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在埃塞俄比亚,参加转诊医院门诊部的儿童中儿童癌症的患病率。

Prevalence of childhood Cancer among children attending referral hospitals of outpatient Department in Ethiopia.

机构信息

Department of Pediatrics and Child Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, P.O.BOX 196, Gondar, Ethiopia.

出版信息

BMC Cancer. 2021 Mar 12;21(1):271. doi: 10.1186/s12885-021-08014-0.

DOI:10.1186/s12885-021-08014-0
PMID:33711955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7953643/
Abstract

INTRODUCTION

Childhood cancer is one of the leading causes of morbidity and mortality in the pediatrics age group. The problem affects both developed and developing countries. A high mortality rate has been observed in low-income counties. Despite its high fatality rate, less attention has been paid to the problem in developing countries, including Ethiopia. For this reason, childhood cancer is not well documented in the study setting. Therefore, we assessed the prevalence of childhood cancer in Ethiopia.

METHODS

Institution based cross-sectional study design from January 1, 2019, to March 30, 2019, was conducted in the pediatrics treatment center. A systematic random sampling technique has used to select 1270 children in the pediatric outpatient department. The data were entered using Epi info version 7 and exported to SPSS version 20 for analysis. We checked model fitness for the advanced statistical methods, but it was difficult to proceed with logistic regression model to see the association between dependent and explanatory variables because of the unmet x assumption. We presented the results by using tables and figures.

RESULTS

From the total 1270 study participants, 1257 were included in the final analysis provided that a 98.97% response rate. Out of these, 10(0.8%) children were diagnosed with cancer. Regarding its types, two each, Acute Lymphocytic Leukemia, Wilms tumor, Hodgkin lymphoma, and one each non-Hodgkin lymphoma, Parotid cancer, Retinoblastoma, and Breast cancer were reported. The prevalence of childhood cancer was 0.9 and 0.7% among male and female children, respectively.

CONCLUSIONS

Eight children diagnosed with cancer per 1000 children who visited the pediatric outpatient department. Even though childhood cancers have little attention from policymakers, the prevalence of childhood cancer remains prevalent. Therefore, researchers and policymakers shall give special emphasis to childhood cancer.

摘要

简介

儿童癌症是儿科年龄段发病和死亡的主要原因之一。这个问题不仅影响发达国家,也影响发展中国家。在低收入国家,儿童癌症的死亡率一直很高。尽管儿童癌症的死亡率很高,但发展中国家对这个问题的关注较少,包括埃塞俄比亚。出于这个原因,儿童癌症在研究环境中没有得到很好的记录。因此,我们评估了儿童癌症在埃塞俄比亚的流行情况。

方法

2019 年 1 月 1 日至 2019 年 3 月 30 日,在儿科治疗中心进行了基于机构的横断面研究设计。采用系统随机抽样技术,从儿科门诊选择了 1270 名儿童。使用 Epi info 版本 7 输入数据,并将其导出到 SPSS 版本 20 进行分析。我们检查了高级统计方法的模型拟合情况,但由于未满足 x 假设,很难进行逻辑回归模型来观察因变量和自变量之间的关联。我们通过表格和图形呈现结果。

结果

在总共 1270 名研究参与者中,有 1257 名参与者最终被纳入分析,响应率为 98.97%。其中,有 10 名(0.8%)儿童被诊断患有癌症。根据其类型,急性淋巴细胞白血病、Wilms 肿瘤、霍奇金淋巴瘤各有 2 例,非霍奇金淋巴瘤、腮腺癌、视网膜母细胞瘤和乳腺癌各有 1 例。儿童癌症的患病率在男童和女童中分别为 0.9%和 0.7%。

结论

每 1000 名儿科门诊就诊的儿童中,有 8 名被诊断患有癌症。尽管决策者对儿童癌症的关注较少,但儿童癌症的患病率仍然很高。因此,研究人员和决策者应特别关注儿童癌症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bce/7953643/047e3d549112/12885_2021_8014_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bce/7953643/c9eff4bab4b4/12885_2021_8014_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bce/7953643/047e3d549112/12885_2021_8014_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bce/7953643/c9eff4bab4b4/12885_2021_8014_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bce/7953643/047e3d549112/12885_2021_8014_Fig2_HTML.jpg

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