Kutluk T, Mutlu Hayran K, Kilickap S, Yuce D, Celik I, Erman M, Yalcin S
Department of Pediatric Oncology, Hacettepe University Cancer Institute, Ankara, Turkey.
J BUON. 2013 Oct-Dec;18(4):1088-96.
High-quality hospital-based cancer registry systems are the key elements of a healthy population-based cancer data. The purpose of this study was to present a recent history of establishing a valuable and reliable hospital- based cancer registry in a university hospital in Turkey, and the data gathered by this system in the last 9 years.
This study included the cancer registry records of Hacettepe University Hospitals between 1-Jan-2003, and 31-Dec-2011. The study cohort included data of 39351 cancer patients and the cancer registry system was based on active data acquisition method.
Most frequent departments of reference were Medical Oncology, Radiation Oncology, General Surgery, Urology, and Pediatrics. The annual number of records gradually increased from 2675 in 2003 to 5152 in 2011. The 5 cancer types most frequency seen in adults were lung (15.5%), prostate (13.5%), stomach (6.6%), bladder (6.2%), and colon (5.8%) in men; and breast (32.7%), ovary (6.4%), uterine corpus (6.2%), uterine cervix (5.6%), and thyroid (5.0%) in women. Childhood cancers were classified according to the International Classification of Childhood Cancers, 3rd Edition (ICCC-3), and the most frequent 5 cancer types in children were tumors of the central nervous system (20.1%), lymphomas (14.6%), leukemia (14.1%), retinoblastoma (9.4%), and tumors of the sympathetic nervous system (7.7%).
Active data acquisition from departments that deal with oncologic patients in a hospital is the precise method for establishing a high-quality cancer registry system that is able to resemble the general population. Hospital- based cancer registry systems also provide highly critical information for planning, monitoring, and measuring the cancer-related services, research, and education.
高质量的基于医院的癌症登记系统是以人群为基础的健康癌症数据的关键要素。本研究的目的是介绍土耳其一家大学医院建立一个有价值且可靠的基于医院的癌症登记处的近期历程，以及该系统在过去9年收集的数据。
本研究纳入了2003年1月1日至2011年12月31日期间哈杰泰佩大学医院的癌症登记记录。研究队列包括39351名癌症患者的数据，且癌症登记系统基于主动数据采集方法。
最常涉及的科室是医学肿瘤学、放射肿瘤学、普通外科、泌尿外科和儿科。记录的年度数量从2003年的2675例逐渐增加到2011年的5152例。在成年人中最常见的5种癌症类型，男性为肺癌（15.5%）、前列腺癌（13.5%）、胃癌（6.6%）、膀胱癌（6.2%）和结肠癌（5.8%）；女性为乳腺癌（32.7%）、卵巢癌（6.4%）、子宫体癌（6.2%）、子宫颈癌（5.6%）和甲状腺癌（5.0%）。儿童癌症根据《国际儿童癌症分类》第3版（ICCC - 3）进行分类，儿童中最常见的5种癌症类型是中枢神经系统肿瘤（20.1%）、淋巴瘤（14.6%）、白血病（14.1%）、视网膜母细胞瘤（9.4%）和交感神经系统肿瘤（7.7%）。
从医院中处理肿瘤患者的科室进行主动数据采集是建立一个能够反映总体人群情况的高质量癌症登记系统的精确方法。基于医院的癌症登记系统还为规划、监测和评估癌症相关服务、研究及教育提供了极其关键的信息。
