基于埃普斯坦-巴尔病毒血清学的查计划对鼻癌死亡率的影响:一个集群随机对照试验
Wen-Jie Chen1,2, Xia Yu3, Yu-Qiang Lu4
1Department of Cancer Prevention, Sun Yat-sen University Cancer Center, Guangzhou, China.
概括
使用爱斯坦-巴尔病毒 (EBV) 抗体检测进行鼻癌 (NPC) 查,在12年的中国试验中,显著降低了30%的NPC特异性死亡率. 这种益处在50岁及以上的人群中最为明显,突出显示了早期检测策略的有效性.
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:
- 鼻癌 (NPC) 查可以改善流行地区的早期检测和存活率.
- 评估NPC查对人口特异性死亡率的影响至关重要.
研究的目的:
- 评估使用爱斯坦-巴尔病毒 (EBV) 抗体测试进行NPC查在减少NPC特异性死亡率方面的有效性.
- 确定12年查计划对中国人口死亡率的影响.
主要方法:
- 一个集群随机试验,涉及中国16个城市,其中8个城市在查组,8个城市在对照组.
- 纳入标准:年龄在30-69岁之间,没有NPC病史的居民.
- 查组接受了血清EBV抗体测试;对照组没有进行干预. 后续行动至2019年12月31日.
主要成果:
- 与对照组 (12.5死亡/1000人年) 相比,在查组 (8.2死亡/1000人年) 中观察到NPC死亡率减少了30%.
- 死亡率的降低在50岁及以上的参与者中最为显著 (RR,0.56).
- 在查和对照组中,NPC发病率和整体死亡率在查和对照组之间相似.
结论:
- 作为NPC查计划的一部分,血清EBV抗体检测显著降低了NPC特定死亡率.
- 查策略显示,对老年人 (≥50岁) 显而易见的好处.
- 这项研究支持在高风险人群中进行NPC查的EBV抗体测试.
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