Analysis of cancer incidence and mortality in elderly population in China, 2013
10.3760/cma.j.issn.0253-3766.2017.2.012
- VernacularTitle:2013年中国老年人群恶性肿瘤发病和死亡分析
- Author:
Wanqing CHEN
1
;
Rongshou ZHENG
;
Siwei ZHANG
;
Hongmei ZENG
;
Xiaonong ZOU
;
Jie HE
Author Information
1. 100021,国家癌症中心 中国医学科学院北京协和医学院肿瘤医院全国肿瘤防治研究办公室
- Keywords:
Neoplasms,multiple primary;
Incidence;
Mortality;
Aged
- From:
Chinese Journal of Oncology
2017;39(1):60-66
- CountryChina
- Language:Chinese
-
Abstract:
Objective To estimate the cancer incidence and mortality in elderly Chinese population in 2013 based on the data from local cancer registries submitted to National Central Cancer Registry ( NCCR) . Methods Data from 255 cancer registries submitted to NCCR with qualified data after checked and evaluated, were selected for this estimation. Cancer incidence and mortality were stratified by areas, sex, age groups and cancer site, combined with population data of the year 2013 to estimate cancer epidemiology in older people in China. Chinese population census in 2000 and Segi′s population were used for the estimation of age?standardized incidence/mortality rates. Results All the 255 cancer registries ( 88 in urban and 167 in rural areas) were selected for this estimation, covered 37 407 728 elderly subjects, accounting for 17.73% of the entire national elderly population. It was estimated about 2 171.0 thousand new cancer cases in older people in China, accounting for 58. 96% of all cancer incidence, with the crude incidence rate of 1 029.16/100 000 (1 297.96 per 100 000 in male, 777.18 per 100 000 in female), and the age?standardized incidence rate by Chinese standard population ( ASIRC, 2000 ) was 1 019. 25 per 100 000. It was estimated about 1 600.5 thousand deaths in older people in China, accounting for 67.70% of all cancer deaths, with the crude mortality of 758.72/100 000 (988.37 per 100 000 in males, 543.44 per 100 000 in females ) , and the age?standardized incidence rate by Chinese standard population ( ASIRC, 2000) was 730. 78 per 100 000. Lung cancer, stomach cancer, colorectal cancer, liver cancer and esophageal cancer were the most common cancers, accounting for about 67.70% of all cancer cases in China. Those cancers are also the most common cancers in China, accounting for about 73.45% of all cancer deaths. Conclusions The cancer burden of elderly population in China is very serious. The major cancer incidence and mortality in urban and rural areas are similar, but the cancer patterns are very different in urban and rural areas. As cancer burdens for older people are different between urban and rural areas in China, more attention should be paid to the need of older people according to the actual situation.
