Objective To analyze the incidence and mortality of esophageal cancer in five counties in the Huai River Basin in Anhui Province, China, 2011-2016, and to provide basic data for esophageal cancer prevention policy development.
Methods Reported data from five counties in Huai River Basin from 2011 to 2016 were stratified by gender and used to calculate esophageal cancer incidence and mortality. Population census data of China in 2000 were used to calculate age-standardized incidence/mortality for trend analysis.
Results The crude incidence of esophageal cancer was 21.74/100 000 (male 30.95/100 000 and female 12.15/100 000), and the age-standardized incidence by Chinese population was 14.93/100 000 (male 22.07/100 000 and female 7.74/100 000). The crude mortality of esophageal cancer was 15.95/100 000 (male 22.85/100 000 and female 8.77/100 000), and the age-standardized mortality by Chinese population was 10.53/100 000 (male 15.80/100 000 and female 5.30/100 000). The incidence of esophageal cancer in Huai River Basin significantly declined from 2011 to 2016 (APC=-8.09%, P<0.05); the incidence significantly decreased in males (APC=-8.01%, P<0.05), but showed no significant change in females (APC=-8.72%, P>0.05). The mortality of esophageal cancer in Huai River Basin significantly declined from 2011 to 2016 (APC=-7.76%, P<0.05); the mortality significantly decreased in males (APC=-8.38%, P<0.05), but showed no significant change in females (APC=-6.93%, P>0.05).
Conclusion Both incidence and mortality of esophageal cancer declined from 2011 to 2016 in the five counties in Huai River Basin. The cancer prevention and control in Huai River Basin in Anhui Province were effective and should be promoted to reduce the burden caused by esophageal cancer.
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