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This registry-based observational study describes cancer incidence and temporal trends from 2011 to 2018 to inform preventive programs. Cancer incidence rates, age-standardized incidence rates, and AAPC were computed using registry data, with Joinpoint regression and age-period-cohort modeling for interpretable effects.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-cancer-incidence-and-trends-from-2011-to-2018-in-maanshan-china-a-registry-based-observational-study/332495/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-cancer-incidence-and-trends-from-2011-to-2018-in-maanshan-china-a-registry-based-observational-study/332495.png","ImageObject",300,407,{"name":92,"@type":93},"Miles","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What question does the study address about Ma’anshan’s cancer burden?","Question",{"text":113,"@type":114},"It characterizes cancer incidence and trends in Ma’anshan from 2011 to 2018, where population-level incidence had not been clearly known. The goal is to provide information useful for prevention programs.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were cancer incidence rates and trends analyzed?",{"text":118,"@type":114},"Incidence rates and age-standardized incidence rate (ASIR) were calculated from Ma’anshan registry data for 2011–2018. Average annual percentage change (AAPC) was assessed using Joinpoint regression, and age-period-cohort effects were estimated with an APC model.",{"name":120,"@type":111,"acceptedAnswer":121},"What major patterns were found in cancer incidence over the study period?",{"text":122,"@type":114},"ASIR showed a steady trend for both males and females. 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However, the cancer incidence remains unknown in Ma’anshan, which is one of the central cities in the Yangtze River Delta in Eastern China. The study was designed to describe the cancer incidence and trends in Ma’anshan from 2011to 2018, providing information about cancer etiology that is useful for prevention programs.  \nMethods: The cancer incidence rate and age-standardized incidence rate (ASIR) were calculated using the cancer registry data in Ma’anshan during 2011-2018. The average annual percentage change (AAPC) of the ASIR was analyzed by the Joinpoint regression analysis. Age, period, and cohort effects on cancer incidence were estimated through the age-period-cohort model.  \nResults: There were 13,508 newly diagnosed cancer cases in males and 9558 in females in Ma’anshan during 2011-2018. The ASIR maintained a steady trend in both males and females. Age effects showed that cancer risk increased with age in both genders; no visible period effects were detected during this study period. Cohort effects changed slowly until the end of the 1950s, then started decreasing in males while increasing in females after 1960. Lung, gastric, female breast, colorectal, cervical, esophageal, liver, thyroid, lymphoma, and pancreatic cancer were the most common cancersin Ma’anshan during the study period. TheASIR of gastric cancer (AAPC: 􀀁3.72%), esophageal cancer (AAPC: 􀀁8.30%), and liver cancer (AAPC: 􀀁5.55%) declined, while that of female breast  \ncancer (AAPC: 3.91%), colorectal cancer (AAPC: 3.23%), and thyroid cancer (AAPC: 22.38%) rose.  \nConclusion: During 2011-2018, the cancer incidence in Ma’anshan was lower than that in China, nation-wide. The incidence of upper gastrointestinal cancer decreased gradually while female breast, colorectal, and thyroid cancers showed an upward trend, consistent with the changes in the cancer spectrum in China. Further studies should be designed to discover the underlying causes of these ﬁndings.  \nKeywords  \ncancer incidence, joinpoint regression analysis, age-period-cohort model, cancer spectrum  \nReceived April 8, 2024. Received revised August 16, 2024. Accepted for publication August 28, 2024.  \n1 Chronic Disease Prevention and Health Management Department, Center for Disease Control and Prevention, Ma’anshan, China 2School of Public Health, Anhui Medical University, Anhui, China  \n3School of Public Health, Fudan University, Shanghai, China  \n4Management Department of Scientiﬁc Research, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China 5The principal investigator with no department or Institute, Fudan University Taizhou Institute of Health Sciences, Taizhou, China 6The principal investigator with no department or Institute, Shanghai Institute of Infectious Disease and Biosecurity, Shanghai, China  \n*Joint ﬁrst authors: Contributed equally  \nCorresponding Author:  \nChen Suo, PhD, School of Public Health, Fudan University, Shanghai 200032, China.  \nEmail: [suochen@fudan.edu.cn](suochen@fudan.edu.cn)  \nCreative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons  \nAttribution-NonCommercial 4.0 License ([https://creativecommons.org/licenses/by-nc/4.0/](https://creativecommons.org/licenses/by-nc/4.0/)) which permits non-commercial use,  \nrepro","cbCaiihxiIlF1Yjb","https://ap.wps.com/l/cbCaiihxiIlF1Yjb","pdf",1082101,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusion\n# Keywords\n# Introduction\n## Cancer burden and projections\n## Cancer registration in China\n## Study setting: Ma’anshan City","[{\"question\":\"What question does the study address about Ma’anshan’s cancer burden?\",\"answer\":\"It characterizes cancer incidence and trends in Ma’anshan from 2011 to 2018, where population-level incidence had not been clearly known. The goal is to provide information useful for prevention programs.\"},{\"question\":\"How were cancer incidence rates and trends analyzed?\",\"answer\":\"Incidence rates and age-standardized incidence rate (ASIR) were calculated from Ma’anshan registry data for 2011–2018. Average annual percentage change (AAPC) was assessed using Joinpoint regression, and age-period-cohort effects were estimated with an APC model.\"},{\"question\":\"What major patterns were found in cancer incidence over the study period?\",\"answer\":\"ASIR showed a steady trend for both males and females. Risk increased with age in both genders, while no visible period effects were detected during the study window; cohort effects changed slowly and differed by sex.\"}]","The Cancer Incidence and Trends From 2011 to 2018 in Ma’anshan, China - A Registry-Based Observational Study | PDF",1789998476,28]