Background:The long-term trend in cancer death in a rapidly developing country provides information for cancer prophylaxis.Here,we aimed to identify the trends in cancer mortality in China during the 2004-2018 period....Background:The long-term trend in cancer death in a rapidly developing country provides information for cancer prophylaxis.Here,we aimed to identify the trends in cancer mortality in China during the 2004-2018 period.Methods:Using raw data from the national mortality surveillance system of China,we assessed the mortalities of all cancer and site-specific cancers during the 2004-2018 period.The participants were divided into three age groups:≥65 years,40-64 years,and≤39 years.Changing trends in cancer death by gender,residency,and tumor location were estimated using fitting joinpoint models to log-transformed crude mortality rates(CMRs)and age-standardizedmortality rates(ASMRs).Results:Cancer death accounted for 24% of all-cause of death in China during 2014-2018.The CMR of all cancer was 150.0 per 100,000 persons.Cancer was the leading cause of death in the population<65 years.The six major cancer types(lung/bronchus cancer,liver cancer,stomach cancer,esophagus cancer,colorectal cancer,and pancreas cancer)accounted for 75.85% of all cancer deaths.The CMR of all cancer increased while the ASMR decreased during 2014-2018(P<0.001).Lung/bronchus cancer and liver cancer were the leading causes of cancer death in the population<65 years,accounting for 45.31%(CMR)and 44.35%(ASMR)of all cancer death,respectively.The ASMR of liver cancer was higher in the 40-64 years population than in the≥65 years population,in contrast to the other five major cancers.The ASMRs of liver cancer,stomach cancer,and esophagus cancer decreased although they were higher in rural residents than in urban residents;the ASMRs of lung/bronchus cancer,colorectal cancer,and pancreas cancer increased in rural residents although they were higher in urban residents than in rural residents during 2014-2018.Conclusion:Although the ASMR of all cancer decreased in China during 2004-2018,lung/bronchus cancer and liver cancer remained the leading causes of cancer-related premature death.Lung/bronchus cancer,colorectal cancer,and pancreas cancer increase展开更多
目的了解郑州市二七区居民2011—2020年恶性肿瘤死亡流行趋势及对居民寿命的影响情况,为制定恶性肿瘤防治对策提供科学依据。方法对2011—2020年郑州市二七区居民恶性肿瘤死亡资料进行分析,计算恶性肿瘤死亡率、潜在减寿年数(potential ...目的了解郑州市二七区居民2011—2020年恶性肿瘤死亡流行趋势及对居民寿命的影响情况,为制定恶性肿瘤防治对策提供科学依据。方法对2011—2020年郑州市二七区居民恶性肿瘤死亡资料进行分析,计算恶性肿瘤死亡率、潜在减寿年数(potential years of life lost,PYLL)、标化潜在减寿年数(standardized potential years of life lost,SPYLL)、标化潜在减寿率(standardized potential years of life lost rate,SPYLLR)和人均减寿年数(average years of life lost,AYLL)等指标,采用年度变化百分比(annual percent change,APC)分析率的时间变化趋势。结果2011—2020年郑州市二七区居民恶性肿瘤年均死亡率为114.68/10万,标化死亡率为103.52/10万,男性年均死亡率(146.09/10万)高于女性(84.56/10万)。恶性肿瘤前5位死因依次为肺癌、肝癌、胃癌、结直肠癌和食管癌,共占恶性肿瘤死亡构成的65.36%。2011—2020年该区居民恶性肿瘤死亡率呈上升趋势(APC=3.70%,P<0.001)。0~44岁年龄组恶性肿瘤死亡率处于较低水平,45岁后随年龄增长逐渐升高,75岁以后迅速升高。恶性肿瘤总PYLL为39067人年,SPYLLR为6.73‰,AYLL为12.59年。结论肺癌、肝癌、胃癌、结直肠癌和食管癌是二七区恶性肿瘤预防控制的重点工作,同时宫颈癌和乳腺癌对女性健康的影响不可忽视,应针对主要恶性肿瘤和重点人群开展综合防控措施,以降低恶性肿瘤的死亡率。展开更多
