分析纳入赞比亚国家癌症登记处的大学教学医院胃癌数据的比例。

Analysis of the proportion of university teaching hospital gastric cancer data included in the Zambia national cancer registry.

机构信息

University of Zambia School of Public Health, Department of Epidemiology and Biostatistics, Lusaka, Zambia.

Tropical Gastroenterology and Nutrition Group, University of Zambia School of Medicine, PO Box 50398, Lusaka, Zambia.

出版信息

Afr Health Sci. 2023 Mar;23(1):438-443. doi: 10.4314/ahs.v23i1.46.

DOI:10.4314/ahs.v23i1.46

PMID:37545961

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10398468/

Abstract

BACKGROUND

The exact prevalence of gastric cancer in Zambia is unknown. The aim of this study was to determine the proportion of gastric cancer cases seen at the largest hospital in Zambia, whose records were included in the Zambia National Cancer Registry (ZNCR).

METHODS

We reviewed gastric cancer records between January 2015 and December 2017 from the University Teaching Hospital, Cancer Diseases Hospital and ZNCR. Statistical analysis was done using Stata version 15.

RESULTS

We reviewed 94 patient records (42 were females) with a mean age of 59 years (standard deviation, 14.9). Histologically, the majority of the cases were adenocarcinoma (84%). Of the reviewed records, only 39/94 (42%) had their data included in the ZNCR. Median time to from endoscopic diagnosis to histopathological confirmation was 11 days (inter-quartile range; 7-20). Median time from histological confirmation to the Cancer Diseases Hospital for therapy was 8 days (IQR 2-19). Overall median survival time for gastric cancer patients was 290 days (CI 95%, 112 - 1225).

CONCLUSIONS

Data on gastric cancer reported in the ZNCR are an underestimate of the true disease burden and there is need to strengthen data collection strategies for gastric cancer in Zambia.

摘要

背景

赞比亚胃癌的确切患病率尚不清楚。本研究旨在确定在赞比亚最大的医院就诊的胃癌病例比例，这些病例的记录被纳入赞比亚国家癌症登记处（ZNCR）。

方法

我们回顾了 2015 年 1 月至 2017 年 12 月期间来自教学医院、癌症疾病医院和 ZNCR 的胃癌记录。使用 Stata 版本 15 进行统计分析。

结果

我们共回顾了 94 例患者的记录（42 例为女性），平均年龄为 59 岁（标准差为 14.9）。从组织学上看，大多数病例为腺癌（84%）。在回顾的记录中，只有 39/94（42%）的记录数据被纳入 ZNCR。从内镜诊断到组织病理学确认的中位时间为 11 天（四分位距为 7-20）。从组织学确认到癌症疾病医院进行治疗的中位时间为 8 天（IQR 2-19）。胃癌患者的总体中位生存时间为 290 天（CI 95%，112-1225）。