丁晶莹, 俞梅华. 2013-2020年浙江省湖州市胰腺癌死亡趋势及寿命损失分析[J]. 疾病监测, 2022, 37(5): 679-683. DOI: 10.3784/jbjc.202105190408
引用本文: 丁晶莹, 俞梅华. 2013-2020年浙江省湖州市胰腺癌死亡趋势及寿命损失分析[J]. 疾病监测, 2022, 37(5): 679-683. DOI: 10.3784/jbjc.202105190408
Ding Jingying, Yu Meihua. Mortality and years of life lost of pancreatic cancer in Huzhou, Zhejiang, 2013–2020[J]. Disease Surveillance, 2022, 37(5): 679-683. DOI: 10.3784/jbjc.202105190408
Citation: Ding Jingying, Yu Meihua. Mortality and years of life lost of pancreatic cancer in Huzhou, Zhejiang, 2013–2020[J]. Disease Surveillance, 2022, 37(5): 679-683. DOI: 10.3784/jbjc.202105190408

2013-2020年浙江省湖州市胰腺癌死亡趋势及寿命损失分析

Mortality and years of life lost of pancreatic cancer in Huzhou, Zhejiang, 2013–2020

  • 摘要:
      目的  了解2013 — 2020年浙江省湖州市胰腺癌死亡水平、变化趋势及寿命损失情况,为胰腺癌防治提供依据。
      方法  通过浙江省慢性病监测管理系统收集2013 — 2020年湖州市居民胰腺癌死亡资料(ICD-10编码为C25.0~C25.9),运用Excel 2010、SPSS 19.0等软件计算胰腺癌粗死亡率、标化率、潜在减寿年数(PYLL)、潜在工作损失年数(WPYLL)等指标了解胰腺癌死亡水平及对人群健康的影响,组间死亡率的比较采用χ2检验,死亡率随时间变化运用年度变化百分比(APC)进行衡量,采用曲线估计指数分布回归模型计算β,对APC检验采用t检验。
      结果  2013 — 2020年湖州市居民胰腺癌累计死亡2 455例,占所有癌症死亡的6.34%,死因顺位保持在第5位,死亡年龄(70.45±10.95)岁,其中年龄最小者为27岁,最长者为97岁。 胰腺癌死亡构成比随时间呈上升趋势(P<0.05),平均死亡年龄女性大于男性(P<0.05)。 2013 — 2020年湖州市居民胰腺癌粗死亡率为11.58/10万,标化死亡率为8.02/10万,粗死亡率呈逐年上升趋势(P<0.05),标化死亡率差异无统计学意义。 男性胰腺癌粗死亡率13.48/10万,高于女性9.68/10万(P<0.05)。 2013 — 2020年胰腺癌死因顺位保持在第5位,女性死因顺位由2013年的第5位上升至2020年的第4位。 胰腺癌粗死亡率随年龄增长呈上升趋势(P<0.05),死亡人群集中在45岁以后,在80岁及以上年龄组达到高峰。 2013 — 2020年湖州市各地区死亡率在青、中、老三组居民中呈明显增长的变化,老年组死亡率最高,达50.41/10万。 2013 — 2020年因胰腺癌死亡导致的PYLL为10 002.50人年,WPYLL为 3 903.00人年, PYLL率为0.52‰,WPYLL率为0.20‰,男性PYLL、WPYLL均高于女性。
      结论  2013 — 2020年湖州市居民胰腺癌死亡率呈上升趋势,女性死因顺位逐渐靠前,老年人和男性是高危人群,女性死亡率有上升趋势,需引起关注。 加大健康宣传,营造合理膳食、戒烟限酒、适量运动的氛围,从根本上改变不健康的生活方式和饮食结构,做好胰腺癌的一级预防。

     

    Abstract:
      Objective  To investigate the mortality and years of life lost of pancreatic cancer in Huzhou, Zhejiang province, from 2013 to 2020, and provide scientific evidence for the prevention and control of pancreatic cancer in the future.
      Methods  The death surveillance data in Huzhou from 2013 to 2020 were collected from Zhejiang Chronic Disease Surveillance Information Management System (ICD-10 code C25.0–C25.9), the crude mortality, standardized mortality, potential years of life lost (PYLL), working potential years of life lost (WPYLL) were calculated to understand the death level of pancreatic cancer and its effect on population health, the annual percentage change (APC) was used to analyze the trend of pancreatic cancer death.
      Results  From 2013 to 2020, a total of 2 455 deaths of pancreatic cancer were reported in Huzhou, accounting for 6.34% of all cancer deaths, the average age of the death cases was (70.45±10.95) years. The youngest was 27 years old and the oldest was 97 years old. The death component ratio of pancreatic cancer increased with time (P<0.05), and the average death age of women was higher than that of men (P<0.05). From 2013 to 2020, the crude mortality and the standardized mortality of pancreatic cancer in residents in Huzhou were 11.58/100 000 and 8.02/100 000. The crude mortality showed an upward trend (P<0.05), but the difference in standardized mortality of pancreatic cancer had no significant difference. The crude mortality of pancreatic cancer was 13.48/100 000 in men and 9.68/100 000 in women, and the difference was significant (P<0.05). Pancreatic cancer ranked fifth of death causes, but the ranking in women rose from fifth in 2013 to fourth in 2020. The crude mortality rate of pancreatic cancer increased with age (P<0.05). The deaths mainly occurred after the age of 45 years and peaked in age group 80-years. From 2013 to 2020, the mortality rate in the three groups (young, middle aged and old) of residents in Huzhou showed a significant increase. The mortality rate in the elderly group was highest, reaching 50.41/100 000. The PYLL and WPYLL caused by pancreatic cancer death were 10 002.50 and 3 903 person-years, the rates of PYLL and WPYLL were 0.52‰ and 0.20‰. The PYLL and WPYLL were higher in men than in women.
      Conclusion  The mortality rate of pancreatic cancer in Huzhou showed an increasing trend from 2013 to 2020. The ranking of pancreatic cancer in death causes in women moved ahead, and the elderly and men were the high-risk groups, the mortality rate in women showed an upward trend, to which close attention needs to paid. It is necessary to strengthen the health education about healthy life style, rational diet, limited smoking and alcohol, moderate exercise for the primary prevention of pancreatic cancer.

     

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