La Rosa F, Minelli L, Petrinelli A M, Angeli G, Epifani A C, Mastrandrea V
Department of Hygiene, Perugia University via del Giochetto, Italy.
Eur J Cancer. 1997 Nov;33(13):2241-5. doi: 10.1016/s0959-8049(97)00215-3.
Survival of 12,051 cancer patients was investigated in incident cases registered in an ad hoc survey in the Umbria region for the period 1978-82. Death certificate only cases were excluded. The follow-up was carried out by an automatic link with the RENCAM (nominative register of causes of death) and verified at the Registrar's Offices of the various towns of the region. Both observed and relative survival rates according to sex and selected time periods (1, 5 and 10 years) were calculated. Generally, the relative survival rate for all tumour sites at 5 years was 0.35 in males and 0.53 in females (P < 0.01), and 0.31 and 0.49, respectively, at 10 years. 5-year relative survival rates greater than 0.50 were found for only three tumour sites in men (bladder, larynx, colon), accounting for approximately 21% of all men included in the study, but for six sites in females (breast, uterus, kidney, bladder, rectum, colon), accounting for more than 50% of the female cases. The 5-year age-adjusted relative survival rates in Umbria were higher than in other Italian and European registries for selected sites (stomach, colon, rectum, lung). High survival in Umbria could probably be related to the availability of specialist care and to the easy access to a network of oncological services.
对1978 - 1982年翁布里亚地区一次专门调查中登记的12051例癌症患者的生存情况进行了调查。仅死亡证明的病例被排除在外。通过与RENCAM（死因实名登记册）自动链接进行随访，并在该地区各城镇的登记处进行核实。计算了按性别和选定时间段（1年、5年和10年）的观察生存率和相对生存率。一般来说，所有肿瘤部位5年的相对生存率男性为0.35，女性为0.53（P<0.01），10年时分别为0.31和0.49。男性中只有三个肿瘤部位（膀胱、喉、结肠）的5年相对生存率大于0.50，约占纳入研究的所有男性的21%，而女性中有六个部位（乳腺、子宫、肾、膀胱、直肠、结肠），占女性病例的50%以上。翁布里亚地区选定部位（胃、结肠、直肠、肺）的5年龄调整相对生存率高于其他意大利和欧洲登记处。翁布里亚地区的高生存率可能与专科护理的可及性以及易于获得肿瘤服务网络有关。
