哈萨克斯坦的乳腺癌,2004-2023年:通过有组织的查和阶段转移来成功降低死亡率
Nurbek Igissin1,2,3, Zhansaya Telmanova2,4, Indira Kudaibergenova2,3,4
1Research Institute of Life and Health Sciences, Higher School of Medicine, Kokshetau University named after Sh. Ualikhanov, Kokshetau, Kazakhstan.
Asian Pacific journal of cancer prevention : APJCP
|November 28, 2025
概括
在过去的20年里,哈萨克斯坦的乳腺癌发病率上升,但死亡率和过早死亡率下降. 有组织的乳房镜检查改善了早期诊断,尽管区域性表现各不相同.
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:
- 哈萨克斯坦的乳腺癌负担需要分析.
- 评估有组织的乳房学查计划的有效性至关重要.
研究的目的:
- 量化乳腺癌负担的二十年国家趋势.
- 评估乳房扫描查计划的性能和扩大后的阶段分布.
主要方法:
- 使用国家注册和查数据 (2004-2023) 进行回顾性,基于人口的研究.
- 分析了发病率,死亡率和失去的潜在生命年数 (YPLL).
- 评估查绩效指标 (覆盖率,检测率等) 从2010年到2023年. 从2010年到2023年. 从2010年到2023年.
主要成果:
- 年龄标准化发病率增加;年龄标准化死亡率和YPLL显著下降.
- 死亡率与发病率比率从0.42下降到0.19.
- 早期诊断的比例 (I-II) 从71.1%上升到88.6%;晚期诊断下降.
- 在扩大资格后,查覆盖率增加,但区域性绩效异质性仍然存在.
结论:
- 哈萨克斯坦实现了有利的趋势:增加发病率,降低死亡率,减少过早死亡.
- 这些改进与有组织查计划的成熟和系统改进相一致.
- 需要有针对性的,特定于区域的质量改进和弹性战略才能实现持续的收益.
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