Ahn Y O, Park B J, Yoo K Y, Ahn H S, Kang D H, Lee M S, Koo H H, Cho B Y, Oh S K, Lee J K
Department of Preventive Medicine, Seoul National University College of Medicine, Korea.
J Korean Med Sci. 1991 Mar;6(1):37-44. doi: 10.3346/jkms.1991.6.1.37.
The medical records of inpatients with diagnoses of either ICD-9 193(malignant neoplasm of the thyroid gland) or 226(benign neoplasm of the thyroid gland) in the claims sent in by medical care institutions throughout the country, to the Korea Medical Insurance Corporation (KMIC) during the period from January 1, 1986 to December 31, 1987 were abstracted. These records were abstracted in order to identify and confirm new cases of thyroid cancer among the beneficiaries of the KMIC. Using these data, the incidence rate of thyroid cancer among Koreans was estimated as of July 1, 1986 through June 30, 1987. The crude rates were estimated to be 0.76(95% Cl: 0.63-0.87) and 3.87(95% Cl: 3.60-4.14) per 100,000 in males and females, respectively, and the cumulative rates for the age spans 0-64 and 0-74 in males were 0.06% and 1.10%, respectively. In females, those were equally 0.35%. The age-adjusted rate for the world population was 0.93 per 100,000 in males, which is one of the lowest levels in the world. However, the adjusted rate in females was 3.96 per 100,000, which is an average level and very similar to that of the Chinese in Singapore and Shanghai. A similar tendency was shown in the case of the truncated rates for the age group of 35-64, which was 1.91 per 100,000 in males and 8.82 per 100,000 in females.
对1986年1月1日至1987年12月31日期间全国医疗机构提交给韩国医疗保险公社(KMIC)的理赔申请中诊断为ICD - 9 193(甲状腺恶性肿瘤)或226(甲状腺良性肿瘤)的住院患者病历进行了摘要提取。提取这些病历是为了识别和确认KMIC受益人中的甲状腺癌新病例。利用这些数据,估算了1986年7月1日至1987年6月30日期间韩国人甲状腺癌的发病率。粗发病率估计男性为每10万人0.76(95%可信区间:0.63 - 0.87),女性为每10万人3.87(95%可信区间:3.60 - 4.14),男性0 - 64岁和0 - 74岁年龄组的累积发病率分别为0.06%和1.10%。女性的累积发病率均为0.35%。男性的世界人口年龄调整发病率为每10万人0.93,是世界最低水平之一。然而,女性的调整发病率为每10万人3.96,处于平均水平,与新加坡和上海的中国人非常相似。在35 - 64岁年龄组的截短发病率中也显示出类似趋势,男性为每10万人1.91,女性为每10万人8.82。