Chauvenet Marion, Lepage Côme, Jooste Valérie, Cottet Vanessa, Faivre Jean, Bouvier Anne-Marie
Registre Bourguignon des Cancers Digestifs, Inserm U866, Université de Bourgogne, CHU Dijon, Dijon F-21079, France.
Eur J Cancer. 2009 May;45(8):1460-5. doi: 10.1016/j.ejca.2009.01.012. Epub 2009 Feb 11.
The objective of this study was to estimate prevalence of colorectal cancers requiring care or follow-up.
Prevalence was observed in 2005 on the population-based digestive cancer registry of Burgundy (France). Total and 5-year partial prevalences were calculated. The prevalence of patients requiring follow-up was estimated using non-mixture cure models. The prevalence of patients with recurrence was estimated using annual recurrence rates.
Total prevalence was 262,244 cases in France. The mean variation in 5-year partial prevalence between successive 5-year periods was +8.0%. Time to cure was estimated to be 9.3 years, suggesting that follow-up is needed over a 10-year period, corresponding to 71.7% of prevalent cases. In 2005, 5.4% of prevalent cases had recurrent cancer requiring treatment.
This study underlines the burden of colorectal cancer on the health system. Prevalence of patients requiring follow-up or treatment provides interesting information in addition to classic indicators.
本研究的目的是估计需要护理或随访的结直肠癌患病率。
2005年在法国勃艮第基于人群的消化道癌症登记处观察患病率。计算了总患病率和5年部分患病率。使用非混合治愈模型估计需要随访的患者患病率。使用年复发率估计复发患者的患病率。
法国的总患病率为262,244例。连续5年期间5年部分患病率的平均变化为+8.0%。治愈时间估计为9.3年,这表明需要进行10年的随访,这对应于71.7%的现患病例。2005年,5.4%的现患病例患有需要治疗的复发性癌症。
本研究强调了结直肠癌对卫生系统的负担。除了经典指标外,需要随访或治疗的患者患病率提供了有趣的信息。