摘要
目的分析2014—2018年浙江省衢州市城市癌症早诊早治项目的高危评估与筛查结果。方法采取整群抽样的方法,以浙江省衢州市为项目点,选取40~74岁常住户籍且具有完全行为能力的居民作为研究对象,通过问卷初筛、确定高危人群并进行临床筛查,计算人群癌症高危率、临床筛查参与率和阳性病变检出率。结果2014—2018年浙江省衢州市共50114人完成高危风险评估,25375人被评估为癌症高危,整体高危率为50.63%,其中男性高危率(57.28%)高于女性(45.36%);60~64岁年龄组人群的高危率最高。各癌种的高危率从高到低依次为上消化道癌(26.24%)、肺癌(23.55%)、肝癌(17.22%)、女性乳腺癌(14.91%)和结直肠癌(12.67%),临床筛查参与率从高到低依次为女性乳腺癌(55.19%)、肝癌(47.47%)、肺癌(46.31%)、上消化道癌(28.26%)和结直肠癌(18.24%),其中男性除结直肠癌筛查参与率高于女性外,其余癌种的筛查参与率均低于女性。各癌种的阳性病变检出率从高到低依次为女性乳腺癌(20.54%)、肺癌(18.04%)、肝癌(3.22%)、结直肠癌(1.73%)和上消化道癌(0.16%),其中,男性肝癌、上消化道癌和结直肠癌阳性病变检出率均高于女性,而肺癌阳性病变检出率低于女性。结论2014—2018年浙江省衢州市城市癌症早诊早治项目中人群参与积极性较好,临床筛查参与率较高,但含侵入性检查项目的结直肠癌和上消化道癌的临床筛查参与率及阳性病变检出率均较低,未来应继续探索适宜的筛查策略,并加强对高危人群的宣教,尤其是男性及60~64岁年龄段的人群,进一步提升癌症筛查效果。
Objective To analyze the high⁃risk assessment and screening results of the urban cancer early diagnosis and treatment in Quzhou city,Zhejiang province from 2014 to 2018.Methods The permanent residents with aged 40⁃74 and full behavioral capacity in Quzhou city,Zhejiang province,were sampled as the research object,based on the cluster sampling method.The high⁃risk group was identified,through preliminary screening questionnaire,and clinically screened to calculate the cancer high⁃risk rate,clinical screening participation rate and positive lesion detection rate of the population.Results From 2014 to 2018,the high⁃risk assessment was com⁃pleted for a total of 50,114 people,and 25,375 people were assessed as being at high risk of cancer,with an overall high risk rate of 50.63%.The high risk rate of males(57.28%)was higher than that of females(45.36%).The highest risk rate was found in the 60⁃64 age group.The high⁃risk rates of various cancers from high to low were upper gastrointestinal cancer(26.24%),lung cancer(23.55%),liver cancer(17.22%),female breast cancer(14.91%)and colorectal cancer(12.67%).The clinical screening participation rates from high to low were women's breast cancer(55.19%),liver cancer(47.47%),lung cancer(46.31%),upper gastrointestinal cancer(28.26%)and colorectal cancer(18.24%).Except for colorectal cancer,the participation rate of male was lower than female for other types of cancer.The positive rates of all cancer types from high to low were female breast cancer(20.54%),lung cancer(18.04%),liver cancer(3.22%),colorectal cancer(1.73%)and upper gastrointestinal cancer(0.16%).The detection rates of male liver cancer,upper gastrointestinal cancer and colorectal cancer positive lesions were higher than that of female,while the detection rate of lung cancer positive lesions was lower than that of female.Conclusions People actively participate in the urban cancer early diagnosis and treatment in Quzhou city,Zhejiang province,from 2014 to 2018.The clinical screening participation rate is high,though the clinical screening participation rate and the positive lesion detection rate of colorectal cancer and upper gastrointestinal cancer are relatively low in the invasive screening program.Proper screening strategy should be explored in the future;the propaganda and education for high⁃risk population should be strengthened,especially for male and people aged 60 to 64,to improve the effect of cancer screening.
作者
雷锐娇
张美珍
王乐
方志梅
王悠清
李辉章
朱陈
杜灵彬
LEI Ruijiao;ZHANG Meizhen;WANG Le;FANG Zhimei;WANG Youqing;LI Huizhang;ZHU Chen;DU Lingbin(Department of Cancer Prevention,Cancer Hospital of the University of Chinese Academy of Sciences/Zhejiang Cancer Hospital,Hangzhou 310022,China;Medical College,Shihezi University,Shihezi 832003,China;Kecheng District People's Hospital of Quzhou,Quzhou 324000,China)
出处
《中国癌症防治杂志》
CAS
2021年第6期618-623,共6页
CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT
基金
国家重点研发计划项目(2016YFC0901405)
国家重大公共卫生服务项目——城市癌症早诊早治项目。
关键词
癌症
组织性筛查
早诊早治
效果评估
高危人群
Cancer
Organizational screening
Early diagnosis and treatment
Effect evaluation
High⁃risk population
