摘要
目的分析浙江省部分城区2014—2015年度居民癌症高风险率、筛查率和检出率,为开展癌症早诊早治项目工作提供依据。方法项目实施范围选在宁波市海曙区、江北区、江东区和衢州市柯城区,针对40-69岁常住户籍居民,按照知情同意、自愿原则接受有关癌症的流行病学问卷调查和高风险评估。评估出的高风险对象免费接受肺癌、肝癌、上消化道癌、结直肠癌和女性乳腺癌的临床筛查,分析评估五大类癌症的高风险率、筛查率和检出率。结果总计共完成47 827例调查对象的有效调查问卷和风险评估,其中肺癌、肝癌、上消化道癌、结直肠癌和女性乳腺癌的高风险人群检出率分别为16.99%、11.82%、22.04%、9.21%和9.93%,其中单癌种、两癌种、三癌种、四癌种和五癌种同时高风险的比例依次为26.38%、11.2%、3.65%、1.12%和0.28%。五大类癌的筛查参与率分别为肺癌36.68%、肝癌24.58%、上消化道癌20.17%、大肠癌32.36%和乳腺癌60.71%,其中单癌种和两癌种及以上的筛查率分别为67.62%和32.38%。肺癌或疑似肺癌检出率为1.04%,乳腺筛查BI-RADS分级4-5级检出率为3.74%,上消化道癌筛查检出率为0.14%,疑似肝癌筛查检出率为0.04%,大肠癌筛查检出率为0.23%。结论需进一步完善城市癌症早诊早治技术策略与实践,提高筛查和早诊早治效果,提高全民的癌症防范意识。
Objective To analyze the results of cancer risk assessment and screening in urban population of Ningbo and Quzhou cities in Zhejiang Province.Methods A cancer risk assessment and screening program was conducted among the residents aged 40-69 years in Haishu,Jiangbei and Jiangdong Districts of Ningbo City and Kecheng District of Quzhou City.Subjects with high risks underwent screening for lung cancer,liver cancer,upper digestive tract cancer,female breast cancer and colorectal cancer.The cancer high risk rate,screening rate and clinical detection rate were analyzed.Results A total of 47 827 residents finished questionnaire survey for cancer risk assessment.The results showed that the cancer high-risk rates of lung,liver,upper digestive,colorectum and female breast were 16.99%,11.82%,22.04%,9.21%and 9.93%,respectively.The rates of subjects with high risk of single,two,three,four and five types of cancer were 26.38%,11.20%,3.65%,1.12%,0.28%,respectively.The screening rates for lung,liver,upper digestive tract,colorectaland female breast cancers were 36.68%,24.58%,20.17%,32.36%and 60.71%,respectively.The screening rates in subjects with high risk of single or multiple types of cancer were 67.62%and 32.38%,respectively.The detection rate of lung cancer or suspected lung cancer was 1.04%,that of breast cancer BI-RADS Grade 4-5 was 3.74%,that of upper digestive tract cancer was 0.14%,that of suspected liver cancer and colorectal cancer was 0.04%and 0.23%,respectively.Conclusion The preliminary results demonstrate the effectiveness of the cancer risk assessment and screening program among urban population,but the technical solutions and program management should be further improved to enhance the effect of screening,early detection and treatment of cancer.
出处
《浙江医学》
CAS
2016年第22期1795-1798,1814,共5页
Zhejiang Medical Journal
基金
国家卫生和计划生育委员会公益性行业科研专项(201402003)
浙江省重大科技专项计划项目(2014C03029)
浙江省自然科学基金一般项目(LY15H260001)
关键词
癌症
高风险
筛查率
检出率
早诊早治
Cancer
High risk
Screening rate
Detection rate
Early detection and treatment
