King's College London, Thames Cancer Registry, 1st Floor, Capital House, 42 Weston Street, London SE1 3QD, UK.
J Public Health (Oxf). 2010 Dec;32(4):526-31. doi: 10.1093/pubmed/fdq009. Epub 2010 Mar 3.
Little research has investigated cancer care in UK prisons. We wished to identify the number of new cases and the most common cancer diagnoses occurring each year in London prisoners, and the place of death for those who died from their disease.
Using the database of the Thames Cancer Registry, we identified cancer diagnoses in residents of seven London prisons from 1986 to 2005 and the place of death of patients dying from their disease between 1996 and 2005.
On average, 31 patients were recorded as diagnosed with cancer while in prison within each 5-year period. In women, 83% (85/102) of diagnoses were in situ carcinoma of the cervix, and in men, 19% (11/57) were of lung cancer. None of the 25 patients recorded as dying from their disease died in prison. Most died in hospitals (48%, 12/25) or in hospices (28%, 7/25).
London prisons contribute a small number of patients each year who require NHS cancer care, including those with advanced cancer who are released before death. Future studies should investigate cancer incidence for the national prison population, methods for improving screening coverage and follow-up, the timeliness of access to cancer treatments and end-of-life care, and prisoners' and health professionals' experiences of care.
针对英国监狱中的癌症护理，研究甚少。我们希望确定每年在伦敦监狱中出现的新病例数和最常见的癌症诊断，并确定死于该疾病的囚犯的死亡地点。
我们使用泰晤士癌症登记处的数据库，确定了 1986 年至 2005 年期间居住在伦敦七所监狱中的癌症诊断病例，以及 1996 年至 2005 年期间死于该疾病的患者的死亡地点。
平均而言，每个 5 年期间有 31 名囚犯被记录患有癌症。在女性中，83%（85/102）的诊断为宫颈癌原位癌，而在男性中，19%（11/57）为肺癌。在记录的 25 名死于该疾病的患者中，没有一人在监狱中死亡。大多数人在医院（48%，12/25）或临终关怀医院（28%，7/25）死亡。
伦敦监狱每年为需要国民保健服务癌症护理的患者提供少量病例，包括在死亡前被释放的晚期癌症患者。未来的研究应调查全国监狱人口的癌症发病率、提高筛查覆盖率和随访的方法、获得癌症治疗和临终关怀的及时性，以及囚犯和卫生专业人员的护理体验。
