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癌症网络的癌症生存指标:方法学视角

Cancer survival indicators by Cancer Network: a methodological perspective.

作者信息

Ellis Libby, Rachet Bernard, Coleman Michel P

机构信息

London School of Hygiene and Tropical Medicine.

出版信息

Health Stat Q. 2007 Winter(36):36-41.

PMID:18092541
Abstract

Cancer Networks are responsible for the management of cancer services in England. They are, in principle, logical units for the analysis of cancer survival, since for most patients, the entire pathway of referral, diagnosis and treatment is likely to be contained within the territory of a Cancer Network. This study investigates the implications of using each patient's Cancer Network of residence as the geographic basis of cancer survival indicators for the Department of Health and the National Health Service. Incidence data from the National Cancer Registry were used to estimate survival from cancers of the breast and colon diagnosed in adults during 1996-98. Survival estimates varied little between Cancer Networks. They were generally stable over time. We conclude that Cancer Networks are suitable geographic units for the analysis of cancer survival as a NHS performance indicator.

摘要

癌症网络负责英格兰癌症服务的管理。原则上,它们是分析癌症生存率的合理单位,因为对于大多数患者来说,转诊、诊断和治疗的整个过程可能都在一个癌症网络的区域范围内。本研究调查了将每位患者居住的癌症网络作为卫生部和国民保健服务体系癌症生存指标的地理基础所产生的影响。利用国家癌症登记处的发病率数据来估计1996 - 1998年期间成年患者中乳腺癌和结肠癌的生存率。各癌症网络之间的生存估计差异不大。随着时间的推移,它们总体上较为稳定。我们得出结论,癌症网络作为国民保健服务体系绩效指标,是分析癌症生存率的合适地理单位。

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引用本文的文献

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Geographical variation in cancer survival in England, 1991-2006: an analysis by Cancer Network.英格兰癌症存活率的地域差异,1991-2006:癌症网络分析。
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Spatial variation in prostate cancer survival in the Northern and Yorkshire region of England using Bayesian relative survival smoothing.利用贝叶斯相对生存平滑法研究英格兰北部和约克郡地区前列腺癌生存率的空间差异。
Br J Cancer. 2008 Dec 2;99(11):1786-93. doi: 10.1038/sj.bjc.6604757. Epub 2008 Nov 4.