Cancer incidence and mortality in China, 2015

Background: National Cancer Center (NCC) updated nationwide cancer statistics using population-based cancer registry data in 2015. Methods: 501 cancer registries submitted data, among which 368 registries with high quality data were included in analysis. Numbers of nationwide new cancer cases and de...

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Autores principales: Siwei Zhang, Kexin Sun, Rongshou Zheng, Hongmei Zeng, Shaoming Wang, Ru Chen, Wenqiang Wei, Jie He
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:450f0f8a08e44ba7b6b06addda467e1b2021-12-01T05:06:25ZCancer incidence and mortality in China, 20152667-005410.1016/j.jncc.2020.12.001https://doaj.org/article/450f0f8a08e44ba7b6b06addda467e1b2021-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667005420300016https://doaj.org/toc/2667-0054Background: National Cancer Center (NCC) updated nationwide cancer statistics using population-based cancer registry data in 2015. Methods: 501 cancer registries submitted data, among which 368 registries with high quality data were included in analysis. Numbers of nationwide new cancer cases and deaths were estimated using incidence and mortality rates and corresponding national population stratified by area, sex, age group and cancer site. The world Segi's population was applied for the calculation of age-standardized rates. Results: About 3,929,000 new cancer cases were diagnosed. The crude incidence rate was 285.83/100,000 and the age-standardized incidence rate by world standard population (ASIRW) was 186.39/100,000. ASIRW was higher in urban areas than in rural areas. South China had the highest ASIRW while Southwest China had the lowest ASIRW. Age-specific incidence rate was higher in males for population younger than 20 years or over 49 years. From 2000 to 2015, the ASIRWs for esophageal cancer, gastric cancer and liver cancer decreased significantly. The ASIRWs for colorectal cancer in whole population and for lung cancer, breast cancer, cervix cancer, uterus cancer and thyroid cancer in females increased significantly. 2,338,000 cancer deaths were reported. The crude mortality rate was 170.05/100,000 and the age standardized mortality rate by world standard population (ASMRW) was 105.84/100,000. ASMRW was higher in rural areas than in urban areas. Central China had the highest ASMRW while North China had the lowest ASMRW. Age-specific mortality rates in males were higher than that in females in every age group. From 2000 to 2015, the ASMRWs for esophageal cancer, gastric cancer, liver cancer and lung cancer decreased significantly. The ASMRWs for colorectal cancer, pancreas cancer and prostate cancer in males and for breast cancer, cervix cancer and thyroid cancer in females increased significantly. Conclusions: Cancer has become a major life-threatening disease in China. Disease burdens differed across areas. Disease burdens for esophageal cancer, gastric cancer and liver cancer have decreased, while disease burdens for colorectal cancer, female breast cancer, cervix cancer and thyroid cancer have increased over the last 15 years. National and regional initiative for cancer prevention and control should be prioritized.Siwei ZhangKexin SunRongshou ZhengHongmei ZengShaoming WangRu ChenWenqiang WeiJie HeElsevierarticleCancer registryIncidenceMortalityEpidemiologyChinaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENJournal of the National Cancer Center, Vol 1, Iss 1, Pp 2-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Cancer registry
Incidence
Mortality
Epidemiology
China
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Cancer registry
Incidence
Mortality
Epidemiology
China
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Siwei Zhang
Kexin Sun
Rongshou Zheng
Hongmei Zeng
Shaoming Wang
Ru Chen
Wenqiang Wei
Jie He
Cancer incidence and mortality in China, 2015
description Background: National Cancer Center (NCC) updated nationwide cancer statistics using population-based cancer registry data in 2015. Methods: 501 cancer registries submitted data, among which 368 registries with high quality data were included in analysis. Numbers of nationwide new cancer cases and deaths were estimated using incidence and mortality rates and corresponding national population stratified by area, sex, age group and cancer site. The world Segi's population was applied for the calculation of age-standardized rates. Results: About 3,929,000 new cancer cases were diagnosed. The crude incidence rate was 285.83/100,000 and the age-standardized incidence rate by world standard population (ASIRW) was 186.39/100,000. ASIRW was higher in urban areas than in rural areas. South China had the highest ASIRW while Southwest China had the lowest ASIRW. Age-specific incidence rate was higher in males for population younger than 20 years or over 49 years. From 2000 to 2015, the ASIRWs for esophageal cancer, gastric cancer and liver cancer decreased significantly. The ASIRWs for colorectal cancer in whole population and for lung cancer, breast cancer, cervix cancer, uterus cancer and thyroid cancer in females increased significantly. 2,338,000 cancer deaths were reported. The crude mortality rate was 170.05/100,000 and the age standardized mortality rate by world standard population (ASMRW) was 105.84/100,000. ASMRW was higher in rural areas than in urban areas. Central China had the highest ASMRW while North China had the lowest ASMRW. Age-specific mortality rates in males were higher than that in females in every age group. From 2000 to 2015, the ASMRWs for esophageal cancer, gastric cancer, liver cancer and lung cancer decreased significantly. The ASMRWs for colorectal cancer, pancreas cancer and prostate cancer in males and for breast cancer, cervix cancer and thyroid cancer in females increased significantly. Conclusions: Cancer has become a major life-threatening disease in China. Disease burdens differed across areas. Disease burdens for esophageal cancer, gastric cancer and liver cancer have decreased, while disease burdens for colorectal cancer, female breast cancer, cervix cancer and thyroid cancer have increased over the last 15 years. National and regional initiative for cancer prevention and control should be prioritized.
format article
author Siwei Zhang
Kexin Sun
Rongshou Zheng
Hongmei Zeng
Shaoming Wang
Ru Chen
Wenqiang Wei
Jie He
author_facet Siwei Zhang
Kexin Sun
Rongshou Zheng
Hongmei Zeng
Shaoming Wang
Ru Chen
Wenqiang Wei
Jie He
author_sort Siwei Zhang
title Cancer incidence and mortality in China, 2015
title_short Cancer incidence and mortality in China, 2015
title_full Cancer incidence and mortality in China, 2015
title_fullStr Cancer incidence and mortality in China, 2015
title_full_unstemmed Cancer incidence and mortality in China, 2015
title_sort cancer incidence and mortality in china, 2015
publisher Elsevier
publishDate 2021
url https://doaj.org/article/450f0f8a08e44ba7b6b06addda467e1b
work_keys_str_mv AT siweizhang cancerincidenceandmortalityinchina2015
AT kexinsun cancerincidenceandmortalityinchina2015
AT rongshouzheng cancerincidenceandmortalityinchina2015
AT hongmeizeng cancerincidenceandmortalityinchina2015
AT shaomingwang cancerincidenceandmortalityinchina2015
AT ruchen cancerincidenceandmortalityinchina2015
AT wenqiangwei cancerincidenceandmortalityinchina2015
AT jiehe cancerincidenceandmortalityinchina2015
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