自我报告的癌症协议的变化:丹麦全国性的研究
Heidi Amalie Rosendahl Jensen1, Trine Allerslev Horsbøl1, Lau Caspar Thygesen1
1National Institute of Public Health, University of Southern Denmark, Copenhagen K, Denmark.
International journal of cancer
|August 18, 2023
概括
自我报告的癌症诊断显示出高准确度的注册表确认,但敏感性因癌症类型而异. 社会人口统计学因素和年龄影响特定癌症报告准确性.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 准确的癌症数据对于流行病学研究和公共卫生规划至关重要.
- 之前的研究强调了自我报告和记录疾病之间一致性的变化.
- 有限的研究存在于自我报告的特定部位癌症诊断的准确性.
研究的目的:
- 在丹麦全国调查中评估自我报告的癌症的敏感性和负预测值 (NPV).
- 为了将自我报告的癌症数据与丹麦癌症注册表进行比较.
- 探索社会人口统计学对自我报告的癌症敏感性的影响.
主要方法:
- 利用了2017年丹麦国家健康调查的数据 (n=183,372).
- 连接了与丹麦癌症登记处的个人调查数据,用于10种特定癌症.
- 使用多重后勤回归来分析社会人口统计学变量和诊断后的时间.
主要成果:
- 对自我报告的癌症的负预测值 (NPV) 始终很高 (≥99.5%).
- 敏感性差异很大,脑/中枢神经系统 (CNS) 癌症的发病率最低,直肠癌和乳腺癌的发病率最高.
- 在非黑色素瘤的皮肤癌和尿路癌症中观察到较低的敏感性.
- 随着年龄的增长和教育程度的降低,敏感性下降.
结论:
- 自我报告的癌症数据显示,确认没有癌症的可靠性很高 (高NPV).
- 癌症类型之间敏感度的显著差异需要对自我报告的癌症史进行谨慎的解释.
- 未来的研究应该考虑现场特异性癌症诊断,其已被证明具有较高的灵敏度,以提高数据准确性.
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