Statistical analysis of disability-adjusted life years for stomach and colorectal cancers in Changning District of Shanghai
10.3760/cma.j.cn112152-20231026-00271
- VernacularTitle:上海市长宁区居民胃癌和结直肠癌伤残调整寿命年的统计分析
- Author:
Jing WU
1
;
Lei ZHANG
;
Yu JIANG
;
Dandan TANG
;
Yuxuan XIAO
;
Yun ZHANG
;
Honglan LI
;
Wensui ZHAO
;
Qinghua XIA
;
Yongbing XIANG
Author Information
1. 上海交通大学公共卫生学院，上海200025
- Keywords:
Stomach neoplasms;
Colorectal neoplasms;
Disease burden;
Disability-adjusted life years;
Temporal trend;
Shanghai
- From:
Chinese Journal of Oncology
2024;46(2):168-176
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To analyze the status and temporal changes of disability-adjusted life year (DALY) for stomach and colorectal cancers among registered permanent residents in Changning District of Shanghai Municipality, and provide scientific basis for the prevention and treatment of stomach and colorectal cancers in this district.Methods:Using the cancer registration data of stomach and colorectal cancers from 2002 to 2019, we estimated the indices such as the DALYs, the DALY crude rates, the age-standardized DALY rates, etc. Then we used the Joinpoint regression model to calculate the average annual percent change (AAPC) and annual percent change (APC) to explore the temporal variations in different periods.Results:The DALYs of stomach and colorectal cancers in Changning District from 2002 to 2019 were 55 931 person years and 65 252 person years, respectively. The crude rates of DALY were 512.16/10 5 and 597.51/10 5, respectively. We observed a higher disease burden in men than in women, and the peak rate of DALY in stomach cancer was in the 75-79 years age group, while in colorectal cancer the rate was in the 85-years-or-older age group. Joinpoint regression analysis showed that from 2002 to 2019, the age-standardized DALY rate of stomach cancer showed a downward trend (AAPC=-3.86%, P＜0.05), while the trend of colorectal cancer was not statistically significant(AAPC=-0.08%, P＞0.05). However, the trends in the age-standardized DALY rates of colorectal cancer were different between males and females, with males showing an upward trend (AAPC=1.24%, P＜0.05) and females showing a downward trend (AAPC=-1.67%, P＜0.05). Conclusions:The DALY of stomach and colorectal cancers in Changning District of Shanghai showed a decreasing trend. Males and the middle-aged and elderly populations are still the key targets for disease prevention and control in this district.
