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. 2022 Oct 23;44(10):1096-1101.
doi: 10.3760/cma.j.cn112152-20200225-00125.

[Epidemic characteristics of esophageal cancer mortality in Qidong, 1972-2016]

[Article in Chinese]
Y S Chen  1 , J Wang  1 , L L Ding  1 , Y H Zhang  1 , J G Chen  1 , J Zhu  1
Affiliations

[Epidemic characteristics of esophageal cancer mortality in Qidong, 1972-2016]

[Article in Chinese]
Y S Chen et al. Zhonghua Zhong Liu Za Zhi. .

Abstract
in English, Chinese

Objective: To describe the epidemic characteristics of esophageal cancer mortality in Qidong from 1972 to 2016, and to provide baseline for making control measures and strategies for prevention. Methods: The cancer registry data were collected and analyzed on mortality of oesophagus cancer during 1972-2016 in Qidong in different sex, age and time. Indices of statistics included crude mortality rate (CR), China age-standardized rate (CASR), world age-standardized rate (WASR), 35-64 years truncated rate, 0-74 years cumulative rate, cumulative risk, average annual percentage change (AAPC), mortality by period and mortality in the birth cohort. Results: A total of 4 795 esophageal cancer cases (male: 3 315, female: 1 480) died during the 45 years, accounting for 4.85% of all cancer deaths. The crude mortality was 9.48/10(5) (CASR: 3.62/10(5,) WASR: 6.30/10(5)) from 1972 to 2016. The crude mortality was significantly increased with age. In 2016, the crude mortality was 11.61/10(5) (CASR: 2.64/10(5,) WASR: 4.89/10(5)), respectively. The average annual percentage change (AAPC) were 0.99%、-2.03%、-1.72%. The mortalities of esophageal cancer in all age groups from 35 to 74 have been decreasing since the 1980s. The age-birth cohort analysis showed a decline in mortality rates in age groups from 40 to 79. Conclusions: The crude mortality rate of esophageal cancer increases slightly in Qidong, while the China age-standardized rate and world age-standardized rate decrease significantly. However, esophageal cancer is still one of the malignant tumors that affects the health of residents and seriously threatens the people's lives and health. The situation of cancer prevention and control is still serious in Qidong.

目的：分析江苏省启东市1972—2016年食管癌死亡流行特征，为制定食管癌防控措施与策略提供依据。 方法：根据启东市1972—2016年癌症死亡登记数据库及历年人口资料，计算粗死亡率、中标率、世标率、35~64岁截缩率、0~74岁累积率、累积风险、死亡率年均变化百分比(AAPC)、各时期死亡率及出生队列死亡率。 结果： 1972—2016年启东市食管癌死亡4 795例，男3 315例，女1 480例，占全部恶性肿瘤死亡的4.85%。食管癌粗死亡率为9.48/10万，中标率3.62/10万，世标率6.30/10万，粗死亡率随年龄的增长而升高。2016年食管癌粗死亡率为11.61/10万，中标率2.64/10万，世标率4.89/10万。1972—2016年食管癌粗死亡率、中标率、世标率的AAPC分别为0.99%、－2.03%、－1.72%。35~74岁各年龄组食管癌死亡率自20世纪80年代起均呈下降趋势。年龄－出生队列分析结果也显示，40~79岁各年龄组死亡率均有下降。 结论：启东市食管癌粗死亡率略有上升，中标率、世标率下降趋势明显，但仍是影响居民健康的主要恶性肿瘤之一，严重威胁人民群众生命健康，防控形势依然严峻。.

Keywords: Cancer registry; Esophageal neoplasms; Mortality; Qidong.

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