Liu Weiping, Qi Jinlei, Liu Jiangmei, Song Yuqin, Wang Lijun, Zhou Maigeng, Ma Jun, Zhu Jun
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Lymphoma, Peking University Cancer Hospital and Institute, Beijing, China.
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Front Oncol. 2022 Jun 7;12:902643. doi: 10.3389/fonc.2022.902643. eCollection 2022.
Lymphoma is a malignant disease that threatens human health and imposes a significant burden on the society burden; however, there are limited accurate mortality data on lymphoma in China. The present study aimed to analyse lymphoma-associated mortality at the national and provincial levels in mainland China. Mortality data of lymphoma was extracted from the disease surveillance system of the Chinese Center for Disease Control and Prevention. Mortality was represented by the number of deaths, crude mortality rate, and age-standardized mortality rate. Temporal trends in mortality rates were examined using the fitting joinpoint models. Lymphoma accounted for 31,225 deaths in 2020, of which 1,838 and 29,387 were due to Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL), respectively. The age-standardized mortality rate per 100,000 population was 1.76 for lymphoma, 0.10 for HL, and 1.66 for NHL. The mortality rate increased with age, reaching a peak in the age group of 80-84 years for HL and over 85 years for NHL. Moreover, the death risk due to lymphoma was approximately 1.5-2 times greater in males than in females in all age groups. The mortality rate was higher in eastern China than in central and western China, indicating a heterogeneous distribution at the provincial level. During 2013-2020, the mortality rate of lymphoma decreased by 1.85% (-22.94% for HL and -0.14% for NHL). In conclusion, the mortality of lymphoma varied by sex, age, and regions, which highlighted the need of establish differentiated strategy for disease control and prevention.
淋巴瘤是一种威胁人类健康并给社会带来沉重负担的恶性疾病;然而,中国关于淋巴瘤的准确死亡率数据有限。本研究旨在分析中国大陆国家和省级层面与淋巴瘤相关的死亡率。淋巴瘤的死亡率数据从中国疾病预防控制中心的疾病监测系统中提取。死亡率以死亡人数、粗死亡率和年龄标准化死亡率表示。使用拟合连接点模型检查死亡率的时间趋势。2020年淋巴瘤导致31,225人死亡,其中1,838例死于霍奇金淋巴瘤(HL),29,387例死于非霍奇金淋巴瘤(NHL)。每10万人口的年龄标准化死亡率,淋巴瘤为1.76,HL为0.10,NHL为1.66。死亡率随年龄增加而上升,HL在80 - 84岁年龄组达到峰值,NHL在85岁以上年龄组达到峰值。此外,在所有年龄组中,男性因淋巴瘤的死亡风险比女性大约高1.5 - 2倍。中国东部的死亡率高于中部和西部,表明省级层面存在异质性分布。在2013 - 2020年期间,淋巴瘤的死亡率下降了1.85%(HL下降22.94%,NHL下降0.14%)。总之,淋巴瘤的死亡率因性别、年龄和地区而异,这突出了制定差异化疾病防控策略的必要性。