Analysis of the Epidemic Characteristics of Lung Cancer in 2020 and the Trend from 2012 to 2020 in Hubei Province
10.11735/j.issn.1004-0242.2025.04.A003
- VernacularTitle:2020年湖北省肺癌流行特征及2012-2020年变化趋势分析
- Author:
Yu QIN
1
;
Shuang YAO
1
;
Jiyu TUO
1
;
Yafen XIA
1
;
Min ZHANG
1
Author Information
1. 华中科技大学同济医学院附属肿瘤医院/湖北省肿瘤医院,湖北武汉 430079
- Publication Type:Journal Article
- Keywords:
lung cancer;
incidence;
mortality;
trend analysis;
Hubei
- From:
China Cancer
2025;34(4):264-271
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To analyze the epidemiological characteristics of lung cancer in 2020 and the trend from 2012 to 2020 in Hubei Province.[Methods]Qualified lung cancer registry data reported by 24 cancer registries in Hubei Province was utilized to estimate the number of new lung cancer cases and deaths.Incidence/mortality rate,age-specific incidence/mortality rate,age-standardized incidence/mortality rate by Chinese standard population(ASIRC and ASMRC)and by world stan-dard population(ASIRW and ASMRW),cumulative rate of 0~74 years old and other indicators of lung cancer in urban and rural areas,different sex,age groups in 2020 were calculated.Annual percentage change(APC),average annual percentage change(AAPC)and 95%confidence interval(CI)were calculated to analyze the trends of incidence and mortality of lung cancer in cancer regi-stration areas of Hubei Province from 2012 to 2020.[Results]In 2020,the estimated number of new lung cancer cases in Hubei Province was 41 531,accounting for 23.17%of all new cancer cases.The incidence rate was 72.13/105,with the ASIRC of 38.19/105 and ASIRW of 42.75/105 respectively.The cumulative incidence rate of 0~74 years old was 4.82%.The estimated number of lung cancer deaths in Hubei Province in 2020 was 31 374,accounting for 29.52%of all cancer deaths.The mortality rate was 54.49/105,with the ASMRC of 27.66/105 and ASMRW of 31.95/105,respectively.The cumulative mortality(0~74 years old)was 3.36%.The incidence of lung cancer was higher in urban areas than that in rural areas,and higher in men than that in women.The in-cidence and mortality of lung cancer increased with age,and reaching the peak in the age groups of 75~79 and 80~85 years old respectively.From 2012 to 2020,the overall trend of crude inci-dence and mortality of lung cancer in Hubei Province was stable.The ASIRC and ASMRC showed a slow decline during 2012-2020,with the AAPCs of-0.51%(95%CI:-1.06%~-0.02%)and-1.84%(95%CI:-2.65%~-0.53%),respectively.The ASIRC showed a slow decline(APC=-1.76%,95%CI:-3.30%~-1.03%)during 2012-2018 and increase trend(APC=3.33%,95%CI:0.61%~5.02%)during 2018-2020,respectively,while ASMRC showed a significant decrease trend(APC=-3.00%,95%CI:-6.58%~-1.13%)during 2016-2020.[Conclusion]The incidence and mortality levels of lung cancer in Hubei Province were relatively high,resulted in a heavy disease burden and no significant downward trend.In the future,we should continue to strengthen the compre-hensive prevention and treatment of lung cancer,and promote lung cancer screening and early diagno-sis and treatment for target populations vigorously,especially in rural areas.