Hirohata T
Environ Health Perspect. 1979 Oct;32:49-52. doi: 10.1289/ehp.793249.
On the basis of the author's experience in epidemiologic studies on cancer in both the United States and Japan for the last 15 years, advantages and disadvantages of various record systems that can be utilized for epidemiologic cancer studies in these two countries are compared. Both countries are equally well provided with vital statistics and census records. Descriptive studies can be conducted without difficulties in both countries. For analytic studies, the Koseki record or family registration system in Japan provides an excellent tool in tracing subjects. However, Japanese record systems have problems as to management of hospital records, preservation of death certificates, etc. On the whole, restrospective cohort studies, particularly studies on patients, are more difficult in Japan than in the United States. There appear to be no material differences between these two countires as to case-control studies.
根据作者过去15年在美国和日本进行癌症流行病学研究的经验,比较了可用于这两个国家癌症流行病学研究的各种记录系统的优缺点。这两个国家在生命统计和人口普查记录方面都同样完善。在这两个国家进行描述性研究都没有困难。对于分析性研究,日本的户籍记录或家庭登记系统为追踪研究对象提供了一个很好的工具。然而,日本的记录系统在医院记录管理、死亡证明保存等方面存在问题。总体而言,回顾性队列研究,尤其是对患者的研究,在日本比在美国更困难。在病例对照研究方面,这两个国家似乎没有实质性差异。