Odutola Michael, Chokunonga Eric, Pineros Marion, Liu Biying, Jemal Ahmedin, Parkin D Maxwell
J Registry Manag. 2019 Spring;46(1):15-18.
Information on cancer stage at diagnosis is largely missing or poorly documented among population-based cancer registries in sub-Saharan Africa (SSA). In an early field trial of Essential TNM staging, it was observed that some training was needed to enable cancer registrars to abstract the correct TNM from case records. In November 2018, the Addis Ababa City Cancer Registry hosted a training course attended by 17 participants from 16 cancer registries in SSA. The participants were asked to stage 16 cancer cases (from anonymized photocopies of case records obtained from the Global Initiative for Cancer Registry Development) before and after the training. The discrepancy of the stages from before and after were scored and compared. Results showed that there was a substantial improvement in the participants' performance after the training. The application of the Essential TNM staging system, with training in its use, would allow cancer registrars in SSA to abstract cancer stage at diagnosis in a clinically recognized format, which is crucial for cancer control and public health care policy making.
在撒哈拉以南非洲（SSA）基于人群的癌症登记处中，关于癌症诊断时分期的信息大多缺失或记录不完善。在早期的基本TNM分期现场试验中，发现需要进行一些培训，以使癌症登记员能够从病例记录中提取正确的TNM分期。2018年11月，亚的斯亚贝巴市癌症登记处举办了一期培训班，来自SSA 16个癌症登记处的17名学员参加了培训。要求学员在培训前后对16例癌症病例（从全球癌症登记发展倡议获得的病例记录匿名复印件）进行分期。对前后分期的差异进行评分和比较。结果显示，培训后学员的表现有了显著提高。应用基本TNM分期系统并进行使用培训，将使SSA的癌症登记员能够以临床认可的格式提取癌症诊断时的分期，这对于癌症控制和公共卫生保健政策制定至关重要。
