Joseph Djenaba A, Wingo Phyllis A, King Jessica B, Pollack Lori A, Richardson Lisa C, Wu Xiaocheng, Chen Vivien, Austin Harland D, Rogers Deirdre, Cook Janice
Division of Cancer Prevention and Control, National Centers for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
Prehosp Disaster Med. 2007 Jul-Aug;22(4):282-90. doi: 10.1017/s1049023x00004878.
The objective of this study was to estimate the burden of cancer in counties affected by Hurricane Katrina using population-based cancer registry data, and to discuss issues related to cancer patients who have been displaced by disasters.
The cancer burden was assessed in 75 counties in Louisiana, Alabama, and Mississippi that were designated by the Federal Emergency Management Agency as eligible for individual and public assistance. Data from the National Program of Cancer Registries were used to determine three-year average annual age-adjusted incidence rates and case counts during the diagnosis years 2000-2002 for Louisiana and Alabama. Expected rates and counts for the most-affected counties in Mississippi were estimated by direct, age-specific calculation using the 2000-2002 county level populations and the site-, sex-, race-, and age-specific cancer incidence rates for Louisiana.
An estimated 23,549 persons with a new diagnosis of cancer in the past year resided in the disaster-affected counties. Fifty-eight percent of the cases were cancers of the lung/bronchus, colon/rectum, female breast, and prostate. Eleven of the top 15 cancer sites by sex and black/white race in disaster counties had >50% of cases diagnosed at the regional or distant stage.
Sizable populations of persons with a recent cancer diagnosis were potentially displaced by Hurricane Katrina. Cancer patients required special attention to access records in order to confirm diagnosis and staging, minimize disruption in treatment, and ensure coverage of care. Cancer registry data can be used to provide disaster planners and clinicians with estimates of the number of cancer patients, many of whom may be undergoing active treatment.
本研究的目的是利用基于人群的癌症登记数据，估算受卡特里娜飓风影响各县的癌症负担，并讨论与因灾难而流离失所的癌症患者相关的问题。
对路易斯安那州、阿拉巴马州和密西西比州的75个县的癌症负担进行了评估，这些县被联邦紧急事务管理局指定有资格获得个人和公共援助。利用国家癌症登记计划的数据，确定了路易斯安那州和阿拉巴马州2000 - 2002年诊断年份的三年平均年龄调整发病率和病例数。密西西比州受灾最严重的县的预期发病率和病例数是通过使用2000 - 2002年县级人口以及路易斯安那州的部位、性别、种族和年龄特异性癌症发病率进行直接的年龄特异性计算来估计的。
估计在过去一年中，有23,549名新诊断为癌症的患者居住在受灾县。58%的病例是肺癌/支气管癌、结肠癌/直肠癌、女性乳腺癌和前列腺癌。在受灾县，按性别和黑人/白人种族划分的前15个癌症部位中，有11个部位超过50%的病例在区域或远处阶段被诊断出来。
相当数量最近被诊断患有癌症的人群可能因卡特里娜飓风而流离失所。癌症患者需要特别关注获取记录，以确认诊断和分期，尽量减少治疗中断，并确保医疗覆盖。癌症登记数据可用于向灾难规划者和临床医生提供癌症患者数量的估计，其中许多患者可能正在接受积极治疗。
