[The changing pancreatic cancer mortality in China (1991-2000)].
OBJECTIVE
To describe the mortality rate of pancreatic cancer and its distribution in China during the period of 1991-2000.


METHODS
Based on the data of demography and death collected through China's Disease Surveillance Point System (DSPS) over the period of 1991-2000, the distribution of death rate of pancreatic cancer was described in terms age group, gender, calendar year, rural/urban residence and administrative district.


RESULTS
A total of 1619 mortal cases attributed to pancreatic cancer (975 men and 644 women) were reported by DSPS from 1991 to 2000. The reported, adjusted and age-standardized mortality rates increased from 1.46, 1.75, and 2.18 per 100,000 populations in 1991 to 2.38, 3.06, and 3.26 per 100,000 population in 2000. The majority (69.62%) of the mortalities of pancreatic cancer was seen in the age group of 60 years and older. The mortality rate was higher in men than in women, but the male to female death rate ratios decreased during the 10 years. Our data also showed that the death rate of pancreatic cancer in urban areas was about 2-4 fold higher than that in rural areas, and in the districts of Northeast and East China, the death rates were higher than those in the other 5 administrative districts.


CONCLUSIONS
The death rate due to pancreatic cancer was rising during the period of 1991-2000 and the peak mortality of pancreatic cancer might arrive in future in China.
Wang
Li
L
School of Basic Medical Sciences, Peking Union Medical College, Institute of Basic Medical Sciences, Chinese Academe of Medical Sciences, Beijing 100730, China.
Yang
Gong-huan
GH
Li
Hui
H
Lu
Xing-hua
XH
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000401:mortality*; D012424:Rural Population / Q000706:statistics & numerical data; D017678:Sex Distribution; D014505:Urban Population / Q000706:statistics & numerical data