中国肿瘤登记年报:2014:2014

前言1 **章 概述2 1 登记系统介绍2 2 中国肿瘤登记的发展3 2.1 全国肿瘤登记项目3 2.2 肿瘤登记目标3 2.3 随访与生存率分析4 3 本年报数据4 3.1 覆盖地区4 3.2 时间范围4 3.3 覆盖人群5 3.4 登记数据质量5 3.5 本年报内容5 第二章 方法与指标6 1 建立肿瘤登记处6 2 登记资料收集方法7 2.1 建立信息收集渠道7 2.2 开展病例核实工作7 2.3 开展随访工作7 3 登记资料收集内容9 3.1 新发病例资料9 3.2 死亡资料9 3.3 人口资料9 4 登记的质量控制10 4.1 可比性10 4.2 完整性10 4.3 有效性11 4.4 时效性11 5 登记资料的审核流程11 6 统计分类13 6.1 癌症分类13 6.2 自然地区分类16 7 常用统计指标17 7.1 年均人口数17 7.2 性别、年龄别人口数17 7.3 发病（死亡）率17 7.4 性别、年龄别发病（死亡）率17 7.5 年龄调整率（标准化率）18 7.6 分类构成19 7.7 累积发病（死亡）率19 7.8 截缩发病（死亡）率19 8 生存率20 8.1 观察生存率20 8.2 调整生存率/净生存率20 8.3 相对生存率21 第三章 数据质量评价22 1 数据来源22 2 年报数据质量分级25 3 2011年肿瘤登记资料评价26 3.1 覆盖人口、发病数和死亡数26 3.2 各肿瘤登记地区数据质量评价33 3.3 肿瘤登记地区2008~2011年癌症发病率逐年比较39 4 年报收录登记地区的选取与数据质量评价46 4.1 年报收录登记地区的选取46 4.2 全国肿瘤登记地区数据质量评价46 第四章 2011年全国肿瘤登记地区癌症发病与死亡48 1 全国肿瘤登记地区覆盖人口48 2 全部癌症(ICD-10:C00-C96)发病与死亡51 2.1 全部癌症(ICD-10:C00-C96)发病情况51 2.2 全部癌症(ICD-10:C00-C96)年龄别发病率53 2.3 全部癌症(ICD-10:C00-C96)死亡情况56 2.4 全部癌症(ICD-10:C00-C96)年龄别死亡率59 3 全国肿瘤登记地区前10位癌症发病与死亡62 3.1 前10位癌症发病情况62 3.2 前10位癌症死亡情况64 3.3 城市肿瘤登记地区前10位癌症发病情况66 3.4 城市肿瘤登记地区前10位癌症死亡情况68 3.5 农村肿瘤登记地区前10位癌症发病情况70 3.6 农村肿瘤登记地区前10位癌症死亡情况72 3.7 东部肿瘤登记地区前10位癌症发病情况74 3.8 东部肿瘤登记地区前10位癌症死亡情况76 3.9 中部肿瘤登记地区前10位癌症发病情况78 3.10 中部肿瘤登记地区前10位癌症死亡情况80 3.11 西部肿瘤登记地区前10位癌症发病情况82 3.12 西部肿瘤登记地区前10位癌症死亡情况84 第五章 各部位癌症的发病与死亡86 1 口腔和咽喉(除外鼻咽)(C00-C10；C12-C14)86 2 鼻咽(C11)91 3 食管(C15)95 4 胃(C16)100 5 结直肠肛门(C18-C21)105 6 肝脏(C22)112 7 胆囊及其他(C23-C24)116 8 胰腺(C25)120 9 喉(C32)125 10 气管，支气管，肺(C33-C34)129 11 骨(C40-C41)134 12 女性乳腺(C50)139 13 子宫颈(C53)144 14 子宫体及部位不明(C54-C55)149 15 卵巢(C56)153 16 前列腺(C61)157 17 肾及泌尿系统部位不明(C64-C66，68)161 18 膀胱(C67)169 19 脑及中枢神经系统(C70-C72)174 20 甲状腺(C73)178 21 恶性淋巴瘤(C81-C85,88,90,96)183 22 白血病(C91-C95)188 第六章 2003~2005年我国肿瘤登记地区癌症生存率分析196 1 癌症病例及登记地区196 2 统计学分析198 3 结果200 第七章 附录206 1 2011年全国肿瘤登记地区癌症发病和死亡主要结果206 2 2011年全国东、中、西部肿瘤登记地区癌症发病和死亡主要结果242 3 2011年全国各肿瘤登记处癌症发病与死亡260 Foreword1 Chapter 1 Summary2 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 cancer registry6 2 Methods of data collection7 2.1 Data collecting channels7 2.2 Cancer case certification7 2.3 Follow-up practice7 3 Content 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 in 201126 3.1 Population coverage，number of new cancer cases and cancer deaths26 3.2 Evaluation of data quality in cancer registries33 3.3 Trend analysis of cancer incidence in cancer registries from 2008 to 201139 4 Selection of cancer registries and evaluation of data quality46 4.1 Evaluation of the data quality for qualified cancer registries in annual report46 4.2 Evaluation