陕西省2021—2022年城市癌症早诊早治项目的筛查结果分析
Results of the cancer screening program in urban areas in Shaanxi province of China, 2021-2022
投稿时间:2024-09-27  修订日期:2024-12-10
DOI:
中文关键词:  城市癌症筛查  早诊早治  陕西省  高危人群
英文关键词:Urban cancer screening  Early diagnosis and treatment  Shaanxi Province  High risk population
基金项目:陕西省重点研发计划一般项目——社会发展领域( 2024SF-YBXM-121)
作者单位邮编
王哲 西安交通大学第二附属医院全科医学科 710000
陈勇* 陕西省肿瘤医院内镜中心 710000
李刚 西北妇女儿童医院儿科急诊与PICU 710000
杨泽 沈阳医学院附属中心医院检验科 710000
陈彭 榆林市第一医院神经内科 710000
黄山平 陕西省肿瘤医院内镜中心 710000
宋本华 陕西省肿瘤医院 710000
付神波 陕西省肿瘤医院 710000
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中文摘要:
      目的 分析陕西省2021—2022年城市癌症早诊早治项目的筛查情况 。方法 对陕西省开展城市癌症早诊早治项目中5类高发恶性肿瘤(乳腺癌、肺癌、上消化道癌、肝癌、结直肠癌)的风险评估及临床筛查数据进行汇总分析。分析以上5 种恶性肿瘤的高风险率、筛查依从率及阳性检出率。结果 共17921人有效完成调查,男性参与筛查的比例 (44.12%)低于女性(55.88%)。 共评估出高危人群9270人,初筛高风险率51.7%,5类癌种的高风险率分别为乳腺癌34.2%、肺癌24.2%、上消化道癌20.7%、肝癌7.5%、结直肠癌29.8% 。初筛被评估为高危人群的18145人次中,共6357人次接受临床筛查,筛查依从率为35.0% 。5类癌种接受临床筛查的人次和筛查依从率分别为乳腺癌1451人次(42.3%)、肺癌2064人次(47.7%)、上消化道癌1125人次 (30.4%)、肝癌468人次(35.0%)、结直肠癌1249人次(23.4%),阳性检出人次和检出率分别为乳腺癌142人次( 9.8%)、肺癌373人次(18.1%)、上消化道癌13人次( 1.2%)、肝癌8人次(1.7%)、结直肠癌68人次 (5.4%)。 结论 陕西省开展城市癌症筛查早诊早治项目较晚,不同年份参与筛查的人群、高风险人群及参与临床筛查人群的特征各有不同,需进一步及时、完整地分析各地域的癌症筛查数据,及时调整宣传时间、筛查时间,改进筛查方式,提高人群参与度,增加筛查准确性,进一步加强人群对癌症早诊早治的理解与配合。
英文摘要:
      Objective To analyze the screening situation of urban cancer early diagnosis and treatment projects in Shaanxi Province from 2021 to 2022. Methods The risk assessment and clinical screening data of five types of high incidence malignant tumors (breast cancer, lung cancer, upper gastrointestinal cancer, liver cancer, colorectal cancer) in the urban cancer early diagnosis and treatment project in Shaanxi Province were summarized and analyzed. Analyze the high-risk rate, screening compliance rate, and positive detection rate of the above 5 types of malignant tumors. Results A total of 17921 people successfully completed the survey, and the proportion of males participating in screening (44.12%) was lower than that of females (55.88%). A total of 9270 high-risk people were evaluated, with a preliminary screening high risk rate of 51.7%. The high risk rates of five types of cancer were 34.2% for breast cancer, 24.2% for lung cancer, 20.7% for upper gastrointestinal cancer, 7.5% for liver cancer, and 29.8% for colorectal cancer. Among the 18145 individuals assessed as high-risk in the initial screening, a total of 6357 individuals underwent clinical screening, with a screening compliance rate of 35.0%. The number of people who received clinical screening and the compliance rate of screening for five types of cancer were 1451 (42.3%) for breast cancer, 2064 (47.7%) for lung cancer, 1125 (30.4%) for upper gastrointestinal cancer, 468 (35.0%) for liver cancer, and 1249 (23.4%) for colorectal cancer. The number of people who were positive and the detection rate were 142 (9.8%) for breast cancer, 373 (18.1%) for lung cancer, 13 (1.2%) for upper gastrointestinal cancer, 8 (1.7%) for liver cancer, and 68 (5.4%) for colorectal cancer. Conclusions Shaanxi Province launched the early diagnosis and treatment project for urban cancer screening relatively late. The characteristics of the population participating in screening, high-risk population, and clinical screening population vary in different years. It is necessary to further analyze the cancer screening data of each region in a timely and complete manner, adjust the promotion and screening time in a timely manner, improve the screening methods, increase population participation, increase screening accuracy, and further strengthen the understanding and cooperation of the population towards early diagnosis and treatment of cancer.
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