Qi Jinlei, Wang Lijun, Zhou Maigeng, Wang Baohua, Yin Peng, Wang Wei, Liu Jiangmei, Liu Yunning, Wu Jing
National Center for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
China CDC Wkly. 2020 Apr 17;2(16):259-264.
Gastrointestinal (GI) tract cancer is a leading cause of death and produces a heavy disease burden. GI tract cancer in the Huai River Basin was reportedly higher than the national level during 2004-2006, while current mortality rates and variations have not been reported recently. During 2008 to 2018, significant decreases were observed in the rates of esophageal cancer (from 28.5 to 13.2 per 100,000) and stomach cancer (from 32.1 to 16.5 per 100,000). There was no statistical difference for the mortality rates of colorectal cancer, which actually showed a significant increase among men aged 45 to 54 years and women aged below 55 years. Substantial disparities exist among different sexes, age groups, and geographical regions. These results highlight that the mortality of GI tract cancers in the Huai River Basin in 2018 are similar to national levels and still produce a heavy disease burden. More attention is needed to provide important evidence for evaluating the improvement and remaining gaps in cancer prevention and control strategies in the Huai River Basin.
胃肠道癌症是主要的死亡原因，会带来沉重的疾病负担。据报道，2004 - 2006年期间，淮河流域的胃肠道癌症发病率高于全国水平，而目前的死亡率及变化情况尚未有近期报道。在2008年至2018年期间，食管癌发病率（从每10万人28.5例降至13.2例）和胃癌发病率（从每10万人32.1例降至16.5例）显著下降。结直肠癌死亡率无统计学差异，实际上在45至54岁男性和55岁以下女性中呈显著上升。不同性别、年龄组和地理区域之间存在很大差异。这些结果表明，2018年淮河流域胃肠道癌症的死亡率与全国水平相似，仍然带来沉重的疾病负担。需要更多关注，以便为评估淮河流域癌症防控策略的改进情况及尚存差距提供重要依据。