目的分析重庆市南岸区居民死因及减寿情况,为卫生政策的制定和卫生资源配置提供依据。方法死因资料来源于2012-2015年重庆市南岸区常住居民病伤死因监测资料。采用2010年全国人口普查的人口数据进行标化,使用死因专用统计软件DeathReg 2...目的分析重庆市南岸区居民死因及减寿情况,为卫生政策的制定和卫生资源配置提供依据。方法死因资料来源于2012-2015年重庆市南岸区常住居民病伤死因监测资料。采用2010年全国人口普查的人口数据进行标化,使用死因专用统计软件DeathReg 2005和SPSS 13.0软件对2012-2015南岸区居民死因监测数据整理和统计分析,分析指标包括死亡率、标化死亡率、潜在寿命损失年(potential year of life lost,PYLL)、寿命损失率和平均减寿年数(average years of life lost,AYLL)等。结果南岸区2012-2015年累计报告死亡病例16 296例,居民年平均死亡率为534.30/10万,标化死亡率为446.30/10万。男性死亡9 362例,年平均死亡率为603.60/10万,标化死亡率为333.51/10万,女性死亡6 934例,年平均死亡率462.59/10万,标化死亡率为258.12/10万,男女死亡病例比为1.35∶1。男性死亡率高于女性,差异有统计学意义(χ~2=285.21,P<0.01),死因前五位为循环系统疾病(死亡率206.92/10万,构成比38.73%);肿瘤(死亡率176.16/10万,构成比32.97%);呼吸系统疾病(死亡率74.82/10万,构成比14.00%);损伤和中毒(死亡率22.49/10万,构成比4.21%);消化系统疾病(死亡率14.46/10万,构成比2.71%),占全死因的92.62%。0~岁组首位死因为围生期疾病,5~岁组首位死因为损伤和中毒,15~岁组、45~岁组首位死因为肿瘤,≥65岁组首位死因为循环系统疾病。对南岸区居民寿命损失影响最大的前五位死因依次为肿瘤(减寿率23.86%)、循环系统疾病(减寿率12.70%)、损伤和中毒(减寿率5.20%)、呼吸系统疾病(减寿率3.44%)、消化系统疾病(减寿率1.75%)。结论慢性非传染性疾病与损伤和中毒是造成南岸区居民死亡和减寿的主要原因,应加强慢性病综合防控。展开更多
Introduction: Little is known about the quality of healthcare in intensive care units (ICUs) in Poland. Data on patients hospitalized in ICUs in Warsaw and the results of their treatment are scarce. This information, ...Introduction: Little is known about the quality of healthcare in intensive care units (ICUs) in Poland. Data on patients hospitalized in ICUs in Warsaw and the results of their treatment are scarce. This information, crucial for improving the quality of ICU healthcare services, is not collected routinely. Quality indicators are essential in the concept of holistic quality management. Implementation of these indicators in ICUs is a complex and time-consuming process. Systematic increase in demand for quality assessment tools that can reflect real conditions of the practices of ICUs, prompts the search for effective solutions. Methods: The study included 12,155 patients hospitalized in 16 ICUs of Warsaw hospitals (8 ICUs, n = 3293 of the first level of care, and 8 ICUs, n = 8862 of the second level) between 1<sup>st</sup> January 2017 and 31<sup>st</sup> December 2018. ICUs in pediatric and oncological hospitals were excluded from the study. Characteristics and demography of patients as well as the structure, treatment and human resources of the ICUs in Warsaw were analyzed. Length of stay, unexpected extubations, nosocomial infections, ICU readmissions and standardized mortality ratios (SMR) were retrieved from National Health Fund, Ministry of Health, and other public databases. Results: In primary level ICUs patients’ age (66.42 vs. 64.43 years;p = 0.005) and comorbidity rate (30.56% vs. 22.78%, p = 0.037) were higher when compared to ICUs of the second level of care. The crude mortality rate in ICUs in Warsaw was significantly higher than in other EU countries and differed between ICUs of the first and the second level (34.77% vs. 24.53%, respectively;p = 0.004). SMRs were however very low: 0.71 and 0.64 (ns), respectively. ICU readmission rate, unexpected extubations, central catheter related infections, and length of stay were identical in both groups. More patients were admitted to ICU form emergency department and/or discharged home in Level 1 ICUs (18.9% vs 12.9%, p Conclusions: There are no major differ展开更多
