子宫癌死亡被认证为部分未指明:一个未解决的问题
Giovanna Esposito1, Claudia Santucci1, Fabio Parazzini1
1Department of Clinical Sciences and Community Health, University of Milan, Milan.
概括
显著比例的子宫癌死亡是不特定的编码. 改善癌症登记册对于准确的子宫癌统计和患者护理至关重要.
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:
- 很多子宫癌死亡的百分比被归类为"未指明"而不是根据特定的部位 (宫或体).
- 这种缺乏特异性给准确的癌症统计和了解疾病负担带来了挑战.
研究的目的:
- 分析在选定的国家被认证为"未指明"的子宫癌死亡比例的趋势.
- 评估准确归因子宫癌死亡的可行性.
主要方法:
- 利用世界卫生组织 (WHO) 1994-2021年20个高收入和中等收入国家的死亡数据.
- 数据是使用第10版国际疾病分类 (ICD-10) 编码的.
主要成果:
- "未指明"子宫癌死亡的比例差异很大,从墨西哥的5.8%到意大利的65.6%,在最早的可用年份.
- 在一些国家观察到下降的趋势,在最近的10个国家的数据中,大约20%的死亡被编码为"未指明".
- 20-44岁年龄组的死亡不太可能被注册为"未指明"的子宫癌.
结论:
- 相当数量的子宫癌死亡被不准确地编码为"未指明",即使是在拥有强大的死亡认证系统的高收入国家.
- 将子宫癌死亡的确切归因于子宫或身体是可以实现的,并且应该实施以提高数据质量.
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