2014-2016年在中国山东省的癌症生存率分析和空间分布
Fan Jiang1, Zhentao Fu1, Zilong Lu1
1The Department for Chronic and Non-communicable Disease Control and Prevention, Shandong Center for Disease Control and Prevention, Jinan, China.
Scientific reports
|June 26, 2023
概括
山东省的癌症存活率低于全国平均水平,地理差异很大. 肺癌和消化道癌症需要改进早期诊断和治疗策略.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 癌症生存率是医疗保健系统性能和人口健康的关键指标.
- 了解癌症存活率的空间分布对于有针对性的公共卫生干预至关重要.
研究的目的:
- 分析山东省癌症存活率及其空间分布.
- 确定地理差异和癌症生存高风险地区.
主要方法:
- 利用了2014-2016年山东省609,861例癌症病例的大数据集.
- 使用Stata进行生存分析,使用GeoDa和ArcGIS进行空间分析.
- 采用热点分析来识别癌症存活率的空间集群.
主要成果:
- 在年龄标准化后,所有癌症的相对5年生存率是34.47%.
- 观察到显著的差异,甲状腺癌,乳腺癌和子宫癌的生存率更高,胰腺癌,肝癌和肺癌的生存率更低.
- 城市癌症生存率 (37.53%) 比农村地区 (32.83%) 高,从东到西,从北到南呈下降趋势.
- 热点分析确定了特定的城市地区的生存率较高和农村地区的生存率较低.
结论:
- 山东省的癌症存活率仍低于全国平均水平.
- 需要加强肺癌和消化道癌症的早期诊断和治疗.
- 该研究提供了改善该地区癌症控制策略的关键数据.
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