基金National Natural Science Foundation of China,Grant/Award Numbers:81673250,81520108021,91529305Key discipline fromthe“3-year public health promotion”programof Shanghai Municipal Health Commission。
文摘Background:The long-term trend in cancer death in a rapidly developing country provides information for cancer prophylaxis.Here,we aimed to identify the trends in cancer mortality in China during the 2004-2018 period.Methods:Using raw data from the national mortality surveillance system of China,we assessed the mortalities of all cancer and site-specific cancers during the 2004-2018 period.The participants were divided into three age groups:≥65 years,40-64 years,and≤39 years.Changing trends in cancer death by gender,residency,and tumor location were estimated using fitting joinpoint models to log-transformed crude mortality rates(CMRs)and age-standardizedmortality rates(ASMRs).Results:Cancer death accounted for 24% of all-cause of death in China during 2014-2018.The CMR of all cancer was 150.0 per 100,000 persons.Cancer was the leading cause of death in the population<65 years.The six major cancer types(lung/bronchus cancer,liver cancer,stomach cancer,esophagus cancer,colorectal cancer,and pancreas cancer)accounted for 75.85% of all cancer deaths.The CMR of all cancer increased while the ASMR decreased during 2014-2018(P<0.001).Lung/bronchus cancer and liver cancer were the leading causes of cancer death in the population<65 years,accounting for 45.31%(CMR)and 44.35%(ASMR)of all cancer death,respectively.The ASMR of liver cancer was higher in the 40-64 years population than in the≥65 years population,in contrast to the other five major cancers.The ASMRs of liver cancer,stomach cancer,and esophagus cancer decreased although they were higher in rural residents than in urban residents;the ASMRs of lung/bronchus cancer,colorectal cancer,and pancreas cancer increased in rural residents although they were higher in urban residents than in rural residents during 2014-2018.Conclusion:Although the ASMR of all cancer decreased in China during 2004-2018,lung/bronchus cancer and liver cancer remained the leading causes of cancer-related premature death.Lung/bronchus cancer,colorectal cancer,and pancreas cancer increase
文摘目的了解郑州市二七区居民2011—2020年恶性肿瘤死亡流行趋势及对居民寿命的影响情况,为制定恶性肿瘤防治对策提供科学依据。方法对2011—2020年郑州市二七区居民恶性肿瘤死亡资料进行分析,计算恶性肿瘤死亡率、潜在减寿年数(potential years of life lost,PYLL)、标化潜在减寿年数(standardized potential years of life lost,SPYLL)、标化潜在减寿率(standardized potential years of life lost rate,SPYLLR)和人均减寿年数(average years of life lost,AYLL)等指标,采用年度变化百分比(annual percent change,APC)分析率的时间变化趋势。结果2011—2020年郑州市二七区居民恶性肿瘤年均死亡率为114.68/10万,标化死亡率为103.52/10万,男性年均死亡率(146.09/10万)高于女性(84.56/10万)。恶性肿瘤前5位死因依次为肺癌、肝癌、胃癌、结直肠癌和食管癌,共占恶性肿瘤死亡构成的65.36%。2011—2020年该区居民恶性肿瘤死亡率呈上升趋势(APC=3.70%,P<0.001)。0~44岁年龄组恶性肿瘤死亡率处于较低水平,45岁后随年龄增长逐渐升高,75岁以后迅速升高。恶性肿瘤总PYLL为39067人年,SPYLLR为6.73‰,AYLL为12.59年。结论肺癌、肝癌、胃癌、结直肠癌和食管癌是二七区恶性肿瘤预防控制的重点工作,同时宫颈癌和乳腺癌对女性健康的影响不可忽视,应针对主要恶性肿瘤和重点人群开展综合防控措施,以降低恶性肿瘤的死亡率。
