Nylenna M
Fam Pract. 1986 Sep;3(3):168-73. doi: 10.1093/fampra/3.3.168.
A study of cancer patients in general practice was carried out in a defined and limited population of 29,420 inhabitants with a known occurrence of malignancy. A cancer patient was defined as a person who had ever been diagnosed as having a malignancy. Out of 553 cancer patients living in the study area 257 (46.5%) were seen by the general practitioner during a two-month period. Cancer patients accounted for 3.9% of all encounters and the calculated yearly contact rate for these patients was more than twice that for other patients (4.3 contacts per year against 2.1). One-third of the cancer patients were not recognized as having a malignancy by the doctor, and only 1.3% of all encounters were caused by or partly caused by cancer. The diagnostic distribution of cancers among these patients correlated with the prevalence in the population, with two exceptions: gastrointestinal cancer was over-represented and skin cancer was under-represented.
在一个有29420名居民且已知有恶性肿瘤发生情况的特定有限人群中，开展了一项针对全科医疗中癌症患者的研究。癌症患者被定义为曾被诊断患有恶性肿瘤的人。在居住在研究区域的553名癌症患者中，在两个月的时间里，有257名（46.5%）患者被全科医生诊治过。癌症患者占所有诊疗人次的3.9%，这些患者的计算年接触率是其他患者的两倍多（每年4.3次接触，而其他患者为每年2.1次）。三分之一的癌症患者未被医生识别为患有恶性肿瘤，所有诊疗人次中只有1.3%是由癌症或部分由癌症引起的。这些患者中癌症的诊断分布与人群中的患病率相关，但有两个例外：胃肠道癌的占比过高，而皮肤癌的占比过低。
