2013—2022年福建省上消化道癌早诊早治结果分析
Analysis of Early Diagnosis and Treatment Outcomes for Upper Gastrointestinal Cancer in Fujian Province, 2013-2022
投稿时间:2024-04-24  修订日期:2024-06-14
DOI:
中文关键词:  上消化道癌  早诊早治  筛查  福建
英文关键词:Upper gastrointestinal cancer  Early diagnosis and treatment  Screening  Fujian
基金项目:福建省引导性科技计划项目(2022Y0055)
作者单位邮编
林永添 福建省肿瘤医院 350014
马晶昱 福建省肿瘤医院 350014
相智声 福建省肿瘤医院 350014
黄永迎 福建省肿瘤医院 350014
温烨莹 福建省肿瘤医院 350014
周衍* 福建省肿瘤医院 350014
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中文摘要:
      [目的]分析总结2013—2022 年福建省农村上消化道癌早诊早治项目的初筛和随访结果。[方法]收集整理2013—2022年福建省上消化道癌早诊早治项目筛查数据,计算筛查人群的病例检出率、早诊率和治疗率和χ2趋势性检验,比较不同组间检出率、早诊率。[结果]2013—2022年福建省合计完成26823人次筛查和随访,检出率、早诊率、治疗率分别为 1.41%、56.20%、92.61%,2013—2022年早诊率呈现上升趋势(P<0.05)。初筛检出率、早诊率为1.38%、55.59%,随访检出率、早诊率为5.36%、75%。食管、贲门和胃病例检出率分别为0.70%、0.15%、0.58%,早诊率分别为64.86%、53.66%、46.41%,各部位检出率和早诊率差异均有统计学意义(P<0.05)。[结论]2013—2022年福建省开展农村上消化道癌早诊早治项目,发现了癌前病变或早期病例,筛查同时进行居民健康教育,提高了居民防癌意识。仍需加强技术培训,继续提高检出率和早诊率,重视随访人群依从性,进一步提高筛查效率。
英文摘要:
      [Purpose] This study analyzes and summarizes the preliminary screening and follow-up results of the early diagnosis and treatment project for upper gastrointestinal cancer in rural areas of Fujian Province from 2013 to 2022.[Methods] Screening data from the early diagnosis and treatment project for upper gastrointestinal cancer in Fujian Province from 2013 to 2022 were collected and organized. The case detection rate, early diagnosis rate, and treatment rate of the screening population were calculated along with theχ2 test for trend, and the detection rate and early diagnosis rate of different groups were compared.[Results] From 2013 to 2022, a total of 26,823 screenings and follow-ups were completed in Fujian Province, with detection rate, early diagnosis rate, and treatment rate of 1.41%, 56.20%, and 92.61%, respectively. The early diagnosis rate showed an increasing trend from 2013 to 2022 (P<0.05). The initial screening detected rate and early diagnosis rate were 1.38% and 55.59%, respectively, while follow-up detection rate and early diagnosis rate were 5.36% and 75%. The detection rates for esophageal, cardia, and stomach cases were 0.70%, 0.15%, and 0.58%, respectively, with early diagnosis rates of 64.86%, 53.66%, and 46.41%, respectively. The differences in detection rates and early diagnosis rates for each site were statistically significant (P<0.05).[Conclusion]From 2013 to 2022, the early diagnosis and treatment project for upper gastrointestinal cancer in rural areas of Fujian Province identified precancerous lesions or early-stage cases. Screening was accompanied by health education for residents, enhancing their cancer prevention awareness.There is still a need to strengthen technical training, continue to improve detection rate and early diagnosis rate, pay attention to the compliance of the follow-up population, and further improve screening efficiency.
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