Menck H R, Bland K I, Scott-Conner C E, Eyre H J, Murphy G P, Winchester D P
Commission on Cancer, American College of Surgeons, Chicago, Illinois 60611, USA.
Cancer. 1998 Dec 15;83(12):2649-58.
The National Cancer Data Base (NCDB), a joint project of the Commission on Cancer of the American College of Surgeons and the American Cancer Society, is a cancer management and outcomes data base for health care organizations. It provides a comparative summary of patient care that is used by participating hospitals and communities for self-assessment. This article describes the most current (1995) data.
Since 1989, 7 calls for data have been issued, yielding a total of 5,558,389 cancer patient reports for the years 1985-1995. A total of 1849 hospital cancer registries have participated in at least 1 of the calls for data.
One thousand one hundred and fourteen hospitals from 50 states and the District of Columbia reported 655,627 cases for the diagnosis year 1995. The hospitals represented a wide range of sizes (187 [16.8%] with 1000+ cases annually, 405 [36.4%] with 500-999 cases annually, 255 [22.9%] with 300-499 cases annually, 211 [18.9%] with 100-299 cases annually, and 56 [5%] with < 100 cases annually) and types (21 [1.9%] National Cancer Institute [NCI]-recognized cancer centers, 119 [10.7%] government hospitals, 102 [9.2%] teaching hospitals, 256 [23.0%] large community hospitals, 297 [26.7%] medium/small community hospitals, and 257 [23.1%] nongovernmental hospitals without approval status from the Commission on Cancer or NCI recognition). Remarkably similar distributions of cases by primary site and age were reported from each of six U.S. geographic regions. In addition, within each of these six regions, the cases were reported from a wide range of income strata and ethnicities. For several states, relatively few cancer cases were reported. For several examples of relatively rare patient and tumor groups, all reported cases between 1985-1995 included potentially useful quantities of patients in whom further study of such special groups was warranted.
The authors conclude that the reported cases most likely are representative at the regional (but not state) level of cancer patients diagnosed and treated at U.S. hospitals with regard to types of cancer and ages of the patients. They conclude further that cancer reporting may be quite diverse within each region with regard to other known patient and reporting institution characteristics.
美国国立综合癌症网络（NCDB）是美国外科医师学会癌症委员会和美国癌症协会的联合项目，是一个针对医疗机构的癌症管理和结局数据库。它提供了患者护理的比较总结，供参与的医院和社区用于自我评估。本文描述的是最新（1995年）的数据。
自1989年以来，已发布了7次数据征集，共获得了1985 - 1995年期间5558389份癌症患者报告。共有1849个医院癌症登记处参与了至少一次数据征集。
来自50个州和哥伦比亚特区的1114家医院报告了1995年诊断年度的655627例病例。这些医院规模各异（每年有1000例以上病例的医院有187家[16.8%]，每年有500 - 999例病例的医院有405家[36.4%]，每年有300 - 499例病例的医院有255家[22.9%]，每年有100 - 299例病例的医院有211家[18.9%]，每年病例数少于100例的医院有56家[5%]）且类型不同（21家[1.9%]是美国国立癌症研究所（NCI）认可的癌症中心，119家[10.7%]是政府医院，102家[9.2%]是教学医院，256家[23.0%]是大型社区医院，297家[26.7%]是中小型社区医院，257家[23.1%]是非政府医院，未获得癌症委员会的批准或NCI的认可）。美国六个地理区域各自报告的病例按原发部位和年龄分布非常相似。此外，在这六个区域中的每个区域内，病例来自广泛的收入阶层和种族。对于几个州，报告的癌症病例相对较少。对于一些相对罕见的患者和肿瘤群体的例子，1985 - 1995年期间所有报告的病例都包括了数量可观的患者，对这些特殊群体进行进一步研究是有必要的。
作者得出结论，就癌症类型和患者年龄而言，所报告的病例很可能在区域（而非州）层面上代表了在美国医院诊断和治疗的癌症患者。他们进一步得出结论，就其他已知的患者和报告机构特征而言，每个区域内的癌症报告可能差异很大。
