前言1
**章 概述2
1 登記系統(tǒng)介紹2
2 中國腫瘤登記的發(fā)展3
2.1 全國腫瘤登記項目3
2.2 腫瘤登記目標(biāo)3
2.3 隨訪與生存率分析4
3 本年報數(shù)據(jù)4
3.1 覆蓋地區(qū)4
3.2 時間范圍4
3.3 覆蓋人群5
3.4 登記數(shù)據(jù)質(zhì)量5
3.5 本年報內(nèi)容5
第二章 方法與指標(biāo)6
1 建立腫瘤登記處6
2 登記資料收集方法7
2.1 建立信息收集渠道7
2.2 開展病例核實工作7
2.3 開展隨訪工作7
3 登記資料收集內(nèi)容9
3.1 新發(fā)病例資料9
3.2 死亡資料9
3.3 人口資料9
4 登記的質(zhì)量控制10
4.1 可比性10
4.2 完整性10
4.3 有效性11
4.4 時效性11
5 登記資料的審核流程11
6 統(tǒng)計分類13
6.1 癌癥分類13
6.2 自然地區(qū)分類16
7 常用統(tǒng)計指標(biāo)17
7.1 年均人口數(shù)17
7.2 性別、年齡別人口數(shù)17
7.3 發(fā)。ㄋ劳觯┞17
7.4 性別、年齡別發(fā)。ㄋ劳觯┞17
7.5 年齡調(diào)整率(標(biāo)準(zhǔn)化率)18
7.6 分類構(gòu)成19
7.7 累積發(fā)。ㄋ劳觯┞19
7.8 截縮發(fā)。ㄋ劳觯┞19
8 生存率20
8.1 觀察生存率20
8.2 調(diào)整生存率/凈生存率20
8.3 相對生存率21
第三章 數(shù)據(jù)質(zhì)量評價22
1 數(shù)據(jù)來源22
2 年報數(shù)據(jù)質(zhì)量分級25
3
2013年腫瘤登記資料評價26
3.1 覆蓋人口、發(fā)病數(shù)和死亡數(shù)26
3.2 各腫瘤登記地區(qū)數(shù)據(jù)質(zhì)量評價36
3.3 腫瘤登記地區(qū)2008~2013年癌癥發(fā)病率逐年比較47
4 年報收錄登記地區(qū)的選取與數(shù)據(jù)質(zhì)量評價56
4.1 年報收錄登記地區(qū)的選取56
4.2 全國腫瘤登記地區(qū)數(shù)據(jù)質(zhì)量評價56
第四章 2013年全國腫瘤登記地區(qū)癌癥發(fā)病與死亡58
1 全國腫瘤登記地區(qū)覆蓋人口58
2 全部癌癥(ICD-10:C00-C96)發(fā)病與死亡61
2.1 全部癌癥(ICD-10:C00-C96)發(fā)病情況61
2.2 全部癌癥(ICD-10:C00-C96)年齡別發(fā)病率63
2.3 全部癌癥(ICD-10:C00-C96)死亡情況66
2.4 全部癌癥(ICD-10:C00-C96)年齡別死亡率69
3 全國腫瘤登記地區(qū)前10位癌癥發(fā)病與死亡72
3.1 前10位癌癥發(fā)病情況72
3.2 前10位癌癥死亡情況74
3.3 城市腫瘤登記地區(qū)前10位癌癥發(fā)病情況76
3.4 城市腫瘤登記地區(qū)前10位癌癥死亡情況78
3.5 農(nóng)村腫瘤登記地區(qū)前10位癌癥發(fā)病情況80
3.6 農(nóng)村腫瘤登記地區(qū)前10位癌癥死亡情況82
3.7 東部腫瘤登記地區(qū)前10位癌癥發(fā)病情況84
3.8 東部腫瘤登記地區(qū)前10位癌癥死亡情況86
3.9 中部腫瘤登記地區(qū)前10位癌癥發(fā)病情況88
3.10 中部腫瘤登記地區(qū)前10位癌癥死亡情況90
3.11 西部腫瘤登記地區(qū)前10位癌癥發(fā)病情況92
3.12 西部腫瘤登記地區(qū)前10位癌癥死亡情況94
第五章 各部位癌癥的發(fā)病與死亡96
1 口腔和咽喉(除外鼻咽)(C00-C10;C12-C14)96
2 鼻咽(C11)101
3 食管(C15)105
4 胃(C16)110
5 結(jié)直腸肛門(C18-C21)115
6 肝臟(C22)122
7 膽囊及膽道其他(C23-C24)126
8 胰腺(C25)130
9 喉(C32)135
10 氣管,支氣管,肺(C33-C34)139
11 骨(C40-C41)144
12 女性乳腺(C50)149
13 子宮頸(C53)154
14 子宮體及部位不明(C54-C55)159
15 卵巢(C56)163
16 前列腺(C61)167
17 腎及泌尿系統(tǒng)部位不明(C64-C66,C68)171
18 膀胱(C67)179
19 腦及中樞神經(jīng)系統(tǒng)(C70-C72)194
20 甲狀腺(C73)188
21 惡性淋巴瘤(C81-C85,88,90,96)193
22 白血病(C91-C95)198
第六章 附錄206
1
2013年全國腫瘤登記地區(qū)癌癥發(fā)病和死亡主要結(jié)果206
2
2013年全國東、中、西部腫瘤登記地區(qū)癌癥發(fā)病和死亡主要結(jié)果242
3
2013年全國不同城市化腫瘤登記地區(qū)癌癥發(fā)病和死亡主要結(jié)果260
4
2013年全國各腫瘤登記處癌癥發(fā)病與死亡296
Foreword1
Chapter 1
Background2
1
Introduction of the cancer registration system2
2
Development of cancer registries in China3
2.1 National cancer registration
program3
2.2 Objective of cancer
registration in China3
2.3 Follow-up and survival
analysis4
3
Data in this cancer registry annual report4
3.1 Coverage area4
3.2 Time scope4
3.3 Population coverage5
3.4 Registration data quality5
3.5 Contents of the report5
Chapter 2
Data collection method and indices6
1 Establishing a cancer registry6
2
Methods of data collection7
2.1 Data collecting channels7
2.2 Cancer case certification7
2.3 Follow-up practice7
3
Contents of data collection 9
3.1 Incidence9
3.2 Mortality9
3.3 Population data9
4
Quality control of registration10
4.1 Comparability10
4.2 Completeness10
4.3 Validity11
4.4 Timeliness11
5
Flow diagram of data quality11
6
Classification and coding13
6.1 Cancer classification13
6.2 Area classification16
7
Statistical indicators17
7.1 Average annual population17
7.2 Sex- and age-specific
population17
7.3 Incidence(mortality) rates17
7.4 Sex- and age-specific
