[意大利的癌症数据:概述]
Ivan Rashid1, Valentina Cozza2, Lucia Bisceglia3
1Epidemiologia e Care Intelligence, Agenzia Regionale Strategica per la Salute e il Sociale della Puglia, Bari; ivrashid@gmail.com.
Epidemiologia e prevenzione
|March 14, 2024
概括
意大利的癌症发病率显示出显著的地理差异,男性在北部的发病率更高,肺癌和乳腺癌的地区差异显著. 这凸显了改善癌症注册数据质量和分析的必要性,以更好地预防和护理.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 癌症监测对于预防和护理至关重要,它依赖于基于人口的癌症登记册 (CRs).
- 意大利的癌症数据分析受到过时信息和缺乏国家CR网络的阻碍.
- 五大洲癌症发病率 (CI5) 第12卷为更新意大利癌症发病率估计提供了机会.
研究的目的:
- 分析意大利的癌症模式,使用来自癌症登记册的最新数据.
- 提供意大利癌症发病率的最新国家和宏观区域参考估计.
主要方法:
- 在CI5 (2013-2017年) 中利用意大利癌症注册表的数据,验证和规范人口数据.
- 评估了CR数据的完整性,使用死亡率/发病率,并计算了79种瘤的特定年龄,年龄标准化 (ASR) 和截断率.
- 对个别CR和宏观区域进行分析,对23个CR (2008-2012) 进行时间比较.
主要成果:
- 在意大利各省和宏观地区的癌症发病率中观察到显著的异质性.
- 对于男性来说,ASRs在每10万人中从584 (雷吉奥卡拉布里亚) 到809.9 (索德里奥) 之间;对于女性来说,在埃米利亚-罗曼尼亚 (540.5) 最高,在阿维利诺 (409.9) 最低.
- 肺癌发病率在那不勒斯和卡塞塔很高,特别是在成年男性中,北方男性的发病率呈下降趋势,女性的发病率呈上升趋势.
结论:
- 验证了使用真实CR数据为准确的癌症估计和建立国家参考率的重要性.
- 在提交给国际癌症研究机构 (IARC) 的文件中发现了关键数据质量问题.
- 强调需要在国家CR网络中进行数据质量控制和审计流程,以支持病因学研究和公共卫生规划.
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