Stewart A K, Bland K I, McGinnis L S, Morrow M, Eyre H J
Commission on Cancer, American College of Surgeons, Chicago, IL, USA.
CA Cancer J Clin. 2000 May-Jun;50(3):171-83. doi: 10.3322/canjclin.50.3.171.
The National Cancer Data Base (NCDB) is the empirical data collection and analysis arm of the American College of Surgeons Commission on Cancer, and is supported in part by the American Cancer Society. The NCDB collects oncology patient demographic information, diagnostic and treatment information, and outcomes data from a broad spectrum of hospital-based cancer registries throughout the US, ranging from large research and teaching facilities to small community hospitals. Through this unique network, data are aggregated and reported back to participating hospitals to allow individual facilities to evaluate local patient care practices and outcomes. This article highlights the principal findings of articles published in 1999 and early 2000 that used NCDB data as the empirical basis of their analyses. Included among these are articles on breast cancer, gastric carcinoma, head and neck cancers, leukemia, liver carcinoma, lung cancer, parathyroid tumors, prostate carcinoma, small bowel adenocarcinoma, testicular malignancies, and vulvar melanoma. These articles are based on cases diagnosed between 1985 and 1996. The NCDB has accrued more than 6.4 million cancer cases for this time period. Sufficient numbers of rare cancers are reported to the NCDB to permit some types of clinical evaluation not possible using other data sources.
美国国立癌症数据库（NCDB）是美国外科医师学会癌症委员会的实证数据收集与分析部门，部分资金由美国癌症协会提供。NCDB收集肿瘤患者的人口统计学信息、诊断和治疗信息，以及来自美国各地各类医院癌症登记处的结局数据，范围涵盖大型研究和教学机构到小型社区医院。通过这个独特的网络，数据被汇总并反馈给参与的医院，以便各机构评估当地的患者护理实践和结局。本文重点介绍了1999年及2000年初发表的以NCDB数据为分析实证基础的文章的主要发现。其中包括关于乳腺癌、胃癌、头颈癌、白血病、肝癌、肺癌、甲状旁腺肿瘤、前列腺癌、小肠腺癌、睾丸恶性肿瘤和外阴黑色素瘤的文章。这些文章基于1985年至1996年间诊断的病例。在此期间，NCDB积累了超过640万例癌症病例。有足够数量的罕见癌症病例报告给了NCDB，从而能够进行一些使用其他数据源无法进行的临床评估。
