摘要
目的从资料的可靠性和登记的完整性两个方面对大连市西岗区2005年1月~2016年12月恶性肿瘤登记报告的数据进行评价,为进一步提高肿瘤登记工作质量提供依据。方法从大连市肿瘤登记报告管理系统导出2005年1月~2016年12月西岗区诊断为恶性肿瘤的全部发病与死亡病例。通过SAS编程对数据进行合并、剔重、汇总与分析,并生成统计图表。结果2005年1月~2016年12月西岗区病理组织学所占的比例(MV%)为72.88%,死亡医学证明书(DCN)病例占18.78%,只有死亡医学证明书(DCO)病例占2.85%,距离国家规定的<15%的标准尚有一定差距。死亡病例数与新病例数之比(M/I)为0.41,未达到0.6~0.8的标准。同期登记的、其他未指明部位及原发部位不明(继发)的恶性肿瘤新病例所占的百分比(O&U%)为3.13。结论2005年1月~2016年12月西岗区MV%均高于国家标准,但DCN病例数量近年来有上升的趋势,2016年已达到35.54%。M/I为0.41,未达到0.6~0.8的标准,与大连市甲状腺癌、乳腺癌等预后较好的肿瘤高发有关。O&U%为3.13%,2016年为4.24%,近年来有缓慢上升的趋势,但总体水平不高。总体来说,大连市西岗区肿瘤登记数据的可靠性比较高,但是完整性不高,亟待加强。
Objective To evaluate the data of the malignant tumor registration report from January 2005 to December 2016 in Xigang District of Dalian City in the aspects of data reliability and registration completeness,so as to provide a basis for further improving the quality of tumor registration.Methods All morbidity and mortality cases diagnosed as malignant tumors in Xigang District of Dalian City from January 2005 to December 2016 were exported from Dalian Cancer Registration Report Management System.Through SAS programming,the data were merged,deduplicated,summarized and analyzed,and statistical charts were generated.Results The proportion of histopathology(MV%)in Xigang District from January 2005 to December 2016 was 72.88%,cases with death certificate notification(DCN)accounted for 18.78%,and cases with death certificate only(DCO)accounted for 2.85%.There was still a certain gap from the national standard of<15%.The ratio of the number of deaths to the number of new cases(M/I)was 0.41,which did not reach the standard of 0.6-0.8.The percentage of new cases of malignant tumors registered in the same period,with other unspecified sites and unknown primary sites(secondary)(O&U%)was 3.13.Conclusion The MV%in Xigang District from January 2005 to December 2016 is higher than the national standard.However,the number of DCN cases has been in an increasing trend in recent years,reaching 35.54%in 2016.M/I is 0.41,less than the standard of 0.6-0.8,which is related to the high incidence rate of thyroid cancer,breast cancer and other tumors with good prognosis in Dalian City.The O&U%is 3.13%,but increases to 4.24%in 2016.In recent years,it has been gradually increasing,but the overall level is not high.In general,the reliability of tumor registration data in Xigang District of Dalian City is relatively high,but the completeness is not high,so it needs to be strengthened urgently.
作者
刘丹
田健池
李晓东
LIU Dan;TIAN Jian-chi;LI Xiao-dong(Dalian Xigang District Centre for Disease Control and Prevention,Liaoning Province,Dalian116011,China;Dalian Medical University,Institute of Cancer Stem Cell,Liaoning Province,Dalian116044,China)
出处
《中国当代医药》
2020年第20期183-187,F0004,共6页
China Modern Medicine
基金
辽宁省自然科学基金优秀人才培育计划项目(2015020670)。
关键词
肿瘤登记
恶性肿瘤病例
发病率
死亡率
Tumor registration
Cases of malignant tumor
Morbidity
Mortality
