Abstract:
Objective To analyze the cancer incidence and mortality in Fujian in 2014 and provide a scientific basis for tumor prevention.
Methods In accordance with the methods and criteria of data quality control made by National Central Cancer Registry (NCCR), data from 9 registries were distinguished from those of 12 submitted registries in Fujian after assessment, merging and analysis of the data. The crude rate, standard rate, cumulative rates (0-74 years old) and proportion of leading cancers were calculated. The China 2000 Population Census data and Segi's standard population were used for calculating age-standardized rates.
Results The population from 9 cancer registries (4 in urban and 5 in rural areas) was 5, 192, 590 (2, 673, 166 in urban and 2, 519, 424 in rural areas). The morphology-verified cases accounted for 73.32%; 0.25% of incident cases were identified through death certifications only, and the mortality to incidence ratio was 0.69. In 2014, the cancer incidence rate was 254.13/105 (306.37/105 in men and 200.62/105 in women). The agestandardized incidence by the Chinese standard population (ASIRC) and by the world standard population were 196.12/105 and 191.96/ 105, respectively, while the cumulative incidence (0-74 years old) was 22.83%. The cancer incidence and ASIRC were 277.46/105 and 215.86/105 in urban areas, respectively, whereas in rural areas, they were 229.38/105 and 175.89/105, respectively. The cancer mortality was 175.71/105 (235.47/105 in men and 114.50/105 in women). The age-standardized mortality by the Chinese standard population (ASMRC) and by the world standard population were 130.13/105 and 128.61/105, respectively, and the cumulative mortality rate (0-74 years old) was 15.04%. The cancer mortality and ASMRC were 185.62/105 and 137.88/105 in urban areas, respectively, whereas in rural areas, they were 165.20/105 and 122.82/105, respectively. Lung cancer had the highest incidence followed by liver, gastric, breast, and colorectal cancer. Moreover, lung cancer had the higher mortality rate followed by liver, gastric, esophageal, and colorectal cancer.
Conclusions Digestive system neoplasms, lung cancer, and breast cancer were the most common cancers in Fujian. Active screening should be the focus of cancer prevention to reduce the burden of cancer.
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