Journal of Surgery Concepts & Practice >

2021 , Vol. 26 >Issue 04: 325 - 335

DOI: https://doi.org/10.16139/j.1007-9610.2021.04.010

Original article

Colorectal cancer incidence and mortality in Shanghai 2016 and trend analysis 2002—2016

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  • Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China

Received date: 2021-07-10

  Online published: 2021-08-31

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Abstract

Objective To investigate the colorectal cancer (CRC) incidence and mortality in 2016 Shanghai and trend change between 2002 and 2016. Methods Data of CRC incidence and death between 2002 and 2016 were collected from the population-based cancer registry and Vital Statistics System of Shanghai Municipal Center for Disease Control and Prevention. CRC incidence and mortality including year of incidence and mortality, gender, cancer site and age-group were analyzed. CRC incidence and mortality, and proportion, crude rate, age-specific rate, and age-standardized rate were also calculated. Trends of incidence and death of CRC, crude rate, age-specific rate and age-standardized rate were estimated. Trends of gender-standardized CRC incidence and death and the annual percent change(APC) were estimated by Joinpoint analysis. The incidence and proportion of new CRC cases with selected diagnostic character in different years were also calculated. Age-standardized incidence and mortality were calculated using Segi’s 1960 world standard population. Results CRC incidence and mortality were 9 337 and 4 599 in Shanghai 2016. Crude incidence was 64.48/105, and age-standardized rate was 24.64/105. Crude mortality was 31.76/105, and age-standardized rate was 10.13/105. Age-standar-dized incidence and mortality in males were higher than those in females. Age-specific case number and rate and age-specific death number and rate increased with aging. Age-specific case number and rate reached peak at age group both 60-64 years and 80-84 years, and age-specific death number and rate reached peak at age group more than 85 years. Overall, age-standardized CRC incidence between 2002 and 2016 increased 1.07% per year, and age-standardized CRC mortality was stable. Conclusions The current status and trends of CRC stratified by gender or age-group reflect the changes in risk factors, screening test use, and advances in diagnosis and treatment in Shanghai permanent population. Data of population-based cancer incidence and mortality can be used to decrease cancer burden.

Key words： Colorectal cancer; Incidence; Mortality; Epidemiology; Shanghai

Cite this article

WU Chunxiao, GONG Yangming, GU Kai, PANG Yi, BAO Pingping, WANG Chunfang, SHI Liang, XIANG Yongmei, DOU Jianming, FU Chen, SHI Yan . Colorectal cancer incidence and mortality in Shanghai 2016 and trend analysis 2002—2016[J]. Journal of Surgery Concepts & Practice, 2021 , 26(04) : 325 -335 . DOI: 10.16139/j.1007-9610.2021.04.010

