Institute of Preventive Medicine, College of Public Health, National Taiwan University, Academia Sinica, Taipei, Taiwan.
Jpn J Clin Oncol. 2010 Oct;40(10):897-904. doi: 10.1093/jjco/hyq057. Epub 2010 May 21.
Cancer is becoming a more important health problem in Taiwan with aging of populations and changes in lifestyles. This indicates that a population-based cancer registration database is essential to providing informative data on cancer prevention and policy setting. The Taiwan Cancer Registry was launched in 1979 and all reporting hospitals were mandated to submit cancer data to the central cancer registry following the enactment of the Cancer Control Act in 2003. The National Health Insurance program in Taiwan has successfully provided quality health care, comprehensive benefits and convenient access to treatment. Most cancers had a rapidly increasing incidence after the initiation of the NHI program. However, cancer incidence rates of nasopharynx of both genders slightly decreased throughout the entire period and incidence of stomach cancer of both genders and cervical cancer of females declined beginning in 1995. For childhood cancers, the major types of leukemia, lymphomas, central nervous system neoplasms and other epithelial neoplasms for males and females accounted for nearly 55% of all types. This study presents for the first time the secular changes and age patterns in the incidence of childhood cancer using national cancer data.
癌症随着人口老龄化和生活方式的改变，在台湾已成为一个日益重要的健康问题。这表明，基于人群的癌症登记数据库对于提供癌症预防和政策制定的信息数据至关重要。台湾癌症登记处成立于 1979 年，2003 年《癌症防治法》颁布后，所有报告医院都被要求向中央癌症登记处提交癌症数据。台湾的全民健康保险计划成功提供了高质量的医疗保健、全面的福利和方便的治疗途径。大多数癌症在全民健康保险计划启动后发病率迅速上升。然而，自 1995 年以来，男女两性的鼻咽癌发病率在整个时期略有下降，男女两性的胃癌和女性的宫颈癌发病率也开始下降。对于儿童癌症，男性和女性的主要类型白血病、淋巴瘤、中枢神经系统肿瘤和其他上皮肿瘤占所有类型的近 55%。本研究首次使用国家癌症数据展示了儿童癌症发病率的长期变化和年龄模式。
