[1990年和2016年北京居民肿瘤疾病负担的现状及趋势]
[The current status and trend of disease burden of neoplasms in 1990 and 2016 for Beijing people].
作者信息
Ma A J, Zhou M G, Zeng X Y, Dong Z
机构信息
Institute for Prevention and Control of Chronic Disease, Beijing Center for Disease Prevention and Control/Beijing Research Center for Preventive Medicine, Beijing 100013, China.
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
出版信息
Zhonghua Zhong Liu Za Zhi. 2021 Mar 23;43(3):351-356. doi: 10.3760/cma.j.cn112152-20190416-00239.
To investigate the current status and trend of disease burden of neoplasms in 1990 and 2016 for Beijing people. The incidence situation, deaths status and disease burden of neoplasms in Beijing were described by using the results of the global burden of diseases study 2016 (GBD 2016). The measurement index included incidence, death, years of life lost due to premature mortality (YLL), years lived with disability (YLD), and disability-adjusted years (DALY). Using the average world population from 2000 to 2025 as standard population to calculate the age-standardized incidence rate, mortality rate, DALY rate, YLL rate and YLD rate. The age-standardized incidence rate of neoplasms in 2016 was 250.68 per 100 000, which increased by 30.03% than in 1990. The age-standardized mortality rate was 115.83 per 100 000, which decreased by 26.71% than in 1990. The DALY, YLL and YLD of neoplasms in 2016 were 671.2, 651.1 and 20.1 thousand person-years, respectively, which increased by 85.83%, 82.79% and 302.00% than those in 1990. The age-standardized DALY rate and YLL rate were 2 549.00 and 2 469.84 per 100 000, which decreased by 33.22% and 34.30% than those in 1990. The age-standardized YLD rate was 79.16 per 100 000, which increased by 37.17% than that in 1990. The male DALY, YLL and YLD in 2016 were 428.8, 417.8 and 11.0 thousand person-years, and female were 242.4, 233.3 and 9.1 thousand person-years, respectively.Among different neoplasms, the top three neoplasms of DALY and YLL were lung cancer, liver cancer, colon and rectum cancer, the top three of YLD were lung cancer, colon and rectum cancer, breast cancer. The topped group of disease burden of neoplasms was aged from 50 to 69 years old, the DALY of which was 323.6 thousand person-years, accounted for 48.21% of all DALY, and increased by 87.70% than that in 1990. The disease burden of neoplasms in Beijing is dominated by YLL, and the YLD increases rapidly. The burden is severe in the group of aged from 50 to 69 years old, and the male is severer than female. Lung cancer ranks the first of the disease burden of neoplasms. The DALY of colorectal cancer has increased. Comprehensive strategies should be promoted, including cultivating a good lifestyle and implementing prevention and control of neoplasm risk factors as early as teenage group, early screening of high-risk population, and enhancing the instruction of patients' treatment and rehabilitation.
为调查1990年和2016年北京人群肿瘤疾病负担的现状及变化趋势。利用2016年全球疾病负担研究(GBD 2016)结果描述北京肿瘤的发病情况、死亡状况及疾病负担。测量指标包括发病率、死亡率、过早死亡所致生命损失年(YLL)、带病生存年(YLD)和伤残调整生命年(DALY)。以2000年至2025年世界平均人口作为标准人口,计算年龄标准化发病率、死亡率、DALY率、YLL率和YLD率。2016年肿瘤年龄标准化发病率为250.68/10万,较1990年增长30.03%。年龄标准化死亡率为115.83/10万,较1990年下降26.71%。2016年肿瘤的DALY、YLL和YLD分别为67.12、65.11和2.01万人年,较1990年分别增长85.83%、82.79%和302.00%。年龄标准化DALY率和YLL率分别为2549.00/10万和2469.84/10万,较1990年分别下降33.22%和34.30%。年龄标准化YLD率为79.16/10万,较1990年增长37.17%。2016年男性DALY、YLL和YLD分别为42.88、41.78和1.10万人年,女性分别为24.24、23.33和0.91万人年。在不同肿瘤中,DALY和YLL排名前三的肿瘤为肺癌、肝癌、结直肠癌,YLD排名前三的为肺癌、结直肠癌、乳腺癌。肿瘤疾病负担最高的人群为50至69岁,其DALY为32.36万人年,占全部DALY的48.21%,较1990年增长87.70%。北京肿瘤疾病负担以YLL为主,YLD增长迅速。50至69岁人群负担较重,男性负担重于女性。肺癌在肿瘤疾病负担中排名第一。结直肠癌的DALY有所增加。应推行综合策略,包括培养良好生活方式,在青少年群体中尽早实施肿瘤危险因素防控,对高危人群进行早期筛查,加强患者治疗及康复指导。