| 中国肿瘤登记地区人群骨肿瘤发病分析 |
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| 引用本文： | 陈志峰,陈万青,陈建国,王宁,郑莹,宋国慧,刘志才.中国肿瘤登记地区人群骨肿瘤发病分析[J].中国肿瘤临床,2012,39(20):1509-1513. |
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| 作者姓名： | 陈志峰 陈万青 陈建国 王宁 郑莹 宋国慧 刘志才 |
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| 作者单位： | ①.河北医科大学第四医院肿瘤研究所（石家庄市050011） |
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| 基金项目： | 财政部、卫生部公共卫生专项资金肿瘤随访登记项目基金(编号:财社[2008]293号、财社[2009]193号、财社[2010]90号)资助~~ |
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| 摘 要： | 目的 分析我国城市和农村恶性骨肿瘤的发病趋势和特点。 方法 根据全国32个肿瘤登记地区的2003年至2007年和部分1988年至2007年恶性骨肿瘤的发病数据库, 其中城市点14个, 农村点18个, 覆盖总人口255 430 909。肿瘤登记采用ICD-10和ICD-O-3编码。发病趋势分别应用变化百分比（PC）和年度变化百分比（APC）分析。 结果 2003年至2007年我国骨肿瘤粗发病率1.79/105, 其中城市1.72/105, 农村2.01/105; 中标率分别是1.39/105、1.21/105, 1.40/105, 骨肿瘤占全部恶性肿瘤发病的0.67%, 发病顺位居第24位。2003年至2007年骨肿瘤发病下降9.6%, 其中城市下降13.03%, 农村上升4.06%;分析1988年至2007年上海市、北京市、江苏启东市和河南林州市的发病趋势, 仅上海市骨肿瘤发病出现有统计学差异的下降, APC为-1.76（P=0.042）。 结论 中国农村骨肿瘤的发病高于城市, 并且农村发病呈现上升趋势, 城市呈下降趋势
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| 关 键 词： | ,,骨肿瘤,,发病,,肿瘤登记,,年度变化百分比 |
| 收稿时间： | 2012-02-14 |
Bone Analysis of Cancer Incidence in Population-based Cancer Registration in China |
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| Zhifeng CHEN,Wanqing CHEN,Jianguo CHEN,Ning WANG,Ying ZHENG,Guohui SONG,and Zhicai LIU.Bone Analysis of Cancer Incidence in Population-based Cancer Registration in China[J].Chinese Journal of Clinical Oncology,2012,39(20):1509-1513. |
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| Authors: | Zhifeng CHEN Wanqing CHEN Jianguo CHEN Ning WANG Ying ZHENG Guohui SONG and Zhicai LIU |
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| Affiliation: | ①.The Fourth Hospital of Hebei Medical University Cancer Institute, Shijiazhuang 050011, China②.National Cancer Registration Center, Beijing 100021, China③.Jiangsu Province Qidong Liver Cancer Institute, Qidong 226200, China④.Beijing Office of the Cancer Prevention and Treatment, Beijing 100034, China⑤.Shanghai Center for Disease Control, Shanghai 200336, China⑥.Ci-County Hebei Province Cancer Institute, Handan 056500, China⑦.Linzhou Cancer Institute, Linzhou 456550, China |
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| Abstract: | Objective To analyze the incidence trends and characteristics of China's urban and rural areas with cases of malignant bone tumors. Methods According to the 32 tumor registries from 2003 to 2007 and part of the 1988-2007 malignant bone tumor incidence database, 14 urban areas and 18 rural areas had a total population of 255 430 909. ICD-10 and ICD-0-3 were used in the tumor registries. Incidence trends were applied to analyze the percentage change and the annual percent change (APC). Results From 2003 to 2007, China's estimated bone cancer incidence was 1.79/105, with 1.72/105 and 2.01/105 observed in urban and rural areas, respectively. The adjusted incidence rate in the Chinese standards was 1.39/105 (1.21/105 and 1.40/105 in urban and rural areas, respectively). Bone cancer accounted for 0.67% of all cancer incidences among the 24 incident cases. From 2003 to 2007, bone cancer incidence decreased by 9.6%. A 13.03% decrease was observed in urban areas. Conversely, a 4.06% increase was found in rural areas. From 1988 to 2007, only the bone tumor incidence in Shanghai decreased significantly (APC: 1.76%;P=0.042) among the incidence trends in various areas such as Shanghai, Beijing, Jiangsu Qidong, and Henan Linzhou. Conclusion The bone tumor incidence rate in rural areas in China is higher than that in urban areas and the countryside. An increasing incidence rate was observed in rural areas in contrast to the decreasing trend in urban areas |
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