摘要
目的 :调查广州市各级肿瘤医院网络报告肿瘤病例的病理组织学诊断的现状和登记情况,分析广州市肿瘤登记资料病理组织学诊断率(morphological verification percentage,MV%)较低的原因。方法:分析广州市131家肿瘤报告单位2008年至2013年网络报告的所有恶性肿瘤病例,调查其病理组织学诊断率和肿瘤登记报告情况,并与全国登记资料及发达国家登记资料进行比较。结果:广州市131家肿瘤报告医院2008年至2013年共报告恶性肿瘤154 623例,MV%为64.41%。所有部位肿瘤的总体MV%上升了15.29%(绝对值上升了8.88%),其中三级医院报告病例的MV%为69.87%,二级医院报告病例的MV%为49.50%,一级医院报告病例的MV%为20.50%。尽管广州市各级别医院、各瘤别的MV%呈现逐年上升的趋势,但与全国及世界主要登记处资料相比,广州市的恶性肿瘤MV%仍处于较低水平。结论:2008年至2013年,广州市各级医院恶性肿瘤网络报告MV%逐年上升,很大程度上反映了肿瘤诊断水平的持续提高,但MV%低于发达国家的主要原因是部分医院的肿瘤诊断水平不高所致,三级医院MV%与发达国家差距较小,而一、二级医院差距较大。广州市恶性肿瘤网络报告工作刚起步,加强和完善肿瘤登记工作管理能提高MV%。
Objective： To analyze the pattern and trend of morphological verification percentage（MV%） of cancer cases collected by Cancer Registry in Guangzhou. Methods： All the data of the cancer cases were collected by Guangzhou Cancer Registry System. The distribution of MV% in different classes of hospital and types of tumor from 2008 to 2013 were analyzed. The data were compared with that of developed nations. Results： The MV% was 64.41% for the 154 623 new cases reported in 2008-2013 in Guangzhou. MV% of Class Ⅲ hospitals was 69.87%, MV% of Class Ⅱhospitals was49.50%, MV% of the Class Ⅰ hospitals was 20.50%. During the past 6 years, MV% was increased by 15.29%（absolute value increased by 8.88%）. However, compared with the data collected by the major cancer registries in developed nations,the MV% in Guangzhou was still low. Conclusions： The rise of MV% in the past 6 years reflects the improvement of cancer diagnoses in Guangzhou. However, the MV% is still low. This is caused by the poor cancer diagnosis in some hospitals. The gap between developed nations and Class Ⅲ hospital in Guangzhou may be small, but it is large for ClassⅡandⅠhospitals. Mistakes in data collection and input entry by Cancer Registry may also be one of the reasons. Reinforce and consummate cancer registry would improve the MV% in Guangzhou.
出处
《诊断学理论与实践》
2015年第3期252-256,共5页
Journal of Diagnostics Concepts & Practice
关键词
恶性肿瘤
病理诊断率
肿瘤登记
广州市
Malignant neoplasms
Morphological verification percentage
Cancer registry
Guangzhou