References

[1] Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3):209-249.
[2] 吴春晓, 顾凯, 龚杨明, 等. 2015年中国结直肠癌发病和死亡情况分析[J]. 中国癌症杂志, 2020, 30(4):241-245.
[3] Gong Y, Peng P, Bao P, et al. The implementation and first-round results of a community-based colorectal cancer screening program in Shanghai, China[J]. Oncologist, 2018, 23(8):928-935.
[4] 国家癌症中心. 中国肿瘤登记工作指导手册(2016)[M]. 北京: 人民卫生出版社, 2016:59-75.
[5] Parkin DM, Chen VW, Ferlay J, et al. Comparability and Quality Control in Cancer Registration. IARC Technical Report No 19[M]. Lyon: IARC Press,1994.
[6] 上海市疾病预防控制中心. 上海市恶性肿瘤发病率、死亡率和生存率(2001-2012)[M]. 上海: 上海科学普及出版社, 2017:1-6.
[7] Bosman FT, Carneiro F, Hruban RH, et al. WHO Classification of Tumours of the Digestive System, 4th Ed, Vo-lume 3[M]. Lyon: IARC Press, 2010.
[8] 卢伟, 郑莹. 肿瘤命名与编码[M]. 上海: 第二军医大学出版社,2011.
[9] Segi M. Cancer mortality for selected sites in 24 countries (1950-1957)[M]. Japan: Tohoku University School of Medicine,1960.
[10] Joinpoint Regression Program, Version 4.8.0.1[CP].April, 2020; Statistical Research and Applications Branch, National Cancer Institute.
[11] Kim HJ, Fay MP, Feuer EJ, et al. Permutation tests for joinpoint regression with applications to cancer rates[J]. Stat Med, 2000, 19(3):335-351.
[12] Ferlay J, Ervik M, Lam F, et al.Global Cancer Observatory: Cancer Today[DB/OL]. Lyon, France:International Agency for Research on Cancer.[2021-07-15] https://gco.iarc.fr/today,accessed .
[13] Bray F. Transitions in human development and the global cancer burden[M]// Stewart BW, Wild CP, eds. World Cancer Report 2014. Lyon: IARC Press, 2014:42-55.
[14] Fidler MM, Soerjomataram I, Bray F. A global view on cancer incidence and national levels of the human develop-ment index[J]. Int J Cancer, 2016, 139(11):2436-2446.
[15] Arnold M, Sierra MS, Laversanne M, et al. Global patterns and trends in colorectal cancer incidence and mortality[J]. Gut, 2017, 66(4):683-691.
[16] 龚杨明, 顾凯, 彭鹏, 等. 社区居民大肠癌筛查工作规范解读[J]. 上海预防医学, 2017, 29(2):99-101.
[17] Wu K, Keum N, Nishihara R, et al. Cancers of the colon and rectum[M]// ThunMJ, LinetMS, CerhanJR, et al,eds. Cancer Epidemiology and Prevention. 4th ed. New York, NY: Oxford University Press, 2018:681-706.
[18] Brenner H, Kloor M, Pox CP. Colorectal cancer[J]. Lancet, 2014, 383(9927):1490-1502.
[19] 马新源, 李其龙, 姚开颜, 等. 嘉善县大肠癌早诊早治项目进展情况[J]. 中国肿瘤, 2009, 18(9):725-727.
[20] 沈永洲, 钱菁, 何锋, 等. 海宁市2007-2008年大肠癌早诊早治筛查结果分析[J]. 中国肿瘤, 2009, 18(9):728-730.
[21] 杨永恒, 冯文猛, 王东,主等编. 中国人类发展报告特别版[M]. 北京: 中译出版社, 2019
[22] Siegel R, Desantis C, Jemal A. Colorectal cancer statisics, 2014[J]. CA Cancer J Clin, 2014, 64(2):104-117.
[23] Wolf AMD, Fontham ETH, Church TR, et al. Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society[J]. CA Cancer J Clin, 2018, 68(4):250-281.
[24] Zeng H, Chen W, Zheng R, et al. Changing cancer survival in China during 2003-15: a pooled analysis of 17 population-based cancer registries[J]. Lancet Glob Health, 2018, 6(5):e555-e567.
[25] Siegel RL, Miller KD, Goding Sauer A, et al. Colorectal cancer statistics, 2020[J]. CA Cancer J Clin, 2020, 70(3):145-164.
[26] World Cancer Research Fund/American Institute for Cancer Research. The Continuous Update Project Expert Report 2018. Diet, Nutrition, Physical Activity and Cancer: Colorectal Cancer[EB/OL]. [2021-07-15]. https://wcrf.org/wp-content/uploads/2021/02/Colorectal-cancer-report.pdf , accessed.
[27] Schreuders EH, Ruco A, Rabeneck L, et al. Colorectal cancer screening: a global overview of existing programmes[J]. Gut, 2015, 64(10):1637-1649.
[28] 上海市疾病预防控制中心. 上海市慢性病及其危险因素监测报告2007[M]. 上海: 上海科学普及出版社,2012.
[29] 上海市疾病预防控制中心. 上海市慢性病及其危险因素监测报告2010[M]. 上海: 上海科学普及出版社,2012.
[30] 上海市疾病预防控制中心. 上海市慢性病及其危险因素监测报告2013[M]. 上海: 上海科学普及出版社,2014.
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