Waterhouse J A
Natl Cancer Inst Monogr. 1985 May;67:85-8.
The Birmingham, England, Cancer Registry is so organized that every case of cancer in its territory of 5,200,000 persons is included. This coverage allows the staff to detail every epidemiologic aspect of the cancer experience of a whole population. For example, this registry system made it possible for us not only to demonstrate that the Birmingham region had four times the incidence of scrotal cancer as another region had but to identify the locations and the specific practices in the workplace responsible for the excess. The result was the successful adoption of protective measures. Other instances are presented of the inestimable value of a population-based registry to cancer epidemiology.
英国伯明翰癌症登记处的组织架构十分完善，其覆盖了辖区内520万人口中的每一例癌症病例。这种全面覆盖使工作人员能够详细记录整个人口癌症经历的每一个流行病学方面。例如，这个登记系统不仅使我们能够证明伯明翰地区阴囊癌的发病率是另一个地区的四倍，还能确定工作场所中导致发病率过高的具体地点和特定行为。结果是成功采取了保护措施。文中还列举了其他事例，说明了基于人群的癌症登记处对癌症流行病学的巨大价值。
