Incidence and Mortality of Prostate Cancer in Zhejiang Cancer Registration Areas in 2021 and Trends from 2000 to 2021
10.11735/j.issn.1004-0242.2025.10.A004
- VernacularTitle:2021年浙江省肿瘤登记地区前列腺癌发病与死亡特征及2000-2021年变化趋势分析
- Author:
Xiayan ZHU
1
;
Huanqing TAO
;
Le WANG
;
Huizhang LI
;
Qiongyan LI
;
Lingbin DU
Author Information
1. 岱山县疾病预防控制中心,浙江岱山 316200
- Publication Type:Journal Article
- Keywords:
prostate cancer;
incidence;
mortality;
trend analysis;
Zhejiang
- From:
China Cancer
2025;34(10):775-782
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To analyze the incidence and mortality of prostate cancer in Zhejiang cancer registration areas in 2021 and the trends from 2000 to 2021.[Methods]Data of prostate cancer incidence and mortality in Zhejiang cancer registration areas from 2000 to 2021 were collected.The crude incidence/mortality rates,age-standardized incidence/mortality rates by Chinese stan-dard population(ASIRC/ASMRC)and world standard population(ASIRW/ASMRW),cumulative rates(0~74 years old)were calculated.Joinpoint regression model was used to estimate the annual percentage change(APC)and average annual percentage change(AAPC)to assess trends.[Results]In 2021,6 683 new prostate cancer cases were reported in Zhejiang cancer registration areas,the crude incidence rate and ASIRC of prostate cancer were 61.21/105 and 26.78/105,respec-tively.The number of prostate cancer deaths was 1 036,the crude mortality rate and ASMRC were 9.49/105 and 3.28/105,respectively.From 2000 to 2021,a total of 30 876 new prostate cancer cases and 7 458 deaths were reported.The average crude incidence rate was 25.50/105,and the ASIRC was 13.35/105;the crude mortality rate and ASMRC rates were 6.16/105 and 2.82/105,respectively.The ASIRC was higher in urban areas(13.58/105)than that in rural areas(12.84/105),while the ASMRC was lower in urban areas(2.60/105)than that in rural areas(3.33/105).From 2000 to 2021,both the ASIRC and ASMRC showed significant upward trends in Zhejiang cancer registration areas with AAPC of 13.88%(95%CI:11.43%~16.08%,P<0.001)and 4.35%(95%CI:2.21%~6.18%,P<0.001),respectively.[Conclusion]Prostate cancer incidence in Zhejiang Province had risen rapidly in last two decades,with rural areas facing a heavier mortality burden.Special attention should be paid to the elderly male population in rural areas,and the three-level prevention strategy should be strengthened to reduce the disease burden.