Temporal trends of incidence, mortality, and survival of liver cancer during 2011-2020 in Fujian Province, Southeast China.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Archives of Public Health Pub Date : 2024-12-04 DOI:10.1186/s13690-024-01462-7

Zhisheng Xiang, Yongying Huang, Jingyu Ma, Yongtian Lin, Yeying Wen, Yan Zhou, Jingfeng Liu

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Abstract

Background: Liver cancer is a common malignant tumor of the digestive system. We aimed to estimate the trend in the burden of liver cancer in Fujian Province, China, during 2011-2020.

Methods: The population-based cancer data was collected from the cancer registry in Fujian Province during 2011-2020. Segi's world standard population was used to calculate the age-standardized incidence rates and age-standardized mortality rates. The temporal trend of liver cancer was displayed by annual percentage change and average annual percentage change (AAPC). Relative survival of liver cancer was calculated as the ratio of observed survival to expected survival. The age-standardized relative survival was calculated according to the International Cancer Survival Standards 1.

Results: There were 14,725 patients diagnosed with liver cancer and 12,698 patients died between 2011 and 2020. For males, there was a downward trend in incidence and mortality (AAPC: -3.86%, -3.44%). Similarly, the downward trend was also shown in females (AAPC: -3.96%, -2.79%). The highest age-specific incidence and mortality were in the 75-79 age group (146.59/100,000 and 137.99/100,000, respectively), and there was no downward trend in this group during the period. The overall age-standardized 5-year relative survival was 10.77% in 2011-2015 and 14.54% in 2016-2020. During the study period, the percentage improvement of survival was higher in males than in females (34.75% and 25.33%). The percentage improvement of survival in urban was higher than that in rural (38.64% and 28.75%). Except for the age group over 75, the survival of patients in other age groups all has improved.

Conclusions: Liver cancer remains a serious public health problem in Fujian Province, China, which needs to be solved, especially in some high-risk groups such as the elderly, high-risk males, and rural populations. Early detection and treatment is the key to the prevention and treatment of liver cancer.

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2011-2020年福建省肝癌发病率、死亡率和生存率的时间趋势

背景：肝癌是一种常见的消化系统恶性肿瘤。我们的目的是估计2011-2020年中国福建省肝癌负担的趋势。方法：收集福建省2011-2020年癌症登记处的人群癌症数据。使用Segi世界标准人口计算年龄标准化发病率和年龄标准化死亡率。以年百分比变化和年均百分比变化（AAPC）显示肝癌的时间趋势。肝癌的相对生存期计算为观察生存期与预期生存期之比。年龄标准化相对生存率根据国际癌症生存标准1计算。结果：2011年至2020年，共有14725例肝癌患者确诊，12698例死亡。男性发病率和死亡率呈下降趋势（AAPC分别为-3.86%和-3.44%）。同样，女性也呈现下降趋势（AAPC: -3.96%, -2.79%）。75-79岁年龄组发病率和死亡率最高（分别为146.59/10万和137.99/10万），该年龄组发病率和死亡率在此期间没有下降趋势。2011-2015年总体年龄标准化5年相对生存率为10.77%，2016-2020年为14.54%。在研究期间，男性的生存率高于女性（34.75%和25.33%）。城市的生存改善率高于农村（38.64%和28.75%）。除75岁以上年龄组外，其他年龄组患者的生存率均有提高。结论：肝癌在福建省仍是一个严重的公共卫生问题，特别是在老年人、高危男性和农村人群等高危人群中需要得到解决。早期发现和治疗是预防和治疗肝癌的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

3.00%

发文量

244

审稿时长

16 weeks

期刊介绍： rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.