Jiang F, Fu Z T, Lu Z L, Chu J, Guo X L, Xu A Q, Ma J X
Department for Chronic and Non-communicable Disease Control and Prevention, Shandong Center for Disease Control and Prevention, Jinan 250014, China.
School of Public Health, Shandong University, Jinan 250014, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2024 Jan 6;58(1):56-64. doi: 10.3760/cma.j.cn112150-20230411-00283.
To analyze the trend of incidence and mortality of thyroid cancer and estimate its age-period-cohort effect in Shandong Province from 2012 to 2022. The Joinpoint regression was used to analyze the trend of incidence and mortality of thyroid cancer and calculate the average annual percentage change (AAPC) based on the data on thyroid cancer from 2012 to 2022. The age-period-cohort model was used to analyze the age-effect, time-effect and cohort-effect of thyroid cancer risk in the population aged over 20 years. From 2012 to 2022, the incidence of thyroid cancer in Shandong province showed a significant upward trend, with an AAPC of 21.68% (95%: 19.14%-24.27%, <0.001). The incidence of females was higher than that of males, and the incidence of urban areas was higher than that of rural areas. The trend of thyroid cancer mortality was relatively stable with an AAPC of -3.04% (95%:-8.81%-3.09%, =0.323). The age effect of incidence increased with age before 60 years old and decreased with age after 60 years old. The incidence peaked in the age group of 55-59. The period effect increased with time. The cohort effect showed that the cohort born before 1957 had a downward trend over time, while the cohort born after 1957 had an upward trend. The incidence of thyroid cancer in Shandong shows a rising trend from 2012 to 2022. Age is an important factor affecting the risk of thyroid cancer. The mortality of thyroid cancer remains stable.
分析2012年至2022年山东省甲状腺癌的发病率和死亡率趋势,并估计其年龄-时期-队列效应。采用Joinpoint回归分析甲状腺癌的发病率和死亡率趋势,并根据2012年至2022年甲状腺癌的数据计算平均年度百分比变化(AAPC)。运用年龄-时期-队列模型分析20岁以上人群甲状腺癌风险的年龄效应、时间效应和队列效应。2012年至2022年,山东省甲状腺癌发病率呈显著上升趋势,AAPC为21.68%(95%:19.14%-24.27%,P<0.001)。女性发病率高于男性,城市地区发病率高于农村地区。甲状腺癌死亡率趋势相对稳定,AAPC为-3.04%(95%:-8.81%-3.09%,P=0.323)。发病率的年龄效应在60岁之前随年龄增加而增加,60岁之后随年龄降低。发病率在55-59岁年龄组达到峰值。时期效应随时间增加。队列效应表明,1957年以前出生的队列随时间呈下降趋势,而1957年以后出生的队列呈上升趋势。2012年至2022年山东省甲状腺癌发病率呈上升趋势。年龄是影响甲状腺癌风险的重要因素。甲状腺癌死亡率保持稳定。