Abstract
白亚娜,曲红梅,蒲宏全,代敏,程宁,李海燕,昌盛,李娟生,康峰,胡晓斌,任晓卫,赫捷.金昌队列人群癌症疾病负担分析[J].Chinese journal of Epidemiology,2016,37(3):306-310
金昌队列人群癌症疾病负担分析
Cancer burden in the Jinchang cohort
Received:October 28, 2015  
DOI:10.3760/cma.j.issn.0254-6450.2016.03.002
KeyWord: 肿瘤  死亡率  疾病负担  潜在减寿年  潜在工作损失年
English Key Word: Cancer  Mortality rate  Disease burden  Potential years of life lost  Working potential years of life lost
FundProject:国家重大公共卫生服务项目(财社2012-64);金川集团股份有限公司科学技术项目(JKZ20120013)
Author NameAffiliationE-mail
Bai Yana Institute of Epidemiology and Biostatistics, School of Public Health, Center for Cancer Prevention and Control, Lanzhou University, Lanzhou 730000, China baiyana@lzu.edu.cn 
Qu Hongmei Preventive Medicine Teaching and Research Section, Medical College, Northwest University for Nationalities, Lanzhou 730000, China  
Pu Hongquan Workers' Hospital of Jinchuan Group Company Limited, Jinchang 737100, China  
Dai Min Program Office for Cancer Screening in Urban China, Department of Cancer Prevention, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China daimin2002@hotmail.com 
Cheng Ning School of Basic Medical Sciences, Center for Cancer Prevention and Control, Lanzhou University, Lanzhou 730000, China  
Li Haiyan Workers' Hospital of Jinchuan Group Company Limited, Jinchang 737100, China  
Chang Sheng Program Office for Cancer Screening in Urban China, Department of Cancer Prevention, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China  
Li Juansheng Institute of Epidemiology and Biostatistics, School of Public Health, Center for Cancer Prevention and Control, Lanzhou University, Lanzhou 730000, China  
Kang Feng Workers' Hospital of Jinchuan Group Company Limited, Jinchang 737100, China  
Hu Xiaobin Institute of Epidemiology and Biostatistics, School of Public Health, Center for Cancer Prevention and Control, Lanzhou University, Lanzhou 730000, China  
Ren Xiaowei Institute of Epidemiology and Biostatistics, School of Public Health, Center for Cancer Prevention and Control, Lanzhou University, Lanzhou 730000, China  
He Jie Program Office for Cancer Screening in Urban China, Department of Cancer Prevention, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China  
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Abstract:
      目的 掌握金昌队列人群常见癌症的疾病负担,为制定该队列癌症防治措施、减轻癌症疾病负担提供基础数据。方法 收集金昌队列人群2001-2013年癌症全死因资料及2001-2010年癌症住院患者资料,应用死亡率、潜在减寿年(PYLL)、潜在工作损失年(WPYLL)、直接经济负担分析癌症造成的疾病负担。结果 该队列人群13年癌症平均死亡率顺位前5位为肺癌(78.06/10万)、胃癌(38.03/10万)、肝癌(37.23/10万)、食管癌(19.60/10万)、结直肠癌(9.53/10万);前5位恶性肿瘤PYLL(人年)、WPYLL(人年)依次为肺癌(3 480.33、1 161.00)、肝癌(2 809.03、1 475.00)、胃癌(2 120.54、844.00)、食管癌(949.61、315.00)、结直肠癌(539.90、246.00)。该队列10年恶性肿瘤人均例次住院费用依次为胃癌(8 102.23元)、食管癌(7 135.79元)、结直肠癌(7 064.38元)、乳腺癌(6 723.53元)、肺癌(6 309.39元)。结论 金昌队列人群疾病负担较重的前五位癌症为肺癌、胃癌、肝癌、食管癌、结直肠癌,其中尤以肺癌的疾病负担最重。
English Abstract:
      Objective To understand the disease burden caused by cancers in Jinchang cohort, and develop effective strategies for cancer prevention and control in this population. Methods The cancer mortality data from 2001 to 2013 and the medical records for cancer patients from 2001 to 2010 in Jinchang cohort were collected. The disease burden caused by cancer was analyzed by using mortality rate, potential years of life lost (PYLL), working PYLL (WPYLL), and direct economic burden. Results During 2001-2013, in Jinchang cohort, the five leading cancers ranked by mortality rate were lung cancer (78.06/100 000), gastric cancer (38.03/100 000), liver cancer (37.23/100 000), esophageal cancer (19.06/100 000), and colorectal cancer (9.53/100 000). The five leading cancers in terms of PYLL (person-years) and WPYLL (person-years) were lung cancer (3 480.33, 1 161.00), liver cancer (2 809.03, 1 475.00), gastric cancer (2 120.54, 844.00), esophageal cancer (949.61, 315.00), and colorectal cancer (539.90, 246.00). From 2001 to 2010, the five leading cancers in term of average daily cost of hospitalization were gastric cancer (8 102.23 Yuan), esophageal cancer (7 135.79 Yuan), colorectal cancer (7 064.38 Yuan), breast cancer (6 723.53 Yuan), and lung cancer (6 309.39 Yuan). Conclusions The cancers common causing higher disease burden in Jinchang cohort were lung cancer, gastric cancer, liver cancer, esophageal cancer and colorectal cancer. The lung cancer disease burden was the highest.
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