Department of Chronic Disease, Qingdao Center for Disease Control and Prevention, Qingdao, China.
Department of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao, China.
Asia Pac J Clin Oncol. 2022 Apr;18(2):e73-e78. doi: 10.1111/ajco.13559. Epub 2021 Mar 25.
To analyze lung cancer incidence and mortality rates from 2013 to 2017 in Qingdao, Shandong Province, China.
The lung cancer new cases and death data during 2013-2017 were collected from the Qingdao Cancer Surveillance System. The crude incidence and mortality rates were calculated by residential area and gender. The annual percentage change (APC) was determined to evaluate the incidence and mortality rate trends.
Between 2013 and 2017, 31 653 new lung cancer cases and 24 965 deaths from lung cancer were retrieved. The age-standardized incidence rates by Chinese standard population (ASIRC) were 42.1 per 100 000. The crude incidence rates for men and women increased from 85.2 and 46.3 per 100 000 in 2013 to 124.0 and 67.4 per 100 000 in 2017, respectively. The APCs were 7.8% for men (P < .001) and 7.5% (P = .027) for women. The crude mortality rates increased from 56.3 per 100 000 in 2013 to 68.0 per 100 000 in 2017. The age-standardized mortality rates by ASIRC were 32.3 per 100 000. The APCs of mortality rates were higher in men than in women and were higher in rural than in urban areas. Age-specific incidence and mortality rates were lower in individuals aged <40 years, increased sharply in those aged >40 years, and were the highest in 80-year-old individuals.
These data show different patterns of incidence and mortality rate according to gender and resident area during 2013-2017. Early screening and targeted prevention should be implemented to control the increased trend of lung cancer.
分析 2013 年至 2017 年山东省青岛市肺癌发病率和死亡率。
从青岛市癌症监测系统收集 2013-2017 年期间的肺癌新发病例和死亡数据。按居住地区和性别计算粗发病率和死亡率。确定年度百分比变化（APC）以评估发病率和死亡率趋势。
2013 年至 2017 年期间，共检索到 31653 例肺癌新发病例和 24965 例肺癌死亡病例。按中国标准人口校正的年龄标准化发病率（ASIRC）为 42.1/10 万。男性和女性的粗发病率从 2013 年的 85.2/10 万和 46.3/10 万分别上升至 2017 年的 124.0/10 万和 67.4/10 万。APC 分别为男性 7.8%（P<0.001）和女性 7.5%（P=0.027）。粗死亡率从 2013 年的 56.3/10 万上升至 2017 年的 68.0/10 万。ASIRC 校正的年龄标准化死亡率为 32.3/10 万。男性死亡率的 APC 高于女性，农村地区高于城市地区。<40 岁人群的发病和死亡率较低，>40 岁人群急剧上升，80 岁人群最高。
2013-2017 年期间，这些数据显示发病率和死亡率的性别和居住地区模式不同。应实施早期筛查和有针对性的预防措施，以控制肺癌发病率的上升趋势。