incidence(mortality) rates17
7.5 Age-standardized rate or
age-adjusted rate(ASR)18
7.6 Proportions19
7.7 Cumulative rate19
7.8 Truncated
incidence(mortality) rate19
8
Survival20
8.1 Observed survival20
8.2 Corrected survival/net
survival20
8.3 Relative survival21
Chapter 3
Evaluation of data quality22
1
Data sources22
2
Classification of data quality25
3
Evaluation of cancer registration data of 201326
3.1 Population coverage,new cancer cases and cancer deaths26
3.2 Evaluation of data quality
in cancer registries36
3.3 Trend analysis of cancer
incidence in cancer registries from 2008 to 201347
4
Selection of cancer registries and evaluation of data quality56
4.1 Evaluation of the data
quality for qualified cancer registries in annual report56
4.2 Evaluation of data quality
in national cancer registries56
Chapter 4
Incidence and mortality of cancers in registration areas of China,201358
1
Population source in selected cancer registries58
2
Incidence and mortality of all cancer sites(ICD-10:C00-C96)61
2.1 Incidence of all cancer
sites(ICD-10:C00-C96)61
2.2 Age-specific incidence rate
of all cancer sites(ICD-10:C00-C96)63
2.3 Mortality of all cancer
sites(ICD-10:C00-C96)66
2.4 Age-specific mortality of
all cancer sites(ICD-10:C00-C96)69
3
The 10 most common cancers in national cancer registration areas 72
3.1 Incidence of the 10 most
common cancers72
3.2 Mortality for the top 10
leading causes of cancer death74
3.3 Incidence of the 10 most
common cancers in urban registration areas76
3.4 The top 10 leading causes of
cancer death in urban registration areas78
3.5 Incidence of the 10 most
common cancers in rural registration areas80
3.6 Mortality for the top 10
leading causes of cancer death in rural registration areas82
3.7 Incidence of the 10 most
common cancers in Eastern registration areas84
3.8 Mortality for the top 10
leading causes of cancer death in Eastern registration
areas86
3.9 Incidence of the 10 most
common cancers in Middle registration areas88
3.10 Mortality for the top 10
leading causes of cancer death in Middle registration
areas90
3.11 Incidence of the 10 most
common cancers in Western registration areas92
3.12 Mortality for the top 10
leading causes of cancer death in Western registration
areas94
Chapter 5
Cancer incidences and mortalities by site96
1
Oral Cavity & Pharynx but Naspharynx(C00-C10;C12-C14)96
2
Nasopharynx(C11) 101
3
Esophagus(C15) 105
4
Stomach(C16) 110
5
Colon,Rectum &
Anus(C18-C21)115
6
Liver(C22)122
7
Gallbladder & Extrahepatic Bile Ducts(C23-C24)126
8
Pancreas(C25)130
9
Larynx(C32)135
10
Trachea,Bronchus & Lung
(C33-C34)139
11
Bone(C40-C41)144
12
Female Breast(C50)149
13
Cervix(C53)154
14
Corpus Uterus & Unspecified(C54-C55)159
15
Ovary(C56)163
16
Prostate(C61)167
17
Kidney & Unspecified Urinary Organs(C64-C66,C68)171
18
Bladder(C67)179
19 Brain
& Central Nervous System(C70-C72)184
20
Thyroid Gland(C73)188
21
Malignant Lymphoma(C81-C85,88,90,96)193
22
Leukemia(C91-C95)198
Chapter 6
Appendix207
1
Cancer incidence and mortality in registration areas of China,2013207
2
Cancer incidence and mortality in Eastern,Middle and
Western registration areas
of China,2013243
3
Cancer incidence and mortality in different urbanization registration
areas of China,
2013261
4
Cancer incidence and mortality in cancer registries of China,2013297