Ando Masahiko, Saka Hideo
Health Service, Kyoto University.
Gan To Kagaku Ryoho. 2005 May;32(5):647-51.
We estimated the number of cancer patients treated at hospitals with 200 or more general beds per day in Japan. Some 1,635 hospitals were asked to report the number of cancer patients who received any medical treatment on the survey day, which was generally November 21, 2002. The estimated total number of cancer outpatients was 114,767, which accounted for 63% of the estimated total cancer outpatients per day in Japan. The estimated number of cancer patients receiving chemotherapy was 25,289 per day; among them, 18,887 and 5,440 patients received anticancer drugs orally and intravenously, respectively. The estimated number of cancer patients receiving radiotherapy was 6,088 per day. At the time of this survey, 16% of the hospitals had outpatient chemotherapy units, 21% were planning to have such units, and 63% had no such plan. Because of limited medical resources, more patients will receive chemotherapy or radiotherapy on an outpatient basis. Further study should assess whether the state-of-the-art treatments are appropriately provided in the current outpatient chemotherapy or radiotherapy practice.
我们估算了日本每天在拥有200张及以上普通病床的医院接受治疗的癌症患者数量。约1635家医院被要求报告在调查日(通常为2002年11月21日)接受任何治疗的癌症患者数量。估算的癌症门诊患者总数为114,767人,占日本每日估算癌症门诊患者总数的63%。估算的每天接受化疗的癌症患者数量为25,289人;其中,分别有18,887名和5,440名患者口服和静脉注射抗癌药物。估算的每天接受放疗的癌症患者数量为6,088人。在此次调查时,16%的医院设有门诊化疗科室,21%的医院计划设立此类科室,63%的医院没有此类计划。由于医疗资源有限,更多患者将在门诊接受化疗或放疗。进一步的研究应评估在当前的门诊化疗或放疗实践中是否适当提供了最先进的治疗方法。