Wang Xiao, Song Zheng-Fang, Xie Rui-Meng, Pei Jiao, Xiang Ming-Fei, Wang Huan
Sichuan Cancer Hospital and Institute, Chengdu, China.
Asian Pac J Cancer Prev. 2013;14(7):4399-402. doi: 10.7314/apjcp.2013.14.7.4399.
To analyze underlying disease, fatality rate and the major causes of death of in-patients with malignant tumors in Sichuan Cancer Hospital.
Clinical data of in-patients from 2002 to 2012 were retrospectively analyzed.
The top 10 tumors (82.0%of the total) of the malignant tumors of the in- patients were lung, cervical, esophagus, breast, colorectal, nasopharynx, liver and gastric cancers, lymphomas and ovarian cancers. The overall fatality rate was 2.7% during these eleven years, 3.4% and 2.0% for male and females, respectively with statistical significance for the difference (χ2=164.737, P<0.001). The top 10 death causes were lung cancer, liver cancer, colorectal cancer, esophagus cancer, gastric cancer, lymphoma, breast cancer, pancreatic cancer, ovarian cancer and nasopharynx cancer. In-patients with pancreatic cancer had the highest fatality rate (9.6%). There were different ranks of death causes in different sex groups and age groups.
Prevention and control work of cancer should be enhanced not only for cancers with high incidence such as lung cancer, esophageal cancer but also for the cancers which have low incidence but high fatality rate, such as pancreatic cancer and gallbladder cancer, which would help to improve the survival rate and quality of life of cancer patients in the future.
分析四川省肿瘤医院恶性肿瘤住院患者的基础疾病、病死率及主要死因。
回顾性分析2002年至2012年住院患者的临床资料。
住院患者恶性肿瘤前10位（占总数的82.0%）为肺癌、宫颈癌、食管癌、乳腺癌、结直肠癌、鼻咽癌、肝癌、胃癌、淋巴瘤和卵巢癌。这11年间总体病死率为2.7%，男性为3.4%，女性为2.0%，差异有统计学意义（χ2=164.737，P<0.001）。前10位死因依次为肺癌、肝癌、结直肠癌、食管癌、胃癌、淋巴瘤、乳腺癌、胰腺癌、卵巢癌和鼻咽癌。胰腺癌住院患者病死率最高（9.6%）。不同性别组和年龄组的死因顺位不同。
癌症防治工作不仅应加强对肺癌、食管癌等高发病率癌症的防控，还应关注胰腺癌、胆囊癌等低发病率但高病死率的癌症，这将有助于提高未来癌症患者的生存率和生活质量。
