| ObjectiveWe collected the data of esophageal cancer incidence,death and basic information of patients in Tai'an from 2012 to 2016 years,to answer some questions according to geographic area,time,and characteristics of people,the characteristics of Tai'an esophageal carcinoma and the prediction of morbidity and mortality,provide possible clues for the etiology of Tai'an esophageal carcinoma,and provide a theoretical basis for the Government to formulate preventive measures for esophageal cancerMethodCollected information on chronic diseases and deaths reported by medical institutions at all levels of Tai'an by the Shandong province Chronic disease Information Monitoring system and the Shandong province death information Monitoring system,from which 2012-2016 all patients with esophageal cancer morbidity and mortality,established a Excel database.The data was analyzed by using SPSS20.0 and the information of morbidity and mortality was calculated according to time,region and population.The morbidity,mortality and composition ratio of the years,urban and rural areas,high and low area,gender and age were calculated.Used the ?2 validation to perform a hypothetical test on the multiple-group count data,stipulating that P?0.05 the difference was statistically significant,and the double variable linear regression was used as the trend analysis.All statistical charts are completed with Excel,and the Geographic distribution of esophageal cancer deaths is plotted using the GIS systemResult1.In the past 2012-2016 years,the total number of esophageal cancer in Tai'an was 13891,and the total number of deaths was 10758.the incidence is 42.98/10 million,52.3/10 million,49.05/10 million,54.04/10 million,49.2/10 million,mortality is 38.14/10 million,37.5/10 million,38.73/10 million,39.32-/10 million,38.14/10 million.Tai'an counties urban Area 5 Year total esophageal cancer mortality is Taishan 11.96/10 million,Daiyue District 22.72/10 million,Xintai 16.67/10 million,Feicheng 56.06/10 million,Ningyang County 68.47/10 million,Dongping County 66.05/10 million.2.Taishan District,Daiyue District and Xintai belong to the low incidence of esophageal cancer,In 5 years,the total death rate accounting for 24.73%of the total death,the death rate of 17.59/10 million,and the standardized mortality rate of 14.94/10 million.The mortality of esophageal cancer in 91.3%of the villages and towns in 46 low hair areas was less than 30/10 million,and the highest village and village death rate was 49.72/10 million.Feicheng,Ningyang and Dongping counties belong to the high incidence area of esophageal cancer,In the 5 years,accounting for 75.27%of all deaths,the mortality rate was 62.71/10 million,the standardized mortality rate was 54.0/10 million,the 41 villages and towns in the high incidence area,the 80.49%villages and towns mortality rate was over 60/10 million,the highest was the volkhill town of Ningyang County,the mortality rate was 111.38/10 million.Urban and rural comparison,urban mortality is low,the overall mortality rate for the 5 year is 18.37/10 million,the standard mortality rate is 15.30/10 million,and the rural mortality rate is relatively high.The overall mortality rate for the 5 year was 46.59/10 million,and the marked death rate was 40.18/10.Urban and rural mortality is signifi-cantly different(?2=1204.84,P<0.001),the countryside is 2.06 to 3.7 times more than the city.3.Female esophageal cancer morbidity and mortality are lower,the total incidence of the 5 year is 27.23/10 million,marked incidence is 20.5/10 million,5 year total mortality is 21.35/10 million,the standard mortality is 15.47/10 million;male esophageal cancer morbidity and mortality are higher,5 year total incidence is 71.4/10 million,the scale incidence is 61.3/10 million,5 year total mortality is 55.05/10 million,labeled death rate is 48.34/10 million,the incidence of men is 2.99 times as high as that of women(?2=2761.62,P<0.001),mortality is female 3.12 times(?2=2075.58,P<0.001).The incidence and mortality rate of esophageal cancer is increasing with age,Before the age of 40,the incidence and mortality of esophageal cancer was low,after the age of 40,with the increase of age,morbidity and mortality increased gradually,men in the 75 age group reached the peak incidence of 372.35/10 million,the 80 year old age group reached the peak mortality rate was 456.87/10 million;women at the age of 80 years of age group incidence reached the peak of 188.83/10 million,the 85 year old age group reached the peak mortality rate was 236.83/10 million.The highest mortality rate in the 85 year old age group was 155.7/10 million,and the highest rate in the 80 year old age group was 421.56/10 million in the rural area,rural male and female mortality rates are the city's 2.34-3.47 times respectively.The mortality rate of esophageal carcinoma in high and low area reached the peak in the 80 age group,the mortality was 577.38/10 million and 151.41/10 million respectively,the mortality rate of male and female in high incidence area was 3.1-5.77 times of that in low incidence area respectively.The population of Tai'an is mainly Han,the Hui nationality accounts for 1.09%of the total population,the death rate of esophageal cancer in Han nationality is 38.2/10 million,and the mortality rate of esophageal cancer in Hui nationality is 115.33/10 million.the difference is statistically significant(?2=20.356,P<0.001).Among the distribution of various professions,the number of deaths of farmers was the most,accounting for 87.53%of the total number of deaths.ConclusionThe morbidity and mortality of esophageal carcinoma in Tai' an is still at a high level in Shandong province,and there is no obvious trend of change.An apparent high incidence of flaky hair.From the northeast to the southwest,with the decline,the incidence and mortality rate have increased significantly.The incidence and mortality of men are higher than those of women,and the rural areas are higher than those in the city.The incidence and mortality of the disease are at a low level before the age of 40.After 40 years of age,the incidence and mortality rate increased obviously with the increase of age. |
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