Nationwide cancer incidence in Korea, 1999~2001; first result using the national cancer incidence database.
Nationwide cancer incidence in Korea, 1999~2001; first result using the national cancer incidence database.
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DOI：
10.4143/crt.2005.37.6.325
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发表时间：
2005-12-01
影响因子：
4.6
通讯作者：
Park, Jae-Gahb
中科院分区：
文献类型：
--
作者：
Shin, Hai-Rim;Won, Young-Joo;Park, Jae-Gahb
目的：韩国第一个以人口为基础的癌症登记，使用全国医院为基础的记录系统和区域癌症登记提供了1999~2001年全国癌症发病率的来源。材料和方法：韩国癌症发病率的计算基于韩国中央癌症登记数据库、来自额外医疗记录审查调查的数据、地区癌症登记数据库、特定地点癌症登记数据库和韩国国家统计局的癌症死亡率数据。按性别计算了18个年龄组的粗比率和年龄标准化比率。结果：男性和女性总粗发病率（CR）分别为247.3 / 10万和188.3 / 10万，总年龄标准化发病率（ASR）分别为281.2 / 10万和160.3 / 10万。在男性中，5个主要原发癌部位分别是胃（CR 58.6, ASR 65.6）、肺（CR 42.1, ASR 50.9）、肝（CR 41.9, ASR 44.9）、结肠和直肠（CR 24.2, ASR 27.3）和膀胱（CR 7.7, ASR 9.2）。在女性中，最常见的癌症是胃癌（CR 30.8, ASR 25.8）、乳腺癌（CR 25.7, ASR 21.7）、结肠癌和直肠癌（CR 19.6, ASR 16.7）、子宫颈癌（CR 18.4, ASR 15.5）和肺癌（CR 15.1, ASR 12.4）。在0~14岁年龄组中，男女均以白血病最常见。在男性中，胃癌在15~64岁年龄组中最常见，而肺癌在65岁以上年龄组中更常见。在女性中，15~34岁年龄段的甲状腺癌、35~64岁年龄段的乳腺癌和65岁以上年龄段的胃癌最常见。只有死亡证明的比例男性为7.5%，女性为7.4%。结论：这是首次尝试确定全国癌症发病率，该数据将有助于制定研究计划和国家癌症控制。
PURPOSE: The first Korean national population-based cancer registry using nationwide hospital-based recording system and the regional cancer registries provided the source to obtain national cancer incidences for the period 1999~2001.MATERIALS AND METHODS: The incidence of cancer in Korea was calculated based on the Korea Central Cancer Registry database, data from additional medical record review survey, the Regional Cancer Registry databases, site-specific cancer registry databases, and cancer mortality data from the Korea National Statistical Office. Crude and age-standardized rates were calculated by sex for 18 age groups.RESULTS: The overall crude incidence rates (CR) were 247.3 and 188.3 per 100,000 for men and women and the overall age-standardized incidence rates (ASR) were 281.2 and 160.3 per 100,000, respectively. Among men, five leading primary cancer sites were stomach (CR 58.6, ASR 65.6), lung (CR 42.1, ASR 50.9), liver (CR 41.9, ASR 44.9), colon and rectum (CR 24.2, ASR 27.3) and bladder (CR 7.7, ASR 9.2). Among women, the most common cancers were stomach (CR 30.8, ASR 25.8), breast (CR 25.7, ASR 21.7), colon and rectum (CR 19.6, ASR 16.7), uterine cervix (CR 18.4, ASR 15.5), and lung cancer (CR 15.1, ASR 12.4). In 0~14 age group, leukemia was most common for both sexes. For men, stomach cancer was most common in 15~64 age group, but lung cancer was more frequent for over 65 age group. For women, thyroid cancer in 15~34 age group, breast cancer in 35~64 age group, and stomach cancer in over 65 age group were most common for each age group. The proportions of death certificate only were 7.5% for men and 7.4% for women.CONCLUSION: This is the first attempt to determine the national cancer incidence and this data will be useful to plan for research and national cancer control in Korea.