Toyoda Yasuhiro, Nakayama Tomio, Tsukuma Hideaki
Dept. of Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Diseases.
Gan To Kagaku Ryoho. 2009 Jul;36(7):1131-4.
The purpose of the present study was to confirm the recent trends in home deaths among cancer deaths in Osaka Prefecture.
The number of home deaths and their proportion among cancer deaths were calculated using the data from Osaka Cancer Registry according to the primary origin and region. The correlation between the proportion and the number of home care clinics (per 10 thousand population) was examined among 56 municipalities in Osaka Prefecture.
The number of home deaths(the proportion of home deaths among cancer deaths)has continuously increased from 875 (4.6%) in 1995 to 1,544 (6.6%) in 2006. The proportions increased gradually in most second-level medical-care areas. Since 2004, the proportion in the Toyono medical-care area has increased rapidly and reached 10.6% in 2006. The municipalities with the highest and the lowest proportion were Kishiwada City (11.9%) and Minato Ward (2.9%), respectively. There were no significant correlations between the proportion of home deaths and the number of home care clinics per population. The proportions of cancers of the lung, colorectum, stomach, pancreas and breast gradually increased from around 5% in 1995 to around 7% in 2006. The proportions for cancer of the liver, esophagus and bile duct doubled from around 3% in 1995 to around 6% in 2006. The proportion for hematologic tumor has been leveling off at around 3%.
The proportion of home deaths among cancer deaths has increased in 1995-2006. Regional differences were also observed. It is necessary to develop the home care system according to the regional characteristics.
本研究旨在确认大阪府癌症死亡中在家死亡的近期趋势。
根据主要发病部位和地区，利用大阪癌症登记处的数据计算在家死亡的数量及其在癌症死亡中所占的比例。在大阪府的56个市町村中，研究了在家死亡比例与家庭护理诊所数量（每万人口）之间的相关性。
在家死亡的数量（在家死亡在癌症死亡中所占的比例）从1995年的875例（4.6%）持续增加到2006年的1544例（6.6%）。在大多数二级医疗区域，该比例逐渐上升。自2004年以来，丰能医疗区域的这一比例迅速上升，2006年达到10.6%。比例最高和最低的市町村分别是岸和田市（11.9%）和港区（2.9%）。在家死亡比例与每人口家庭护理诊所数量之间无显著相关性。肺癌、结直肠癌、胃癌、胰腺癌和乳腺癌的比例从1995年的约5%逐渐上升到2006年的约7%。肝癌、食管癌和胆管癌的比例从1995年的约3%翻倍至2006年的约6%。血液肿瘤的比例一直稳定在约3%。
1995 - 2006年期间，癌症死亡中在家死亡的比例有所增加。同时也观察到了地区差异。有必要根据地区特点发展家庭护理系统。
