Survival Analysis of Colorectal Cancer in Jiashan County,Zhejiang Province from 1991 to 2020
10.11735/j.issn.1004-0242.2025.01.A006
- VernacularTitle:1991-2020年浙江省嘉善县结直肠癌生存分析
- Author:
Feng XUE
1
;
Xinglin FEI
;
Jing SUN
;
Zepeng ZHANG
;
Zhaohui ZHANG
Author Information
1. 浙江省嘉善县肿瘤防治所,浙江嘉善 314100
- Publication Type:Journal Article
- Keywords:
colorectal cancer;
observed survival rate;
relative survival rate;
Zhejiang
- From:
China Cancer
2025;34(1):32-36
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To analyze the survival of colorectal cancer patients in Jiashan County of Zhejiang Province from 1991 to 2020.[Methods]The data of newly reported cases of colorectal cancer were collected in Jiashan County from January 1,1991 to December 31,2020,and pa-tients were followed-up till December 2023.The observed survival rate(OSR)and relative survival rate(RSR)were calculated using the life table and Ederer Ⅱ method with 5-year intervals.Rela-tive survival was adjusted using the International Cancer Survival Standards.The Joinpoint re-gression model was used to calculate the average annual percentage change(AAPC)to analyze the change trend of survival rate.[Results]The 5-year RSR of colorectal cancer increased from 21.7%during 1991 to 1995 to 73.4%during 2016 to 2020,showing an increasing trend(AAPC=4.6%,P<0.05),for men it increased from 17.7%to 72.7%and for women it increased from 30.0%to 74.3%,with AAPCs of 3.9%and 4.3%,respectively(P<0.05).The 5-year RSR of colorectal can-cer in all age groups showed an increasing trend(P<0.05 for all age groups,except for 75+),and the highest increase was found in the age group of 65~74 years old(AAPC=4.9%).[Conclusion]From 1991 to 2020,the 5-year survival rate of colorectal cancer in Jiashan County showed a steady increase,for women and those aged 65~74 years old the increase was more significant.The cancer screening of high-risk groups should be focused on to improve colorectal cancer survival rate.