Epidemiological charactristics of cancer in Zhoushan City
LIN Qi1, ZHOU Jingyao1, TONG Zhendong2
1. Department of Non-communicable Disease Control and Prevention, Zhoushan Center for Disease Control and Prevention, Zhoushan, Zhejiang 316021, China; 2. Zhoushan Hospital, Zhoushan, Zhejiang 316004, China
Abstract:Objective To investigate epidemiological characteristics of cancers in Zhoushan City in 2018, so as to provide the evidence for the formulation of cancer control strategies. Methods The cancer data in Zhoushan City in 2018 were captured from Zhejiang Provincial Information Management System for Chronic Disease Surveillance. The gender- and age-specific incidence of cancers was descriptively analyzed. The cancer incidence was standardized to the data of the Sixth National Population Census in China in 2010 ( Chinese standard population ) and Segi's world standard population. Results The crude incidence rate, age-standardized incidence rate by Chinese standard population ( ASR China ), and age-standardized incidence rate by world standard population ( ASR world ) of cancers were 468.65/105, 300.12/105 and 232.79/105 in Zhoushan City in 2018, and the cumulative cancer incidence rate was 26.91% among residents at ages of 0 to 74 years, while the truncated-age cancer incidence rate was 431.90/105 among residents at ages of 35 to 64 years. The crude incidence rate, ASR China, and ASR world of cancers were 473.00/105, 285.67/105 and 229.03/105 in men, and 464.43/105, 317.66/105 and 241.30/105 in women in Zhoushan City in 2018, respectively. In addition, the mean age of new cases with cancers in 2018 was ( 61.34±13.19 ) years in Zhoushan City in 2018, and the highest crude cancer incidence was seen in residents at ages of 70 to 74 years ( 1 327.50/105 ). The crude cancer incidence rate was higher in new female cases at ages of 25 to 54 years than in new male cases, and the crude cancer incidence rate was higher in new male cases at ages of 60 to 84 years than in new female cases ( P<0.05 ). The 10 most common cancers included lung cancer, female breast cancer, thyroid cancer, gastric cancer, colorectal cancer, liver cancer, cervical cancer, prostatic cancer, pancreatic cancer and bladder cancer, which accounted for 80.20% of all cancers in Zhoushan City in 2018. Conclusions High cancer incidence was found in Zhoushan City in 2018, and elderly populations are at high risk of developing cancers. The management of lung cancer, female breast cancer, thyroid cancer, gastric cancer and colorectal cancer should be given a high priority.
[1] SUNG H,FERLAY J,SIEGEL R L,et al.Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J].CA Cancer J Clin,2021,71(3):209-249. [2] 王宁,刘硕,杨雷,等.2018全球癌症统计报告解读[J].肿瘤综合治疗电子杂志,2019,5(1):87-97. WANG N,LIU S,YANG L,et al.Interpretation on the report of global cancer statistics 2018[J].J Multidiscipl Cancer Manag(Electron Version),2019,5(1):87-97. [3] 曹毛毛,陈万青.中国恶性肿瘤流行情况及防控现状[J].中国肿瘤临床,2019,46(3):145-149. CAO M M,CHEN W Q.Epidemiology of cancer in China and the current status of prevention and control[J].Chin J Clin Oncol,2019,46(3):145-149. [4] 郑荣寿,孙可欣,张思维,等.2015年中国恶性肿瘤流行情况分析[J].中华肿瘤杂志,2019,41(1):19-28. ZHENG R S,SUN K X,ZHANG S W,et al.Report of cancer epidemiology in China,2015[J].Chin J Oncol,2019,41(1):19-28. [5] 林启,周晶耀,潘松涛,等.2011—2015年舟山市恶性肿瘤发病和死亡特征分析[J].中国农村卫生事业管理,2018,38(1):36-39. LIN Q,ZHOU J Y,PAN S T,et al.Malignant tumor incidence and death characteristics in Zhoushan,Zhejiang during 2011-2015[J].Chin Rural Health Serv Adm,2018,38(1):36-39. [6] 国家癌症中心.中国肿瘤登记工作指导手册(2016)[M].北京:人民卫生出版社,2016. National Cancer Center.Chinese guideline for cancer registration(2016)[M].Beijing:People's Medical Publishing House,2016. [7] 孙可欣,郑荣寿,张思维,等.2015年中国分地区恶性肿瘤发病和死亡分析[J].中国肿瘤,2019,28(1):1-11. SUN K X,ZHEGN R S,ZHANG S W,et al.Report of cancer incidence and mortality in different areas of China,2015[J].China Cancer,2019,28(1):1-11. [8] 王悠清,李辉章,龚巍巍,等.2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2019,28(1):12-22. WANG Y Q,LI H Z,GONG W W,et al.Analysis of cancer incidence and mortality in Zhejiang cancer registries,2015[J]. China Cancer,2019,28(1):12-22. [9] 肖佳龙,郑莹.全球肺癌的流行及预防进展[J].中国癌症杂志,2020,30(10):721-725. XIAO J L,ZHENG Y.The global prevalence and prevention progress of lung cancer[J].China Oncol,2020,30(10):721-725. [10] 王建跃,段蒋文,潘松涛,等.舟山群岛新区建立初期居民吸烟现状与干预措施探讨[J].浙江预防医学,2012,24(2):79-80. WANG J Y,DUAN J W,PAN S T,et al.Discussion on smoking status and intervention measures of residents in the early establishment of Zhoushan Islands New Area[J].Zhejiang J Prev Med,2012,24(2):79-80. [11] 胡如英,展元元,王蒙,等.浙江省成人吸烟行为趋势研究[J].预防医学,2018,30(12):1189-1194. HU R Y,ZHAN Y Y,WANG M,et al.Prevalence and trend of adult smoking in Zhejiang Province[J].Prev Med,2018,30(12):1189-1194. [12] ZENG H M,CHEN W Q,ZHENG R S,et al. Changing cancer survival in China during2003-15:a pooled analysis of 17 population-based cancer registries[J/OL].Lancet Glob Health,2018,6(5)[2021-12-16]. https://doi.org/10.1016/S2214-109X(18)30127-X.