| 梁明斌,陆 凤,方 乐.浙江省农村试点地区妇女宫颈癌筛查结果及成本效果分析[J].中国肿瘤,2019,28(11):816-820. |
| 浙江省农村试点地区妇女宫颈癌筛查结果及成本效果分析 |
| Results and Cost-effective Analysis of Pilot Cervical Cancer Screening Program Among Women in Rural Areas of Zhejiang Province |
| 投稿时间：2018-11-26 |
| DOI：10.11735/j.issn.1004-0242.2019.11.A003 |
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| 中文关键词: 宫颈癌 筛查 疫苗 农村 成本效果 浙江 |
| 英文关键词:cervical cancer screening vaccine rural area cost-effectiveness Zhejiang |
| 基金项目:浙江省医药卫生科技计划项目（2014KYA033） |
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| 中文摘要: |
| 摘 要：［目的］ 分析浙江省农村妇女宫颈癌筛查试点项目的筛查结果和成本效果情况。［方法］ 收集2009至2011年浙江省农村4个开展宫颈癌筛查试点地区（嵊州市、武义县、台州市黄岩区、丽水市莲都区）的工作数据以及直接成本，分析筛查结果和成本效果。［结果］ 试点地区完成筛查231 702人，共确诊癌前病变1342例（检出率为579.19/10万），宫颈癌69例（检出率为29.78/10万），合计1411例（检出率为608.97/10万）；不同地区合计检出率差异具有统计学意义。此外，还发现56 817例（24.52%）生殖道感染、11 205例（4.84%）子宫肌瘤和11 148例（4.81%）其他良性病变。浙江省农村试点地区宫颈癌筛查成本效果比为18 996.00元/例，早期发现成本系数为0.477。［结论］ 浙江省开展宫颈癌筛查具有较好成本效果，宫颈癌疫苗接种暂不影响现行宫颈癌筛查的必要性。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the results and cost-effectiveness of cervical cancer screening among women in rural areas of Zhejiang province based on the data of a pilot study. ［Methods］ The data and direct cost of cervical cancer screening among rural women in 4 pilot regions of Zhejiang province during 2009 to 2011 were collected. The screening results and cost-effectiveness were analyzed. ［Results］ There were 231 702 women screened，and 1342 cases of precancerous lesions(579.19/105) and 69 cases of cervical cancer(29.78/105) were identified with a total detection rate of 608.97/105. Besides，56 817 cases of genital tract infection(24.52%)，11 205 cases of fibroid(4.84%) and 11 148 cases of other benign lesions(4.81%) were detected during the screening. The cost-effective analysis showed that the cost of per detected cervical cancer case was 18 996.00 RMB and early detection cost coefficient(EDCI) of screening was 0.477. ［Conclusion］ The pilot study shows that the cost-effectiveness is good in cervical cancer screening for rural women in Zhejiang province. |
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