Nattinger A B, McAuliffe T L, Schapira M M
Department of Medicine, Medical College of Wisconsin, Milwaukee 53226, USA.
J Clin Epidemiol. 1997 Aug;50(8):939-45. doi: 10.1016/s0895-4356(97)00099-1.
To assess the generalizability of the population included in the Surveillance, Epidemiology, and End Results (SEER) tumor registries to the overall United States population, we compared the population of the 198 SEER counties to the population of the 2882 non-SEER counties regarding sociodemographic factors, physician availability, and availability of pertinent hospital resources. The population residing within the SEER areas is more affluent, has lower unemployment, and is substantially more urban than the remainder of the U.S. population (p < 0.001 for each). The SEER areas have fewer general and family practice physicians, but more total nonfederal physicians, general internists, and specialists relevant to cancer care. SEER areas have fewer Joint Commission on Accreditation of Hospitals accredited hospitals, hospital beds, and hospitals with CT scanners, but more hospitals with bone marrow transplantation. The differences between the SEER population and the remainder of the United States, especially SEER's higher socioeconomic status and more urban population, should be considered when generalizing from SEER to the entire country.
为评估监测、流行病学和最终结果（SEER）肿瘤登记处纳入的人群对美国总体人群的代表性，我们就社会人口学因素、医生可及性和相关医院资源的可及性，将198个SEER县的人口与2882个非SEER县的人口进行了比较。居住在SEER地区的人口比美国其他人口更富裕，失业率更低，且城市化程度更高（每项p < 0.001）。SEER地区的全科医生和家庭医生较少，但非联邦医生、普通内科医生和与癌症护理相关的专科医生总数较多。SEER地区经医院评审联合委员会认证的医院、医院床位以及配备CT扫描仪的医院较少，但进行骨髓移植的医院较多。在从SEER推广至全国时，应考虑SEER人群与美国其他地区之间的差异，尤其是SEER较高的社会经济地位和更多的城市人口。
