| 王晓锋,付瑞瑛,林 红.2015年辽宁省大连市城区新发癌症病例综合随访结果分析[J].中国肿瘤,2022,31(5):348-354. |
| 2015年辽宁省大连市城区新发癌症病例综合随访结果分析 |
| Follow-up Results of Newly Diagnosed Cancer Patients in Dalian Urban Areas in 2015 |
| 投稿时间：2021-11-03 |
| DOI：10.11735/j.issn.1004-0242.2022.05.A005 |
|
 |
| 中文关键词: 肿瘤登记 主动随访 被动随访 生存率 辽宁 |
| 英文关键词:cancer registry active follow-up passive follow-up survival rate Liaoning |
| 基金项目:2020年大连市医学科学研究计划项目（2022013） |
|
| 摘要点击次数: 1120 |
| 全文下载次数: 276 |
| 中文摘要: |
| 摘 要：［目的］ 分析2015年大连市城区新发癌症病例采用两轮综合随访模式获得的随访结果。［方法］ 选取大连市肿瘤登记处2015年新发癌症患者为研究对象，由统一培训的工作人员分别于2018年1—5月和2021年1—6月期间开展两轮综合随访，以获取患者生存结局信息。综合随访模式采用被动随访和主动随访相结合的方法进行。描述并分析不同随访方式获得癌症患者死亡结局的比例。［结果］第一轮随访研究最终纳入患者11 626例，追踪到4 897例（42.12%）死亡患者；其中，通过死因监测系统追踪3 882例（33.39%）死亡患者，通过公安户籍补充追踪993例（8.54%）死亡患者，主动随访更新死亡信息22例（0.19%）。第二轮随访最终纳入研究的患者为11 938例，合计追踪到死亡患者6 053例（50.70%）；其中通过死因监测系统和公安户籍系统更新死亡6 041例（50.60%），主动随访补充死亡信息12例（0.10%）。分癌种来看，随访结局为死亡的癌种比例最高的是肝癌（87.63%），最低的是甲状腺癌（2.20%）。［结论］ 在大连采用被动随访与主动随访相结合的方式可精准获得癌症患者生存结局。通过人群肿瘤发病登记数据与公安户籍、死因监测、医保数据、医院诊疗记录匹配的被动随访方式可追踪到95%以上患者生存结局。随访结果将为进一步评估该地区癌症患者生存率、优化我国城市地区人群癌症随访模式提供科学参考。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze the results of two-round follow-up for newly diagnosed cancer patients in Dalian urban areas in 2015. ［Methods］ All eligible newly diagnosed cancer patients in 2015 were collected from Dalian Cancer Registries. Two rounds of follow-up in 2018 and 2021 were conducted using a mix of active and passive follow-up methods. And the proportion of cancer patients’ vital status through different follow-up methods were described and analyzed. ［Results］ In the first round of follow-up， among 11 626 eligible cancer patients a total of 4 897(42.12%) deaths were identified， including 3 882(33.39%) deaths identified from the mortality database of the Dalian Vital Statistic System， 993(8.54%) supplemented deaths tracked from the Dalian Civil Registration System， and 22(0.19%) identified through active follow-up. In the second round of follow-up， among 11 938 eligible cancer patients a total of 6 053(50.70%) deaths were identified， including 6 041(50.60%) deaths identified through the Dalian Vital Statistic System/the Dalian Civil Registration System， and 12(0.10%) were tracked by active follow-up. Among all cancer deaths the proportion of liver cancer was the highest(87.63%) and thyroid cancer was the lowest(2.20%) . ［Conclusion］ The integration of cancer registration data with Vital Statistic System， Civil Registration System and Health Insurance System in Dalian could identify 95% of patients’ vital status. It may offer a new clue to optimize the cancer follow-up model in urban areas. |
|
在线阅读
查看全文 查看/发表评论 下载PDF阅读器 |