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2010—2020年安徽省肿瘤登记地区男性乳腺癌发病与死亡趋势分析

Incidence and mortality trends of male breast cancer in selected areas of Anhui province, 2010-2020: a cancer registry-based analysis

  • 摘要:
    目的 分析安徽省肿瘤登记地区2010—2020年男性乳腺癌的发病和死亡趋势,为该地区制定乳腺癌的防控策略提供参考依据。
    方法 收集2010年1月1日—2020年12月31日安徽省各肿瘤登记处从中国肿瘤登记平台或CANREG 4系统上报的男性乳腺癌相关数据,按照城乡分层计算男性乳腺癌的发病率、标化发病率、死亡率和标化死亡率,应用Joinpoint模型计算年度变化百分比(APC)分析安徽省肿瘤登记地区2010—2020年男性乳腺癌的发病和死亡趋势。
    结果 安徽省肿瘤登记地区2010—2020年男性乳腺癌发病率为0.58/10万(城市为0.53/10万、农村为0.61/10万),标化发病率为0.44/10万(城市为0.38/10万、农村为0.49/10万); 2010—2020年安徽省肿瘤登记地区男性乳腺癌标化发病率变化趋势无统计学意义(APC= –1.17%, P>0.05),其中城市地区与农村地区男性乳腺癌标化发病率变化趋势均无统计学意义(APC= –0.24%和–2.59%,均P>0.05)。安徽省肿瘤登记地区2010—2020年男性乳腺癌死亡率为0.21/10万(城市为0.20/10万、农村为0.21/10万),标化死亡率为0.14/10万(城市为0.13/10万、农村为0.16/10万);2010—2020年安徽省肿瘤登记地区男性乳腺癌标化死亡率变化趋势无统计学意义(APC=3.08%,P>0.05),其中城市地区男性乳腺癌标化死亡率呈上升趋势(APC=6.29%,P=0.003),农村地区男性乳腺癌标化死亡率变化趋势无统计学意义(APC=0.83%,P>0.05)。
    结论 安徽省城市肿瘤登记地区2010—2020年男性乳腺癌死亡率呈上升趋势,应重视城市地区男性乳腺癌的预防和控制工作。

     

    Abstract:
    Objective To analyze the incidence and mortality trends of male breast cancer in Anhui province from 2010 to 2020 based on cancer registry data, with the aim of developing prevention and control strategies for breast cancer in the population.
    Methods Data on male breast cancer cases registered in Anhui province from 2010 through 2020 were collected from the China Cancer Registry Platform or the CANREG 4 system. The age- and area-specific number and rate of incidence and mortality, as well as the age-standardized incidence and mortality rates of male breast cancer, were calculated. The Joinpoint model was used to estimate the annual percentage change (APC) in these indicators to analyze the trends in incidence and mortality of male breast cancer in selected areas with cancer registration in the province during this period.
    Results For the population covered by the cancer registration in the province during the study period, the crude incidence rate (per 100 000) of male breast cancer was 0.58 (0.53 and 0.61 for urban and rural populations, respectively), and the age-standardized incidence rate was 0.44 (0.38 and 0.49 for urban and rural populations, respectively). There was no significant changing trend in the age-standardized incidence rate for the total population (APC= -1.17%, P>0.05) or for both urban and rural populations (APC= -0.24% and -2.59%, respectively, both P>0.05). The crude mortality rate of male breast cancer was 0.21 for the total population, with 0.20 and 0.21 for urban and rural populations, respectively. The age-standardized mortality rate was 0.14 for the total population, with 0.13 and 0.16 for urban and rural populations, respectively. There were no significant changing trends in the age-standardized mortality rate for the total population (APC=3.08%, P>0.05) or for the rural population (APC=0.83%, P>0.05), but there was a significant upward trend in the age-standardized mortality rate for the urban population (APC=6.29%, P=0.003).
    Conclusions The registered mortality rate of male breast cancer in the urban population of Anhui province showed an increasing trend from 2010 to 2020, suggesting that more attention should be given to the prevention and control of male breast cancer in urban areas.

     

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