鲁欣, 蒋栋铭, 胡明, 杨印辉, 张丽娟, 侯建国, 曹广文, 谭晓㛃. 2004—2018年全国前列腺癌死亡率的流行特征及时间趋势[J]. 上海预防医学, 2021, 33(10): 899-904. DOI: 10.19428/j.cnki.sjpm.2021.21084
引用本文: 鲁欣, 蒋栋铭, 胡明, 杨印辉, 张丽娟, 侯建国, 曹广文, 谭晓㛃. 2004—2018年全国前列腺癌死亡率的流行特征及时间趋势[J]. 上海预防医学, 2021, 33(10): 899-904. DOI: 10.19428/j.cnki.sjpm.2021.21084
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LU Xin, JIANG Dong-ming, HU Ming, YANG Yin-hui, ZHANG Li-juan, HOU Jian-guo, CAO Guang-wen, TAN Xiao-jie. Mortality analysis and time trend of prostate cancer in China from 2004 to 2008[J]. Shanghai Journal of Preventive Medicine, 2021, 33(10): 899-904. DOI: 10.19428/j.cnki.sjpm.2021.21084
Citation: LU Xin, JIANG Dong-ming, HU Ming, YANG Yin-hui, ZHANG Li-juan, HOU Jian-guo, CAO Guang-wen, TAN Xiao-jie. Mortality analysis and time trend of prostate cancer in China from 2004 to 2008[J]. Shanghai Journal of Preventive Medicine, 2021, 33(10): 899-904. DOI: 10.19428/j.cnki.sjpm.2021.21084
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2004—2018年全国前列腺癌死亡率的流行特征及时间趋势

Mortality analysis and time trend of prostate cancer in China from 2004 to 2008

    摘要
  • 摘要:
    目的获得2004—2018年全国前列腺癌死亡情况的基本流行病学特征以及时空变化规律。
    方法收集来自全国605个监测点的前列腺癌死亡病例数据，并依照中国2000年的人口结构进行年龄标化，计算前列腺癌粗死亡率（CMR）、年龄标化死亡率（ASMR）、城乡ASMR比值（RR）等，由此分析前列腺癌死亡病例的年龄、性别、地区（城市/农村，东部/中部/西部）和时间的分布特征。
    结果2004—2018年前列腺癌CMR呈明显上升趋势（APC=5.23%，P<0.001），ASMR没有明显变化（APC=0.65%，P=0.336）。城市的前列腺癌ASMR高于农村（P<0.05）。城市和农村的ASMR均无明显变化趋势（P>0.05），RR值亦未见明显变化（P>0.05）。东部城市的前列腺癌ASMR高于中部或西部，东部农村的ASMR高于中部和西部。东部地区城市和农村ASMR表现为上升趋势（APC城市=1.6%，P=0.015；APC农村=1.02%，P=0.013）；但东、中、西部的RR值无明显变化。≥60岁前列腺癌ASMR高于<60岁人群，但两个年龄段人群ASMR无明显变化趋势（P>0.05）。<60岁年龄组2018年死亡率显著低于2004年死亡率（P=0.004）。
    结论前列腺癌的死亡与年龄具有显著的相关性，城市前列腺癌死亡率高于农村。我国目前的前列腺癌筛查策略对于改善前列腺癌患者预后的作用有限。城市≥60岁人群的前列腺癌筛查策略的分层细化，以及前列腺癌病因预防，是今后前列腺癌防控的重点工作。

     

    Abstract:
    ObjectiveTo obtain the temporal and spatial trends on prostate cancer mortality in China from 2004 to 2018.
    MethodsThe data of prostate cancer mortality was collected from 605 national disease surveillance sites and age-standardized according to the demographic structure of China in 2000. The crude mortality rate （CMR） and age-standardized mortality rate （ASMR）， and the ratio of ASMRs of rural to urban areas（RR）， were calculated to analyze the distributions of the mortality of prostate cancer stratified by age， sex， region （rural/urban areas， eastern/central/western areas） or time.
    ResultsThe temporal trend on the CMR of prostate cancer from 2004 to 2018 increased significantly （APC=5.23%，P<0.001）， whereas the trend on the ASMR did not change （APC=0.65%，P=0.336）. The ASMR of urban areas was higher than that of rural areas（P<0.05）. The temporal trend on the ASMR of urban or rural did not change（P>0.05）. The same trend was detected for the RR value （P>0.05）. The ASMR of eastern urban areas was higher than that of the central or the western urban areas. The ASMR of eastern rural areas was higher than that of central and western areas. In the eastern areas， both the temporal trends for the ASMRs of the urban and the rural increased （The urban： APC=1.6%， P=0.015； the rural： APC=1.02%， P=0.013）. However， the RR values for the East， the Center or the West did not change. The ASMR of the people over 60 years old was higher than that of the people under 60 years old. However， the temporal trends on the ASMRs of the group under 60 years old or the group over 60 years did not change （P>0.05）. The ASMR of the people under 60 years old in 2018 was significantly lower than that in 2004（P=0.004）.
    ConclusionA significant correlation exists between the death of prostate cancer and age. The mortality of prostate cancer in urban is higher than that in rural. The current screening strategy for prostate cancer has a limited impact on the prognosis of prostate cancer patients in China. Stratified refinement of prostate cancer screening strategies for people aged over 60 years in urban areas and the causal prophylaxis of prostate cancer are priorities for future prostate cancer prevention and control.

     

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