查在英国防止了宫癌流行病
Julian Peto1, Clare Gilham, Olivia Fletcher
1London School of Hygiene and Tropical Medicine, London, UK. julian.peto@lshtm.ac.uk
Lancet (London, England)
|July 21, 2004
概括
英国国家宫癌查计划已经扭转了宫癌死亡人数的危险上升,挽救了大约10万人的生命. 早期查显著降低了妇女的终身死亡率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 最近的分析质疑英国国家宫部查计划的成本效益.
- 有关该计划的财务和心理社会影响与减少死亡率存在担忧.
研究的目的:
- 在没有国家查计划的情况下估计宫癌死亡率趋势.
- 评估英国国家宫部查计划对死亡率的影响.
主要方法:
- 1988年之前在英格兰和威尔士的宫癌死亡率趋势的分析.
- 在没有国家查计划的情况下,模拟未来的死亡率趋势.
主要成果:
- 在1967年至1987年间,35岁以下妇女的宫癌死亡率翻了三倍,尽管有机会性查,但发病率很高.
- 1988年启动的全国查计划成功扭转了这种死亡率上升的趋势.
- 据估计,在1951年至1970年间出生的妇女中,可能会避免10万例过早死亡.
结论:
- 宫查已经防止了潜在的流行病,每年避免大约6,000人死亡.
- 据估计,查可以在特定的出生队伍中挽救每80名妇女中的1名,每次挽救生命的成本约为36,000英.
- 早期启动子宫部查与较低的终身死亡率有关.
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