[Report of incidence and mortality of gallbladder cancer in China, 2014].
[Report of incidence and mortality of gallbladder cancer in China, 2014].
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DOI：
10.3760/cma.j.issn.0253-3766.2018.12.004
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发表时间：
2018-12-23
期刊：
影响因子：
--
通讯作者：
Chen, W Q
中科院分区：
文献类型：
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作者：
Tuo, J Y;Zhang, M;Chen, W Q
目的：分析2014年中国肿瘤登记资料中胆囊癌的发病率和死亡率，以描述中国胆囊癌的流行情况。方法：2014年胆囊癌发病率和死亡率数据来源于国家中央癌症登记处（NCCR）收集的2017年登记数据。评估后计算了来自339个癌症登记处的合格数据。根据2014年全国人口数据，按地区、性别、年龄对2014年中国胆囊癌发病率和死亡率进行分层。采用2000年中国人口普查标准人口年龄构成和Segi人口年龄构成对中国和世界范围内的发病率和死亡率进行年龄标准化。结果：339个肿瘤登记处共覆盖人口288 243 347人，其中男性146 203 891人，女性142 039 456人（城市144 061 915人，农村144 181 432人）。胆囊癌死亡率与发病率之比为0.74。形态学证实病例（MV%）和仅死亡证明病例（DCO%）分别为48.38%和2.66%。诊断不清占0.48%。2014年中国胆囊癌粗发病率为3.82/10万，占癌症新发病例的1.37%（城市为4.48/10万，农村为3.01/10万，男性为3.59/10万，女性为4.05/10万）。中国标准人群（ASR China）和世界标准人群（ASR world）年龄标准化发病率分别为2.38/10万和2.37/10万，累计发病率（0 ~ 74岁）为0.27%。胆囊癌粗死亡率为2.86/10万（城市3.47/10万，农村2.12/10万，男性2.59/10万，女性3.14/10万）。中国ASR和世界ASR年龄标准化死亡率分别为1.72/10万和1.71/10万，累计死亡率（0-74岁）为0.19%。结论：城乡之间胆囊癌的发病率和死亡率存在显著差异，而男女之间无明显差异。
Objective: The incidence and mortality of gallbladder cancer from Chinese cancer registries in 2014 were analyzed to describe the prevalence of gallbladder cancer in China. Methods: Incidence and mortality data of gallbladder cancer in 2014 derived from registration data in 2017, collected by the National Central Cancer Registry (NCCR). Qualified data from 339 cancer registries were calculated after evaluating. According to the national population data of 2014, the gallbladder cancer incidence and mortality of China in 2014 were stratified by the area, gender and age.The age composition of standard population of Chinese census in 2000 and Segi's population were used for age-standardizes incidence and mortality in China and worldwide. Results: 339 cancer registries cover a total of 288 243 347 population including 146 203 891 males and 142 039 456 females (144 061 915 in urban and 144 181 432 in rural areas). The mortality to incidence ratio of gallbladder cancer was 0.74. The morphologically verified cases (MV%) and death certificate-only cases (DCO%) were 48.38% and 2.66%, respectively. Unclear diagnosis cases (UB%) was 0.48%. The crude incidence of gallbladder cancer in China in 2014 was 3.82/100 000, which accounted for 1.37% of new cancer cases (4.48/100 000 in urban areas and 3.01/100 000 in rural areas, 3.59/100 000 for male and 4.05/100 000 for female). Age-standardized incidence rates by Chinese standard population (ASR China) and world standard population (ASR world) were 2.38/100 000 and 2.37/100 000, respectively, and the cumulative incidence rate (0-74 age years old) was 0.27%.Besides, the crude mortality of gallbladder cancer was 2.86/100 000 (3.47/100 000 in urban areas and 2.12/100 000 in rural areas, 2.59/100 000 for male and 3.14/100 000 for female). Age-standardized mortality rates by ASR China and ASR world were 1.72/100 000 and 1.71/100 000, with a cumulative mortality rate (0-74 age years old) of 0.19%. Conclusion: The incidence and mortality of gallbladder cancer were significantly different between the city and country, while not obviously different between the female and male.