCLUSION

The incidence of oral and oropharyngeal cancers fluctuated, whereas the mortality rate showed an upward trend from 2005 to 2013. A heavier burden from oral and oropharyngeal cancers is predicted in the next two decades in China.

摘要

背景

口腔癌和口咽癌是全球最常见的癌症之一。本研究旨在评估2005年至2013年中国口腔癌和口咽癌的发病率及死亡率趋势。

方法

基于《中国癌症登记年报》的数据估算口腔癌和口咽癌的全国趋势。评估了2015年至2035年口腔癌和口咽癌的粗发病率。年龄标准化率基于世界标准人口。

结果

据估计,2005年至2013年中国有285,857例新发病例和132,698例死亡与口腔癌和口咽癌相关,其中口腔癌和舌癌是最常诊断出的类型,也是所有口腔癌和口咽癌中主要的死亡原因。口腔癌和口咽癌的发病率在每10万人年1.69至1.89之间波动,死亡率呈上升趋势,在每10万人年0.77至0.84之间。男性比女性更容易患口腔癌和口咽癌。城市地区口腔癌和口咽癌的发病率和死亡率显著更高。预计未来20年中国口腔癌的粗发病率将从每10万人年2.26增至3.21。

结论

2005年至2013年,口腔癌和口咽癌的发病率波动,而死亡率呈上升趋势。预计未来二十年中国口腔癌和口咽癌的负担将加重。

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