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 2011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33
3.3 腫瘤登記地區2008~2011年癌癥發病率逐年比較39
4 年報收錄登記地區的選取與數據質量評價46
4.1 年報收錄登記地區的選取46
4.2 全國腫瘤登記地區數據質量評價46
第四章 2011年全國腫瘤登記地區癌癥發病與死亡48
1 全國腫瘤登記地區覆蓋人口48
2 全部癌癥(ICD-10:C00-C96)發病與死亡51
2.1 全部癌癥(ICD-10:C00-C96)發病情況51
2.2 全部癌癥(ICD-10:C00-C96)年齡別發病率53
2.3 全部癌癥(ICD-10:C00-C96)死亡情況56
2.4 全部癌癥(ICD-10:C00-C96)年齡別死亡率59
3 全國腫瘤登記地區前10位癌癥發病與死亡62
3.1 前10位癌癥發病情況62
3.2 前10位癌癥死亡情況64
3.3 城市腫瘤登記地區前10位癌癥發病情況66
3.4 城市腫瘤登記地區前10位癌癥死亡情況68
3.5 農村腫瘤登記地區前10位癌癥發病情況70
3.6 農村腫瘤登記地區前10位癌癥死亡情況72
3.7 東部腫瘤登記地區前10位癌癥發病情況74
3.8 東部腫瘤登記地區前10位癌癥死亡情況76
3.9 中部腫瘤登記地區前10位癌癥發病情況78
3.10 中部腫瘤登記地區前10位癌癥死亡情況80
3.11 西部腫瘤登記地區前10位癌癥發病情況82
3.12 西部腫瘤登記地區前10位癌癥死亡情況84
第五章 各部位癌癥的發病與死亡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 結直腸肛門(C18-C21)105
6 肝臟(C22)112
7 膽囊及其他(C23-C24)116
8 胰腺(C25)120
9 喉(C32)125
10 氣管,支氣管,肺(C33-C34)129
11 骨(C40-C41)134
12 女性乳腺(C50)139
13 子宮頸(C53)144
14 子宮體及部位不明(C54-C55)149
15 卵巢(C56)153
16 前列腺(C61)157
17 腎及泌尿系統部位不明(C64-C66,68)161
18 膀胱(C67)169
19 腦及中樞神經系統(C70-C72)174
20 甲狀腺(C73)178
21 惡性淋巴瘤(C81-C85,88,90,96)183
22 白血病(C91-C95)188
第六章 2003~2005年我國腫瘤登記地區癌癥生存率分析196
1 癌癥病例及登記地區196
2 統計學分析198
3 結果200
第七章 附錄206
1 2011年全國腫瘤登記地區癌癥發病和死亡主要結果206
2 2011年全國東、中、西部腫瘤登記地區癌癥發病和死亡主要結果242
3 2011年全國各腫瘤登記處癌癥發病與死亡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