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南非公立和私立医疗系统中结直肠癌的临床病理模式是否相似?德班结直肠癌数据库分析。

Is the clinicopathological pattern of colorectal carcinoma similar in the state and private healthcare systems of South Africa? Analysis of a Durban colorectal cancer database.

作者信息

Ntombela Xolani H, Zulu Babongile Mw, Masenya Molikane, Sartorius Ben, Madiba Thandinkosi E

机构信息

1 Colorectal Unit, Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.

2 Lancet Laboratories, Durban, South Africa.

出版信息

Trop Doct. 2017 Oct;47(4):360-364. doi: 10.1177/0049475517710887. Epub 2017 May 24.

DOI:10.1177/0049475517710887
PMID:28537520
Abstract

Previous state hospital-based local studies suggest varying population-based clinicopathological patterns of colorectal cancer (CRC). Patients diagnosed with CRC in the state and private sector hospitals in Durban, South Africa over a 12-month period (January-December 2009) form the basis of our study. Of 491 patients (172 state and 319 private sector patients), 258 were men. State patients were younger than private patients. Anatomical site distribution was similar in both groups with minor variations. Stage IV disease was more common in state patients. State patients were younger, presented with advanced disease and had a lower resection rate. Black patients were the youngest, presented with advanced disease and had the lowest resection rate.

摘要

先前基于州立医院的本地研究表明,结直肠癌(CRC)存在不同的基于人群的临床病理模式。我们的研究以在南非德班的州立和私立医院在12个月期间(2009年1月至12月)被诊断为CRC的患者为基础。在491名患者(172名州立医院患者和319名私立医院患者)中,258名是男性。州立医院的患者比私立医院的患者年轻。两组的解剖部位分布相似,略有差异。IV期疾病在州立医院患者中更为常见。州立医院的患者更年轻,表现为晚期疾病,切除率较低。黑人患者最年轻,表现为晚期疾病,切除率最低。

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