Zhongguo quanke yixue (Apr 2024)

Epidemic Trend Analysis of Colorectal Cancer in Jiading District, Shanghai from 2003 to 2019

  • CHEN Dan, WANG Yawei, HUANG Fang, XU Yifan, ZHANG Yiying, SHAO Yueqin

DOI
https://doi.org/10.12114/j.issn.1007-9572.2023.0537
Journal volume & issue
Vol. 27, no. 10
pp. 1261 – 1266

Abstract

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Background Colorectal cancer has become the third most prevalent malignant tumor in Jiading district of Shanghai, and its disease burden is still increasing. Objective To analyze the epidemic trend of colorectal cancer in Jiading district of Shanghai from 2003 to 2019 and provide scientific basis for the prevention and treatment of colorectal cancer. Methods Based on the cancer registration data from 2003 to 2019 in Jiading district of Shanghai, the statistical indicators such as crude incidence rate, crude mortality rate, standardized incidence rate and standardized mortality rate were calculated (the rate was standardized using the Chinese standard population of 2010). Joinpoint Regression Program 4.9.1.0 software was used to analyze the trends of incidence rate and mortality rate. Results From 2003 to 2019, there were 5 020 new cases of colorectal cancer in Jiading district of Shanghai, with a crude incidence rate of 52.12/100 000, a standardized incidence rate of 26.27/100 000; there were 2 419 deaths, with a crude mortality rate of 25.12/100 000, and a standardized mortality rate of 11.16/100 000; with males having higher crude incidence and crude mortality rates than females (P<0.05). There was an overall upward trend in the total population standardized incidence rate (APC=2.63%, P<0.05), with an increasing trend in the male standardized incidence rate (APC=3.48%, P<0.05), and no significant trend in the female standardized incidence rate (APC=1.39%, P=0.119), while no turning point was found. There was no significant trend in the total population standardized mortality rate (APC=-0.49%, P=0.250), of which there was no significant trend in the male standardized mortality rate (APC=0.34%, P=0.545), and a decreasing trend in the female standardized mortality rate (APC=-1.94%, P<0.05) . Conclusion From 2003 to 2019, the overall incidence rate of colorectal cancer in Jiading district of Shanghai still increased, among which there was an upward trend in males and no significant change in the trend for females. There was no significant trend in the overall mortality rate, among which there was no significant change in males and a downward trend in females. The prevention and control of colorectal cancer should continue to be strengthened, with a focus on the male population.

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