Curry H L, Parkes S E, Powell J E, Mann J R
Department of Oncology, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
Eur J Cancer. 2006 Mar;42(4):501-8. doi: 10.1016/j.ejca.2005.11.003. Epub 2006 Jan 6.
Many survivors of childhood cancer have significant health problems due to their illness or treatment. This population-based study examines the number of long-term survivors, their disabilities and consequent long-term care needs. Survival rates for children diagnosed with cancer between 1960 and 1999 in the West Midlands, United Kingdom (UK), were used to estimate future long-term survivor numbers. Treatment and late effects data on a cohort of patients surviving for more than 5 years were used to consider continuing care needs. Between the 1960s and 1990s, 5-year survival increased from 23% to 70%. There were 98 5-year survivors in 1970, and numbers may exceed 2,100 by the end of 2005. Most (at least 61%) survivors in the West Midlands Region have one or more chronic medical problems and may require multidisciplinary care. We conclude that, in order to determine how to provide cost-effective care for this increasing population, protocol delivered management with audit is needed.
许多儿童癌症幸存者由于疾病或治疗而存在严重的健康问题。这项基于人群的研究调查了长期幸存者的数量、他们的残疾情况以及由此产生的长期护理需求。利用1960年至1999年期间在英国西米德兰兹郡被诊断患有癌症的儿童的存活率来估计未来长期幸存者的数量。对一组存活超过5年的患者的治疗和后期影响数据进行了分析，以考虑持续护理需求。在20世纪60年代至90年代期间，5年生存率从23%提高到了70%。1970年有98名5年幸存者，到2005年底这一数字可能超过2100人。西米德兰兹地区的大多数（至少61%）幸存者患有一种或多种慢性疾病，可能需要多学科护理。我们得出结论，为了确定如何为这一不断增加的人群提供具有成本效益的护理，需要通过审计实施方案管理。
