前言1
**章 概述2
1 登記系統介紹2
2 中國腫瘤登記的發展3
2.1 全國腫瘤登記項目3
2.2 腫瘤登記目標3
2.3 隨訪與生存率分析4
3 本年報數據4
3.1 覆蓋地區4
3.2 時間范圍4
3.3 覆蓋人群5
3.4 登記數據質量5
3.5 本年報內容5
第二章 方法與指標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 登記資料收集內容9
3.1 新發病例資料9
3.2 死亡資料9
3.3 人口資料9
4 登記的質量控制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 統計分類13
6.1 癌癥分類13
6.2 自然地區分類16
7 常用統計指標17
7.1 年均人口數17
7.2 性別、年齡別人口數17
7.3 發病(死亡)率17
7.4 性別、年齡別發病(死亡)率17
7.5 年齡調整率(標準化率)18
7.6 分類構成19
7.7 累積發病(死亡)率19
7.8 截縮發病(死亡)率19
8 生存率20
8.1 觀察生存率20
8.2 調整生存率/凈生存率20
8.3 相對生存率21
第三章 數據質量評價22
1 數據來源22
2 年報數據質量分級25
3 2012年腫瘤登記資料評價26
3.1 覆蓋人口、發病數和死亡數26
3.2 各腫瘤登記地區數據質量評價34
3.3 腫瘤登記地區2008~2012年癌癥發病率逐年比較42
4 年報收錄登記地區的選取與數據質量評價50
4.1 年報收錄登記地區的選取50
4.2 全國腫瘤登記地區數據質量評價50
第四章 2012年全國腫瘤登記地區癌癥發病與死亡52
1 全國腫瘤登記地區覆蓋人口52
2 全部癌癥(ICD-10:C00-C96)發病與死亡55
2.1 全部癌癥(ICD-10:C00-C96)發病情況55
2.2 全部癌癥(ICD-10:C00-C96)年齡別發病率57
2.3 全部癌癥(ICD-10:C00-C96)死亡情況60
2.4 全部癌癥(ICD-10:C00-C96)年齡別死亡率63
3 全國腫瘤登記地區前10位癌癥發病與死亡66
3.1 前10位癌癥發病情況66
3.2 前10位癌癥死亡情況68
3.3 城市腫瘤登記地區前10位癌癥發病情況70
3.4 城市腫瘤登記地區前10位癌癥死亡情況72
3.5 農村腫瘤登記地區前10位癌癥發病情況74
3.6 農村腫瘤登記地區前10位癌癥死亡情況76
3.7 東部腫瘤登記地區前10位癌癥發病情況78
3.8 東部腫瘤登記地區前10位癌癥死亡情況80
3.9 中部腫瘤登記地區前10位癌癥發病情況82
3.10 中部腫瘤登記地區前10位癌癥死亡情況84
3.11 西部腫瘤登記地區前10位癌癥發病情況86
3.12 西部腫瘤登記地區前10位癌癥死亡情況88
第五章 各部位癌癥的發病與死亡90
1 口腔和咽喉(除外鼻咽)(C00-C10;C12-C14)90
2 鼻咽(C11)95
3 食管(C15)99
4 胃(C16)104
5 結直腸肛門(C18-C21)109
6 肝臟(C22)116
7 膽囊及膽道其他(C23-C24)120
8 胰腺(C25)124
9 喉(C32)129
10 氣管,支氣管,肺(C33-C34)133
11 骨(C40-C41)138
12 女性乳腺(C50)143
13 子宮頸(C53)148
14 子宮體及部位不明(C54-C55)153
15 卵巢(C56)157
16 前列腺(C61)161
17 腎及泌尿系統部位不明(C64-C66,C68)165
18 膀胱(C67)173
19 腦及中樞神經系統(C70-C72)178
20 甲狀腺(C73)182
21 惡性淋巴瘤(C81-C85,88,90,96)187
22 白血病(C91-C95)192
第六章 附錄200
1 2012年全國腫瘤登記地區癌癥發病和死亡主要結果200
2 2012年全國東、中、西部腫瘤登記地區癌癥發病和死亡主要結果236
3 2012年全國各腫瘤登記處癌癥發病與死亡254
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
201226
3.1
Population coverage,number of
new cancer cases and cancer deaths26
3.2
Evaluation of data quality in cancer registries34
3.3
Trend analysis of cancer incidence in cancer registries from 2008 to
201242
4 Selection of cancer registries and evaluation
of data quality50
4.1
Evaluation of the data quality for qualified cancer registries in annual
report50
4.2
Evaluation of data quality in national cancer registries50
Chapter 4 Incidence and mortality of cancers in
registration areas of China,201252
1 Population source in selected cancer
registries52
2 Incidence and mortality of all cancer
sites(ICD-10:C00-C96)55
2.1
Incidence of all cancer sites(ICD-10:C00-C96)55
2.2
Age-specific incidence rate of all cancer sites(ICD-10:C00-C96)57
2.3
Mortality of all cancer sites(ICD-10:C00-C96)60
2.4
Age-specific mortality of all cancer sites(ICD-10:C00-C96)63
3 The 10 most common cancers in registration areas of China66
3.1
Incidence of the 10 most common cancers66
3.2
The top 10 leading causes of cancer death68
3.3
Incidence of the 10 most common cancers in urban registration areas70
3.4
The top 10 leading causes of cancer death in urban registration areas72
3.5
Incidence of the 10 most common cancers in rural registration areas74
3.6
The top 10 leading causes of cancer death in rural registration areas76
3.7
Incidence of the 10 most common cancers in Eastern registration areas78
3.8
The top 10 leading causes of cancer death in Eastern registration
areas80
3.9
Incidence of the 10 most common cancers in Middle registration areas82
3.10
The top 10 leading causes of cancer death in Middle registration areas84
3.11
Incidence of the 10 most common cancers in Western registration areas86
3.12
The top 10 leading causes of cancer death in Western registration
areas88
Chapter 5 Cancer incidences and mortalities by site90
1 Oral Cavity & Pharynx but
Nasopharynx(C00-C10;C12-C14)90
2 Nasopharynx(C11) 95
3 Esophagus(C15) 99
4 Stomach(C16) 104
5 Colon,Rectum & Anus(C18-C21)109
6 Liver(C22)116
7 Gallbladder & Extrahepatic Bile Ducts(C23-C24)120
8 Pancreas(C25)124
9 Larynx(C32)129
10 Trachea,Bronchus & Lung (C33-C34)133
11 Bone(C40-C41)138
12 Female Breast(C50)143
13 Cervix(C53)148
14 Corpus Uterus & Unspecified(C54-C55)153
15 Ovary(C56)157
16 Prostate(C61)161
17 Kidney & Unspecified Urinary
Organs(C64-C66,C68)165
18 Bladder(C67)173
19 Brain & Central Nervous
System(C70-C72)178
20 Thyroid Gland(C73)182
21 Malignant Lymphoma(C81-C85,88,90,96)187
22 Leukemia(C91-C95)192
Chapter 6 Appendix201
1 Cancer incidence and mortality in
registration areas of China,2012201
2 Cancer incidence and mortality in Eastern,Middle and Western registration areas
of China,2012237
3 Cancer incidence and mortality in cancer
registries of China,2012255