Mortality analysis of primary liver cancer in the mainland of China from 2004 to 2018
10.19428/j.cnki.sjpm.2021.21080
- VernacularTitle:2004—2018年中国大陆地区原发性肝癌死亡率分析
- Author:
Pei ZHAO
1
;
Dong-ming JIANG
2
;
Lin-feng XIAN
3
;
Jian-sheng LIN
4
;
Dong-hong LIU
5
;
Li-juan ZHANG
2
;
Hong-ping YU
1
;
Guang-wen CAO
3
Author Information
1. Guangxi Medical University Cancer Hospital，Nanning，Guangxi 530021，China
2. Tongji University School of Medicine，Shanghai 200092，China
3. Department of Epidemiology，Naval Medical University，Shanghai 200433，China
4. School of Medicine， Jinan University，Guangzhou，Guangdong 510632，China
5. The Second Affiliated Hospital of Chongqing;Medical University， Chongqing 400016， China
- Publication Type:Research Article
- Keywords:
primary liver cancer;
mortality;
trend;
China
- From:
Shanghai Journal of Preventive Medicine
2021;33(10):881-886
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To determine the mortality and changing trend of primary liver cancer by using the death data of Chinese mainland from 2004 to 2018. Methods:The death certificate data was collected from China National Mortality Surveillance System from 2004 to 2018. The crude mortality rate（CMR）and age-standardized mortality rate（ASMR）of primary liver cancer in different ages， regions and living environments were calculated by Joinpoint regression model to analyze the basic situation and mortality trend. Results:From 2004 to 2018， there were 556 241 primary liver cancer deaths in China， with a CMR of 25.18/105 and an ASMR of 17.98/105. It suggested that the mortality of primary liver cancer was on a decreasing trend. During the 15 years， the ASMR of primary liver cancer was 15.56/105 in urban areas and 19.29/105 in rural areas. In urban areas， CMR was 32.89/105 in males and 12.14/105 in females， respectively； while in rural areas， CMR was 38.39/105 in males and 14.02/105 in females， respectively. The CMR in eastern， central and western urban regions was 22.25/105， 22.66/105 and 23.50/105， respectively. The CMR in the rural areas of these three regions was 27.82/105， 26.98/105 and 23.85/105， respectively. The patients were divided into four age groups： 0-19 years old， 20-39 years old， 40-59 years old， and more than 60 years old. The CMR of four groups in urban areas was 0.14/105， 2.59/105， 24.51/105 and 91.80/105. In rural areas， the CMR of four groups was 0.17/105， 4.05/105， 32.16/105 and 103.02/105. Conclusion:From 2004 to 2018， the mortality rate of liver cancer in China has a decreasing trend. However， the primary liver cancer death burden is still serious because of the large population base， severe aging population problem， and significant urban-rural and male-female disparities in China.
