Banks Patricia, Matheson Leigh M, Morrissy Kate, Olesen Inger, Pitson Graham, Chapman Adam, Ashley David M, Henry Margaret J
Andrew Love Cancer Centre, Geelong, Victoria, Australia.
Aust J Rural Health. 2014 Oct;22(5):257-63. doi: 10.1111/ajr.12112.
Australian states and territories have legislation mandating reporting of cancer diagnoses; however, tumour stage at diagnosis, treatment plan and associated outcomes are not routinely recorded in cancer registries for all tumour types. This study describes the Evaluation of Cancer Outcomes study that collects detailed information for patients diagnosed with cancer in south-western Victoria.
Retrospective data collection.
Population based.
New cancer patients within the Barwon South Western region.
Cancer incidence and staging data for a regional and rural area.
In 2009, there were 1778 primary tumours. Prominent tumour streams included prostate, breast, colon, lung, lymphoma, melanoma and rectum. Stage at diagnosis was recorded for more than 50% of patients for the tumour streams of testis, breast, bowel, renal, lung, and head and neck. Patients reporting to health centres with an on-site oncologist as part of their team had a higher rate of staging recorded at diagnosis (48.0 versus 36.9%, P=0.01). More women (55.4%) than men (41.4%) had stage-recorded.
The Evaluation of Cancer Outcomes study is an important initiative that collects information about newly diagnosed cases of cancer more detailed than is currently collected by the Cancer Council of Victoria. Future studies will build on this base dataset and provide valuable insight into the regional and rural experience of treatment pathways after diagnosis. More work is needed to bring more services to our rural patients, or more education is needed to encourage the recording of tumour staging.
澳大利亚各州和领地均有立法要求报告癌症诊断情况；然而，并非所有肿瘤类型的癌症诊断时的肿瘤分期、治疗方案及相关结果都会常规记录在癌症登记处。本研究描述了癌症结局评估研究，该研究收集了维多利亚州西南部癌症确诊患者的详细信息。
回顾性数据收集。
基于人群。
贝尔沃西南地区的新癌症患者。
一个地区和农村地区的癌症发病率和分期数据。
2009年，有1778例原发性肿瘤。主要的肿瘤类型包括前列腺癌、乳腺癌、结肠癌、肺癌、淋巴瘤、黑色素瘤和直肠癌。对于睾丸、乳腺、肠道、肾脏、肺部以及头颈部肿瘤类型，超过50%的患者记录了诊断时的分期。在有现场肿瘤学家作为团队成员的健康中心就诊的患者，诊断时记录分期的比例更高（48.0%对36.9%，P = 0.01）。记录分期的女性（55.4%）多于男性（41.4%）。
癌症结局评估研究是一项重要举措，它收集的新诊断癌症病例信息比维多利亚癌症理事会目前收集的更为详细。未来的研究将基于这个基础数据集展开，并为诊断后治疗途径的地区和农村经验提供有价值的见解。需要做更多工作为农村患者提供更多服务，或者需要更多教育来鼓励记录肿瘤分期。
