Clarke K, Howard G C, Elia M H, Hutcheon A W, Kaye S B, Windsor P M, Yosef H M
Information and Statistics Division, National Health Service in Scotland, Edinburgh, UK.
Br J Cancer. 1995 Nov;72(5):1300-2. doi: 10.1038/bjc.1995.504.
Details of 1123 patients registered in Scotland between 1983 and 1990 for testicular cancer under the Scottish Cancer Registration Scheme were obtained and compared with registrations within the five Scottish oncology centres. Some registration discrepancies were identified. Twenty-eight cancer registrations (2.5%) were coded to the wrong site, 29 patients seen at oncology centres had no cancer registration and 14 cancer registrations had the wrong histology. Five hundred and twenty-seven patients with testicular non-seminomatous germ cell tumours (NSGCT) and 567 with testicular seminoma were identified. Referral rates to specialist oncology centres for testicular germ cell tumours were measured by period and health board area of residence. For the whole study period 92% of NSGCT and 93% of seminoma patients were referred to specialist centres for treatment. Referral rates for different health board areas of residence were not significantly different. This study shows that within Scotland the majority of patients with testicular NSGCT and seminoma are referred to specialist centres, and suggests referral rates of around 92% are underestimates. Access is not related to area of residence.
获取了1983年至1990年间在苏格兰癌症登记计划下登记的1123例睾丸癌患者的详细信息，并与苏格兰五个肿瘤中心的登记情况进行了比较。发现了一些登记差异。28例癌症登记（2.5%）被编码到错误的部位，在肿瘤中心就诊的29例患者没有癌症登记，14例癌症登记的组织学类型错误。确定了527例睾丸非精原细胞瘤性生殖细胞肿瘤（NSGCT）患者和567例睾丸精原细胞瘤患者。通过时间段和居住的卫生委员会区域来衡量睾丸生殖细胞肿瘤患者转诊至专科肿瘤中心的比例。在整个研究期间，92%的NSGCT患者和93%的精原细胞瘤患者被转诊至专科中心进行治疗。不同居住卫生委员会区域的转诊率没有显著差异。这项研究表明，在苏格兰，大多数睾丸NSGCT和精原细胞瘤患者被转诊至专科中心，并表明约92%的转诊率被低估了。就诊机会与居住地区无关。
