| ?Background? The burden of disease includes the epidemiological burden and the economic burden. The burden of disease includes the loss of life and health caused by death and disability,and the most widely used indicator is disability adjusted life year(DALYs).Measurement and evaluation of the disease burden to the discovery of the key diseases of the population; it can provide the basis for the relevant departments to formulate targeted health policies; it is also an important indicator to measure the effect of disease prevention and control measures; it is more conducive to the rational and efficient allocation of limited health resources. In recent years, the incidence and mortality of malignant tumors showed a rising trend. The enormous burden of disease were being paid more and more attention. How to evaluate the burden of malignant tumor, so as to reduce the burden of disease, improve the quality of life has became an urgent problem to be solved.?Research purposes? 1. To describe the incidence and mortality of malignant tumors among residents of Baoding city in 2009-2013; 2. To understand the change trend of the malignant tumor burden(DALYs) in urban residents of Baoding city in recent years; 3. To analyze and compare the difference of disease burden(DALYs) in different years, different ages and different genders; 4. To determine the cause of major disease burden of malignant tumors and provide the basis for relevant departments to further decisions.?Research methods? This study was based on the data of malignant tumor registration in urban residents of Baoding city during 2009-2013, used the international standard life expectancy(80 years for men and 82.5 for women), the rate of discount(3%) and the standard age weight(4%),combined with the disability weight in Shandong province, used the direct method of calculating the global disease burden(GBD) to estimate the disease burden of the residents of Baoding city in 2009-2013.?Research result? 1. In 2009-2013, the Baoding city residents malignant tumor incidence in order to were 219.76/100000, 228.92/100000, 245.07/100000, 210.92/100000,226.14/100000, the average incidence rate was 225.94/100000, the standardized incidence rate was 200.74/100000; the mortality of malignant tumor in order to were 151.41/100000, 123.42/100000, 181.48/100000, 141.23/100000,149.03/100000, the average mortality rate was 149.51/100000, the standardized mortality rate was 132.39/100000. 2. The cancer incidence and mortality from high to low as bronchial and lung cancer, liver cancer, gastric cancer, colorectal cancer, esophageal cancer and breast cancer, were the relevant departments need to focus on key tumor treatment. In addition to breast cancer, uterine and cervical cancer, the incidence and mortality of malignant tumors in males were higher than that in female patients. 3. The incidence and mortality of malignant tumor were showing a surge in the trend after the age of 45. 4. In 2009-2013, the malignant tumors caused by the disease burden(DALYs) was 107774.37 years, the burden of disease intensity for every 1000 people was 20.66 years, the overall upward trend in different years. The years of live lost(YLLs) was 94210.09 years, accounting for 87.41% of DALYs; the years lived with disability(YLDs) was13564.29 years, accounting for 12.59%.The burden of malignant tumor was mainly caused by the untimely death of life years lost. 5. The bronchial and lung cancer, liver cancer, gastric cancer, colorectal cancer, breast cancer burden were heavy; in which the disease burden of bronchial and lung cancer was the most weight, accounting for 1/3 of the total burden of disease. 6. The disease burden of malignant tumor was higher than that of female, and increased with age, the burden of malignant tumor over 45 years of age increased rapidly and showed a trend of younger age.?Conclusion? 1. In 2009-2013, the incidence rate of malignant tumor in the urban area of Baoding city was increasing, and the mortality was fluctuating. The morbidity and mortality rate were slightly higher than that of the whole country and other regions, so the incidence and mortality of malignant tumors in urban residents of Baoding should not be ignored. 2. The disability adjusted life years(DALYs) of malignant tumors in Baoding city residents were 20.66 years per 1000 people, it was higher than other regions and showed a rising trend. The bronchial and lung cancer, liver cancer, gastric cancer, colorectal cancer, breast cancer burden were heavy; the bronchial and lung cancer was currently the focus of prevention and treatment of cancer in Baoding city. 3. In Baoding City, the burden of malignant tumor was mainly caused by the years of life loss. Therefore, the relevant departments should do a good job in the prevention work, at the same time to strengthen the treatment of malignant tumor compliance, reduce the mortality, prolong life, improve the quality of life. 4. The disease burden of malignant tumor was higher than that of female, and increased rapidly after the age of 45 and presented the trend of increasing age. Therefore, on the basis of promoting the prevention of the whole population, we should focus on strengthening the prevention and screening awareness of the population after the age of 45. |
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