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2013—2022年南通市肿瘤登记地区女性乳腺癌发病趋势分析

Incidence trends of female breast cancer in cancer registration areas of Nantong city from 2013 to 2022

    摘要
  • 摘要:
    目的 分析2013—2022年江苏省南通市肿瘤登记地区女性乳腺癌发病趋势，为该地区女性乳腺癌防治提供参考依据。
    方法 收集2013年1月1日—2022年12月31日南通市肿瘤登记处上报的肿瘤随访数据库中女性乳腺癌发病数据，按照城乡分层计算女性乳腺癌的粗发病率、中国人口标化发病率（中标发病率）和世界人口标化发病率（世标发病率），并计算各年龄组女性乳腺癌的粗发病率，应用Joinpoint模型计算平均年度变化百分比（AAPC）分析2013—2022年南通市肿瘤登记地区女性乳腺癌的发病趋势。
    结果 2013—2022年南通市肿瘤登记地区女性乳腺癌粗发病率为53.83/10万（城市为50.08/10万、农村为55.31/10万），中标发病率为30.72/10万（城市为28.97/10万、农村为31.43/10万），世标发病率为28.73/10万（城市为27.20/10万、农村为29.33/10万）；2013—2022年南通市肿瘤登记地区女性总体及城乡乳腺癌的粗发病率、中标发病率和世标发病率均呈上升趋势（AAPC=3.79%～5.96%，均P<0.01），农村女性乳腺癌发病率上升趋势更为显著；2013—2022年南通市肿瘤登记地区30～39、40～49、50～59、60～69、70～79岁年龄组女性乳腺癌发病率均呈上升趋势（AAPC=3.44%～5.37%，均P<0.01）。
    结论 2013—2022年南通市肿瘤登记地区女性乳腺癌发病率呈上升趋势，尤其应重点关注农村地区女性的乳腺癌防控工作，30～79岁女性人群为该地区需要进行乳腺癌防控的重点人群。

     

    Abstract:
    Objective To analyze the incidence trends of female breast cancer in the cancer registration areas of Nantong city, Jiangsu province from 2013 to 2022, thus providing a basis for developing prevention and control strategies for female breast cancer in this region.
    Methods Data of female breast cancer cases registered in Nantong city from 2013 to 2022 were collected from the tumor follow-up database. The urban/rural area-specific crude incidence rate, the age-standardized incidence rate by Chinese standard population (ASIRC), and age-standardized incidence rate by world standard population (ASIRW) of female breast cancer were calculated. The crude incidence rate of female breast cancer in each age group was calculated. The Joinpoint model was used to estimate the annual average percentage change (AAPC) in these indicators for revealing the incidence trends of female breast cancer in selected areas with cancer registration in the city during this period.
    Results In the cancer registration areas of Nantong city from 2013 to 2022, the crude incidence rate, ASIRC, and ASIRW (per 100 000) of female breast cancer were 53.83 (50.08 for urban population and 55.31 for rural population), 30.72 (28.97 for urban population and 31.43 for rural population), and 28.73 (27.20 for urban population and 29.33 rural population), respectively. The crude incidence rate, ASIRC, and ASIRW of female breast cancer in the total population and urban and rural areas showed upward trends (AAPC: 3.79%–5.96%, all P < 0.01), and the incidence rate of female breast cancer in rural areas showed a more significant upward trend. The incidence rates of female breast cancer in the age groups of 30–39 years, 40–49 years, 50–59 years, 60–69 years, and 70–79 years in the cancer registration areas all showed upward trends (AAPC: 3.44%–5.37%, all P < 0.01).
    Conclusions The incidence rate of female breast cancer in the cancer registration areas of Nantong city from 2013 to 2022 showed an upward trend. Special attention should be paid to the prevention and control of female breast cancer in rural areas. Women aged 30–79 years are the key population for breast cancer prevention and control in this region.

     

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