Analysis of the Mortality and Probability of Premature Mortality of Colorectal Cancer in Jinshan District of Shanghai from 1980 to 2023
10.11735/j.issn.1004-0242.2025.10.A009
- VernacularTitle:1980-2023年上海市金山区结直肠癌死亡率及过早死亡概率分析
- Author:
Xiaoyun ZHU
1
;
Xia GAO
1
;
Wenxia XIA
1
;
Nannan ZHANG
1
;
Qi SHU
1
;
Zhenjuan LI
1
Author Information
1. 上海市金山区疾病预防控制中心,上海金山 201599
- Publication Type:Journal Article
- Keywords:
colorectal cancer;
mortality;
probability of premature mortality;
trend;
Shanghai
- From:
China Cancer
2025;34(10):821-827
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To analyze the trends of mortality and probability of premature mortality caused by colorectal cancer in Jinshan District of Shanghai from 1980 to 2023.[Methods]The death database of Jinshan District from 1980 to 2023 were established based on the death reports from the medical institutions and public security bureau at all levels.The crude mortality rate,age-standardized mortality rate by Chinese standard population and world standard population(ASRC and ASRW),age-specific mortality rate,probability of premature mortality,annual percentage change(APC)and average annual percentage change(AAPC)of colorectal cancer were calculated.[Results]The crude mortality rate of colorectal cancer increased from 1980 to 2023(AAPC=2.36％,P＜0.001)and the ASRW of colorectal cancer decreased at the same period(AAPC=-1.02％,P=0.003).The ASRW of colorectal cancer in male and female showed a decreasing trend from 1990 to 1999(APC=-5.08％,-7.85％,P=0.007,0.011),but there was no significant change in other periods.The age-specific mortality rate increased with age and reached the peak at the age group of 70～74 years old during 1980-1989,75～79 years old during 1990-1999,80～84 years old during 2000-2009 and 2010-2019,85 years old and above during 2020-2023(109.22/105,77.56/105,113.78/105,172.82/105 and 236.58/105,respectively).The probability of premature mortality of colorectal cancer decreased in male and female(AAPC=-1.10％,-2.41％,P=0.047,＜0.001),but there was no change after the year of 2000.[Conclusion]The overall mortality rate of colorectal cancer in Jinshan District showed a decreasing trend from 1980 to 2023,but the standardized mortality rate and the probability of premature mortality had not shown a significant downward trend since 2000.
