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Objective To understand the incidence and mortality trends of uterine cancer in tumor registration areas of Shandong Province from 2013 to 2021, and to provide a basis for the prevention and control of uterine cancer. Methods Data were obtained from the Shandong Cancer Surveillance Database. Crude incidence (mortality) rates and age-standardized rates were calculated using Excel 2010 and R 4.4.2. Joinpoint regression was used to calculate the average annual percentage change (AAPC). Results From 2013 to 2021, the crude incidence rate and the Chinese age-standardized incidence rate of uterine cancer among women in tumor registration areas of Shandong Province increased by 4.08% and 2.85% per year, respectively (crude incidence rate AAPC=4.08%, 95% CI: 2.25%-5.95%, P<0.001; Chinese age-standardized incidence rate AAPC=2.85%, 95% CI: 1.02%-4.72%; All P=0.002). Although there was a decrease in crude mortality rate and Chinese age-standardized mortality rate, the difference was not statistically significant (crude mortality rate AAPC=-1.33%, 95% CI: -4.28%-1.71%, P=0.389; Chinese age-standardized mortality rate AAPC=-2.53%, 95% CI: -5.86%-0.91%, P=0.165). The urban incidence rate and mortality were higher than those in rural areas(χ2=513.53, χ2=64.27, both P<0.01). Both the Chinese age-standardized incidence rate in urban areas and the crude incidence rate in rural areas showed upward trends, with annual increases of 3.05% and 3.90%, respectively. Conclusion From 2013 to 2021, uterine cancer among female residents in Shandong Province has shown an upward trend and is a malignant tumor that women should focus on preventing. Early diagnosis and treatment of high-risk groups for uterine cancer should be emphasized, and etiological exploration and research should be strengthened to provide reference for the prevention and treatment of uterine cancer.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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