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[关于光州市实施癌症登记制度头五年(1998 - 2002年)癌症发病率及评估社区癌症登记质量的研究]

[A study on the incidence of cancer and evaluating the quality of the community-based cancer registry in Gwangju Metropolitan City during the first five years of implementation (1998-2002)].

作者信息

Lee Su-Jin, Shin Min-Ho, Choi Jin-Su

机构信息

Korea Health Industry Development Institute, Department of Preventive Medicine, Chonnam National University Medical School.

出版信息

J Prev Med Public Health. 2006 May;39(3):255-62.

Abstract

OBJECTIVES

This study is conducted to identify the cancer incidence in Gwangju during the 5-year period from 1998 to 2002 and to assess the completeness and validity of the cancer registry data during this time period.

METHODS

All cases that had a diagnosis of invasive cancer (ICD-10 sites C00-C97) during the study period were retrieved from the records of the Gwangju Cancer Registry (GCR), which theoretically includes all the cancer cases in Gwangju. All the cases during the study period were analyzed by gender, age group and cancer sites. The completeness (mortality/incidence ratio and age-specific incidence curve) and validity (histologic verification, primary site unknown, age unknown and death certificate only) of the cancer registry in Gwangju were analyzed by gender, age group and cancer sites for the 5-year period.

RESULTS

The overall cancer incidence was higher in the males than in the females (age-standardized incidence rates (ASR) 299.8 and 172.4 per 100,000, respectively). In males, the most common cancer was stomach (ASR: 65.8), followed by liver (ASR: 50.5), bronchus and lung (ASR: 50.5), colo-rectum (ASR: 26.7), oesophagus (ASR: 10.6), and bladder (ASR: 10.3) in descending order. In females, the most common cancer was stomach (ASR: 26.8), followed by thyroid (ASR: 20.7), breast (ASR: 20.4), cervix uteri (ASR: 14.3), bronchus and lung (ASR: 13.0), liver (ASR: 10.7) and colo-rectum (ASR: 17.2) in descending order. The overall quality (completeness and validity) of the cancer registry was at the in 'good' level.

CONCLUSIONS

These results will be useful in the overall context of planning and evaluating of cancer control activities in Gwangju.

摘要

目的

本研究旨在确定1998年至2002年5年间光州的癌症发病率,并评估该时间段内癌症登记数据的完整性和有效性。

方法

从光州癌症登记处(GCR)的记录中检索出研究期间所有诊断为浸润性癌症(ICD-10编码C00-C97部位)的病例,理论上该登记处涵盖了光州所有的癌症病例。对研究期间的所有病例按性别、年龄组和癌症部位进行分析。按性别、年龄组和癌症部位对光州癌症登记处5年期间的完整性(死亡率/发病率比和年龄别发病率曲线)和有效性(组织学验证、原发部位不明、年龄不明和仅死亡证明)进行分析。

结果

男性的总体癌症发病率高于女性(年龄标准化发病率分别为每10万人299.8例和172.4例)。在男性中,最常见的癌症是胃癌(年龄标准化发病率:65.8),其次是肝癌(年龄标准化发病率:50.5)、支气管和肺癌(年龄标准化发病率:50.5)、结直肠癌(年龄标准化发病率:26.7)、食管癌(年龄标准化发病率:10.6)和膀胱癌(年龄标准化发病率:10.3),按降序排列。在女性中,最常见的癌症是胃癌(年龄标准化发病率:26.8),其次是甲状腺癌(年龄标准化发病率:20.7)、乳腺癌(年龄标准化发病率:20.4)、子宫颈癌(年龄标准化发病率:14.3)、支气管和肺癌(年龄标准化发病率:13.0)、肝癌(年龄标准化发病率:10.7)和结直肠癌(年龄标准化发病率:17.2),按降序排列。癌症登记处的总体质量(完整性和有效性)处于“良好”水平。

结论

这些结果将有助于光州癌症控制活动的整体规划和评估。

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