文摘目的分析重庆市南岸区居民死因及减寿情况,为卫生政策的制定和卫生资源配置提供依据。方法死因资料来源于2012-2015年重庆市南岸区常住居民病伤死因监测资料。采用2010年全国人口普查的人口数据进行标化,使用死因专用统计软件DeathReg 2005和SPSS 13.0软件对2012-2015南岸区居民死因监测数据整理和统计分析,分析指标包括死亡率、标化死亡率、潜在寿命损失年(potential year of life lost,PYLL)、寿命损失率和平均减寿年数(average years of life lost,AYLL)等。结果南岸区2012-2015年累计报告死亡病例16 296例,居民年平均死亡率为534.30/10万,标化死亡率为446.30/10万。男性死亡9 362例,年平均死亡率为603.60/10万,标化死亡率为333.51/10万,女性死亡6 934例,年平均死亡率462.59/10万,标化死亡率为258.12/10万,男女死亡病例比为1.35∶1。男性死亡率高于女性,差异有统计学意义(χ~2=285.21,P<0.01),死因前五位为循环系统疾病(死亡率206.92/10万,构成比38.73%);肿瘤(死亡率176.16/10万,构成比32.97%);呼吸系统疾病(死亡率74.82/10万,构成比14.00%);损伤和中毒(死亡率22.49/10万,构成比4.21%);消化系统疾病(死亡率14.46/10万,构成比2.71%),占全死因的92.62%。0~岁组首位死因为围生期疾病,5~岁组首位死因为损伤和中毒,15~岁组、45~岁组首位死因为肿瘤,≥65岁组首位死因为循环系统疾病。对南岸区居民寿命损失影响最大的前五位死因依次为肿瘤(减寿率23.86%)、循环系统疾病(减寿率12.70%)、损伤和中毒(减寿率5.20%)、呼吸系统疾病(减寿率3.44%)、消化系统疾病(减寿率1.75%)。结论慢性非传染性疾病与损伤和中毒是造成南岸区居民死亡和减寿的主要原因,应加强慢性病综合防控。
文摘Introduction: Little is known about the quality of healthcare in intensive care units (ICUs) in Poland. Data on patients hospitalized in ICUs in Warsaw and the results of their treatment are scarce. This information, crucial for improving the quality of ICU healthcare services, is not collected routinely. Quality indicators are essential in the concept of holistic quality management. Implementation of these indicators in ICUs is a complex and time-consuming process. Systematic increase in demand for quality assessment tools that can reflect real conditions of the practices of ICUs, prompts the search for effective solutions. Methods: The study included 12,155 patients hospitalized in 16 ICUs of Warsaw hospitals (8 ICUs, n = 3293 of the first level of care, and 8 ICUs, n = 8862 of the second level) between 1<sup>st</sup> January 2017 and 31<sup>st</sup> December 2018. ICUs in pediatric and oncological hospitals were excluded from the study. Characteristics and demography of patients as well as the structure, treatment and human resources of the ICUs in Warsaw were analyzed. Length of stay, unexpected extubations, nosocomial infections, ICU readmissions and standardized mortality ratios (SMR) were retrieved from National Health Fund, Ministry of Health, and other public databases. Results: In primary level ICUs patients’ age (66.42 vs. 64.43 years;p = 0.005) and comorbidity rate (30.56% vs. 22.78%, p = 0.037) were higher when compared to ICUs of the second level of care. The crude mortality rate in ICUs in Warsaw was significantly higher than in other EU countries and differed between ICUs of the first and the second level (34.77% vs. 24.53%, respectively;p = 0.004). SMRs were however very low: 0.71 and 0.64 (ns), respectively. ICU readmission rate, unexpected extubations, central catheter related infections, and length of stay were identical in both groups. More patients were admitted to ICU form emergency department and/or discharged home in Level 1 ICUs (18.9% vs 12.9%, p Conclusions: There are no major differ
