评估基于注册表的监控统计数据用于南印度丁丁古尔区的癌症控制
R Swaminathan1, P O Esmy2, R Selvakumaran3
1Epidemiology, Biostatistics and Cancer Registry, Cancer Institute (W.I.A), Chennai, India.
Journal of registry management
|August 14, 2023
概括
丁迪古尔的癌症发病率低于奈,但监测显示两性癌症的发病率都在上升. 这项研究评估了癌症登记的完整性,发现农村和偏远地区的确定性不足.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 癌症监测 癌症监测
背景情况:
- 丁丁古尔区的癌症发病率明显低于泰米尔纳德邦的奈.
- 丁丁古尔安比利卡伊癌症登记 (DACR) 覆盖了主要是农村人口.
- 这项研究评估了癌症监测数据,并确定了常规登记中缺失的病例.
研究的目的:
- 描述在丁丁古尔区的癌症监测统计数据.
- 评估DACR.通过癌症病例确定的完整性.
- 分析癌症发病率和生存率的趋势.
主要方法:
- 分析了DACR在2003-2017年期间登记的21,214起癌症病例.
- 使用精算方法对2003-2012年诊断的癌症生存概率的估计.
- 通过独立的随机调查来评估病例确定质量.
主要成果:
- 从2003-2007年到2013-2017年,年龄标准化率 (ASR) 在两性中增加了17%,女性 (76.2) 的比率高于男性 (61).
- 最常见的癌症:子宫 (18.5 ASR, -19%的变化) 和女性乳腺 (17.1 ASR, +46.1%的变化). 肺癌在男性中增加 (+57.1%). 大肠直肠癌在男性中几乎翻了一番 (+94.7%).
- 该调查确定了DACR遗漏的15.1%的癌症,在山区/边境地区和非政府医院的低确定率更高.
结论:
- 通过使癌症成为可通知的疾病,可以提高癌症登记的完整性.
- 基于注册表的监控可以在经济上有效地扩展到大群体.
- 癌症查计划的系统评估通过改进的监视来促进.
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