Analysis of the epidemiological characteristics and survival rate of cancer in Qingpu District， Shanghai from 2012 to 2016 / 上海预防医学

ABSTRACT

Objective:To analyze the incidence and death characteristics of cancer and survival rate of residents in Qingpu District， Shanghai from 2012 to 2016， and to provide a scientific basis for subsequent cancer prevention and treatment. Methods:The malignant tumor incidence and death data were collected by the Shanghai Malignant Tumor Case Registration System. Based on these data， the crude incidence and mortality rate of cancer， the standardized rate， the order of incidence and death of the top 10 cancers， and the overall survival rate were calculated using the life table method. The relative survival rate for 1 to 5 years was calculated using the Ederer II method according to survival probability in the abbreviated life table for the same period. The annual percentage change （APC） was calculated by Joinpoint software， and the trend of morbidity and mortality was analyzed. Results:A total of 10 893 new malignant tumor cases were diagnosed in the region from 2012 to 2016. The crude incidence rate of cancer in the whole region was 464.68/100 000 （502.06/100 000 for men and 428.57/100 000 for women）， and the standardized incidence rate was 224.61/100 000 （235.52/100 000 for men， and 217.98/100 000 for women）. A total of 5 820 people died of cancer， the crude mortality rate of cancer in the whole region was 248.28/100 000 （321.92/100 000 for men and 177.13/100 000 for women）， and the standardized mortality rate was 97.08/100 000 （133.14/100 000 for men and 66.38/100 000 for women）. Patients with malignant tumors diagnosed in Qingpu District in 2012 showed higher 5-year relative survival for breast cancer （87.03%）， malignant tumors of brain and central nervous system （73.62%）， and colorectal cancer （58.22%）. A relative low 5-year survival rate was observed in patients with pancreatic cancer （3.76%）， esophageal cancer （10.55%）， and liver cancer （15.79）. Conclusion:Lung cancer and malignant tumors of the digestive system （including gastric cancer and colorectal cancer） are the main types of cancer threatening the health of residents in Qingpu District. The survival rates of breast cancer， malignant tumors of brain and central nervous system， and colorectal cancer have reached or approached the level of developed countries. However， the overall survival rate of malignant tumors in Qingpu District is lower than that in the city， and needs to be further improved.