of data quality in national cancer registries46 Chapter 4 Incidence and mortality of cancers in registration areas of China，201148 1 Population source in selected cancer registries48 2 Incidence and mortality of all cancer sites(ICD-10:C00-C96)51 2.1 Incidence of all cancer sites(ICD-10:C00-C96)51 2.2 Age-specific incidence rate of all cancer sites(ICD-10:C00-C96)53 2.3 Mortality of all cancer sites(ICD-10:C00-C96)56 2.4 Age-specific mortality of all cancer sites(ICD-10:C00-C96)59 3 The 10 most common cancers in registration areas of China62 3.1 Incidence of the 10 most common cancers62 3.2 The top 10 leading causes of cancer death64 3.3 Incidence of the 10 most common cancers in urban registration areas66 3.4 The top 10 leading causes of cancer death in urban registration areas68 3.5 Incidence of the 10 most common cancers in rural registration areas70 3.6 The top 10 leading causes of cancer death in rural registration areas72 3.7 Incidence of the 10 most common cancers in Eastern registration areas74 3.8 The top 10 leading causes of cancer death in Eastern registration areas76 3.9 Incidence of the 10 most common cancers in Middle registration areas78 3.10 The top 10 leading causes of cancer death in Middle registration areas80 3.11 Incidence of the 10 most common cancers in Western registration areas82 3.12 The top 10 leading causes of cancer death in Western registration areas84 Chapter 5 Cancer incidence and mortality by site86 1 Oral Cavity & Pharynx but Naspharynx(C00-C10；C12-C14)86 2 Nasopharynx(C11) 91 3 Esophagus(C15) 95 4 Stomach(C16) 100 5 Colon，Rectum & Anus(C18-C21)105 6 Liver(C22)112 7 Gallbladder & Extrahepatic Bile Ducts(C23-C24)116 8 Pancreas(C25)120 9 Larynx(C32)125 10 Trachea，Bronchus & Lung (C33-C34)129 11 Bone(C40-C41)134 12 Female Breast(C50)139 13 Cervix(C53)144 14 Corpus Uterus & Unspecified(C54-C55)149 15 Ovary(C56)153 16 Prostate(C61)157 17 Kidney & Unspecified Urinary Organs(C64-C66，68)161 18 Bladder(C67)169 19 Brain & Central Nervous System(C70-C72)174 20 Thyroid Gland(C73)178 21 Malignant Lymphoma(C81-C85,88,90,96)183 22 Leukemia(C91-C95)188 Chapter 6 Cancer survival in Chinese cancer registries，2003~2005196 1 Cancer cases and registries196 2 Statistical analysis198 3 Results200 Chapter 7 Appendix206 1 Cancer incidence and mortality in registration areas of China，2011206 2 Cancer incidence and mortality in Eastern，Middle and Western registration areas of China，2011242 3 Cancer incidence and mortality in cancer registries of China，2011260